TFane provides comprehensive revenue enhancement solutions through an integrated global process delivery platform, offering outstanding healthcare services and proven outcomes.
Accounts Receivable Management
TFane’s partnership approach delivers long-term, sustainable results by offering:
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End to End RCM services
End to End RCM services•Aged A/R projects
Aged A/R projects•A/R targeted finalization services
A/R targeted finalization services•Underpayment programs/Denial programs
Underpayment programs/Denial programs•A/R IT conversion services
A/R IT conversion services•Day 1 A/R services
Day 1 A/R servicesKey Benefits:
•Increase cash as a percentage of net patient revenue
Increase cash as a percentage of net patient revenue•Reduce and control fully loaded costs to collect
Reduce and control fully loaded costs to collect•Small balance collection experts – under $2500 per claim
Small balance collection experts – under $2500 per claimThird Party Solutions
TFane’s process-driven team vigorously pursues effective and comprehensive Third Party solutions.
•Prompt resolution of all Return to Provider (RTP) and Additional Documentation Request (ADR) and related information requests
Prompt resolution of all Return to Provider (RTP) and Additional Documentation Request (ADR) and related information requests•Checklists defined within 48 hours of receipt of the denial information
Checklists defined within 48 hours of receipt of the denial information•“Final Denial” accounts reports
“Final Denial” accounts reports•Root cause analysis of third party denials – by type, by department, by physician
Root cause analysis of third party denials – by type, by department, by physicianKey Benefits:
•Increase consistency in cash collections and cash flow
Increase consistency in cash collections and cash flow•Decrease and maintain days in AR
Decrease and maintain days in AR•Reduce days outstanding
Reduce days outstanding•Platform neutral – TFane works with your current system
Platform neutral – TFane works with your current systemDenials Management
TFane establishes pre and post intervention comparisons of appeals, denials and adjustments’ to revenue which define the ROI and value of this process improvement opportunity.
•Deploys a proven method to over-turn clinical denials
Deploys a proven method to over-turn clinical denials•Appeals administrative/no-authorization denials to establish medical necessity of the visit and services
Appeals administrative/no-authorization denials to establish medical necessity of the visit and services•Provides detailed reports of denial activity by payer, physician, Diagnosis Related Group (DRG)
Provides detailed reports of denial activity by payer, physician, Diagnosis Related Group (DRG)Key Benefits:
•Reduce unpaid administrative denials
Reduce unpaid administrative denials•Increase cash collections on late stage denials
Increase cash collections on late stage denials•Improve first pass yield
Improve first pass yield•Reduce bad debt expense
Reduce bad debt expense•Reduce contractual write-offs
Reduce contractual write-offs