Revenue Cycle Management Practice

Facing negative profit margins, hospitals and physician practices struggle to sustain their financials and still maintain quality of care for their patients. Many healthcare organizations are now faced with increased risk under the accountable care models, as the payers adopt a value-based reimbursement model vs the current fee-for-service model. Experiencing subsequent revenue decline, hospitals and physician practices must proactively seek solutions that will address these pressing challenges.

JTS specifically developed a Revenue Cycle Management (RCM) Practice that addresses these challenges (e.g. people, process, technology) and provides solutions that target and maximize billing and collection performance. JTS’ revenue cycle management consultants have in-depth industry experience, applicable resources, and the knowledge required to evaluate and assess your organizations financial health and profitability.

Achieving and sustaining profitability requires expertise in billing, coding and accounts receivables (A/R) management. That is exactly why JTS developed a RCM Model of Excellence practice with very experienced professionals that can operate at any level within the revenue cycle functions (e.g., patient access, billing, coding, A/R management, analytics, etc.) with in-depth application and system knowledge.

A large portion of our Revenue Cycle Management service is through Extended Business Office Solutions. Our Extended Business Office Solutions focus on providing healthcare revenue cycle expertise, support and staff augmentation including, but not limited to:

  • Pre-Registration and Patient Access Eligibility
  • Eligibility and Payer Authorizations
  • Billing and Accounts Receivable Management
  • Denial Management and Master File Support

We align with our clients by supporting their existing healthcare revenue cycle policies, workflows and processes to improve or maintain key revenue and operating metrics. JTS advisors are experts who understand and identify “root cause” analysis, delays and negative trends. We are able to quantify these issues and recommend improved strategies with monitoring capabilities regarding the implementation redesign.

Our EBO team members are 100% dedicated to the assigned client for the term of the engagement. We are committed to providing clients with accountable, strategic, efficient, and flexible solutions supported by measurable results.

JTS’ RCM Models of Excellence includes the following:

Operational Performance Model of Excellence.

  • Coding
  • Coding Compliance
  • IT System Optimization (Analysis, Alignment of revenue cycle processes, workflow and IT configuration)
  • Policy & Procedure Refresh
  • Central Business Office Strategy

Business Transformation Model of Excellence.

  • Advisory & Consulting
  • Extended Business Office
  • Accounts Receivable Management
  • Denial Management Solution
  • Analytics & HIM Auditing
  • Claims Quality Management

Facts about JTS Health Partners

  • Holding company, JTS Ventures, Inc., established in 2002
  • Healthcare management consulting subsidiary, JTS Health Partners formed in 2009
  • A state-of-the-art virtual organization with a broad and growing footprint
  • Current team operates in approximately fourteen (14) states within the United States
  • Headquarters based in Norcross, Georgia