Pollux Consulting Services

Pollux Systems Inc. uses the gained knowledge and expertise from many years spent providing revenue cycle management / medical billing services, and segmented the revenue cycle pieces into consulting solutions and much more.

Workflow Analysis

Pollux Consulting Services provides a comprehensive Workflow Analysis to aid in establishing control of a practice’s internal billing processes. The same policies / procedures and control systems we use for our internal processes are applied to your practice.

 

ICD-10

ICD-10 CM/PCS planning and implementation is a complex challenge for all health care practices and providers. It drastically changes the way services are coded and requires significant training and effort to make a successful transition. Pollux Consulting Services will help you develop ICD-10 timelines, implementation strategies and organize a readiness assessment. We can also provide analysis of documentation quality and recommend areas of needed education and document improvement.

Audits

Pollux Consulting Services leverages our expertise from years of revenue cycle management to offer practice audits in several key performance areas. This includes Coding and Compliance, OIG (Office of Inspector General), HIPAA / Hi-Tech, and RAC (Recovery Audit Contractor) services.

 

Credentialing

If your practice needs assistance with the cumbersome Credentialing process, Pollux Consulting Services will alleviate you of this burden from start to finish. This service is included in our Revenue Cycle Management / Medical billing solution, but is offered as a “standalone” service as well.

 

Interim Management

Pollux Consulting Services offers Interim Management solutions to practices in need of temporary leadership and guidance. We will apply the same control systems utilized in managing revenue cycle clients and internal Pollux Systems, Inc. processes. This service includes the options of practice manager, billing manager, and Accounts Receivable manager.

The Practice Management option assumes accountability of daily operations of the medical practice. This includes hiring, terminations, training, managing employees, handling the revenue cycle, credentialing, and contract negotiations.

 

The Features

  • Serves as the overall practice manger and liaison to the practice.
  • Troubleshoots problems and develops recommendations for resolution.
  • Monitors staff performance and facilitates effective teamwork.
  • Manages new and existing managed care contracts.
  • Prepares and analyzes financial and practice activity reports.
  • Assists in marketing and expansion-related issues.
  • Performs, supervises, coordinates, and/or monitors the work activity related to patient injuries, self-pay collections, and payment posting.

  • Oversees annual budget operation and develops business goals.
  • Approves vendor lists and processes procurement items for the office.
  • Acts as liaison with landlord and real estate services resolving issues/concerns with property/facility.
  • Submits accurate and timely payroll information.
  • Processes all accounts payable information.
  • Performs administrative duties to ensure the efficiency of the office practice.

 

The Benefits

  • Years of expertise in revenue cycle management, medical billing services, and consultation
  • Temporary leadership in practice, billing, and accounts receivable management
  • Accountability in all daily medical practice operations

 

The A/R Management option assumes accountability of the practice’s financial analysis and reporting. We will serve as the overall A/R Manager and liaison to the practice.

 

The Features

  • Troubleshoots problems and develops recommendations for resolution.
  • Manages new and existing care contracts.

 

The Benefits

  • Expert level of reporting and financial analysis
  • Accountability of reporting and analysis of financial status

 

The Billing Management option assumes accountability of the daily operations of the Billing Operations including: training, managing employees, handling the revenue cycle, credentialing, and contract negotiations.

 

The Features

  • Serves as the overall billing manger and practice liaison.
  • Troubleshoots problems and develops recommendations for resolution.
  • Monitors staff performance and facilitates effective teamwork.
  • Manages new and existing managed care contracts.
  • Analyzes financial and practice-activity reports.
  • Performs, supervises, coordinates, and/or monitors the work activity related to patient injuries, self-pay collections, and payment posting.
  • Oversees the annual Billing Operating budget and develops business goals.
  • Performs administrative duties that ensure the efficiency of Billing Operations.

 

The Benefits

  • Continuity of all hired employees
  • Fluid contract negotiations
  • Superb employee management
  • Revenue cycle handling

 

Audits

Pollux Consulting Services leverages our expertise from years of revenue cycle management to offer practice audits in several key performance areas. This includes Coding and Compliance, OIG (Office of Inspector General), HIPAA / Hi-Tech, and RAC (Recovery Audit Contractor) services.

 

The Features

  • Practice audits in OIG, HIPAA/Hi-Tech, and RAC services
    • Effective practice audits through years of expertise

 

Pollux Consulting Services will help you meet the Office of Inspector General (OIG) for the Department of Health and Human Services Compliance program guidelines for Health Care providers and group practices. These guidelines were established to help providers ensure the proper billing of their services, and implement a Compliance Program that focuses on reviewing appropriate coding, billing and documentation requirements. Practices are also expected to continually monitor, train, and educate staff on compliance requirements and pertinent statutes and regulations.\

 

The Features

  • Aids in compliance with Office of Inspector General for the Department of Health and Human Services Compliance program guidelines
  • Highlights billing, medical services, and reimbursement risk
  • Implementation of coding audit reviews
  • Educate all staff in compliance requirements and regulations

 

The Benefits

  • Keeping the company regulation-free
  • Improving staff knowledge of important compliance rules
  • Overall awareness of company risk

 

Pollux Consulting Services will perform an analysis of current coding to assure compliance with Medicare and help prevent an audit. If your practice is facing an audit, we can help you prepare for this process.

 

The Features

  • Analysis of current coding
  • Medicare compliance system

 

The Benefits

  • Reduces the chance of audit
  • Increases preparation if audit persists

 

With the evolving complexities of HIPAA / Hi-Tech guidelines, practices are becoming more and more susceptible to breaches, which result in penalties. Pollux Consulting Services will help you build and maintain a program that addresses these HIPAA / Hi-Tech guidelines to minimize this risk.

 

The Features

  • Builds a program to address HIPAA/Hi-Tech guidelines
  • Maintains the program to minimize risk

 

The Benefits

  • Minimizes company risk
  • Lowers possible penalty and breach-points

Credentialing

If your practice needs assistance with the cumbersome Credentialing process, Pollux Consulting Services will alleviate you of this burden from start to finish. This service is included in our Revenue Cycle Management / Medical billing solution, but is offered as a “standalone” service as well.

 

The Features

  • Included in Revenue Cycle Management/Medical billing solution
  • Provides assistance with credentialing process

 

The Benefits

  • Eases often cumbersome process of credentialing
  • Provides aid in credentialing

Order to Cash Cycle

Pollux Consulting Services will aid in building an Order to Cash Cycle process that will eliminate gaps and maximize efficiencies to ensure funds are received promptly. We utilize our control systems and technology expertise to provide a streamlined Order to Cash Cycle.

 

The Features

  • Implementation of Order to Cash Cycle
  • Technology-driven
  • Operate by company experts

 

The Benefits

  • Eliminates gaps in funds received
  • Maximizes cash received effectiveness
  • Technology aids in streamlining cash services

 

Workflow Analysis

Pollux Consulting Services provides a comprehensive Workflow Analysis to aid in establishing control of a practice’s internal billing processes. The same policies / procedures and control systems we use for our internal processes are applied to your practice.

 

The Features

  • Practice Workflow Audits
  • Build policy and procedures
  • Document processes
  • Training
  • Workflow implementation

 

The Benefits

  • Assesses and aids in the internal billing process
  • A confident, hole-free approach to internal processes

ICD-10

ICD-10 CM/PCS planning and implementation is a complex challenge for all health care practices and providers. It drastically changes the way services are coded and requires significant training and effort to make a successful transition. Pollux Consulting Services will help you develop ICD-10 timelines, implementation strategies and organize a readiness assessment. We can also provide analysis of documentation quality and recommend areas of needed education and document improvement.

 

The Features

  • ICD-10 timeline, implementation, and organization
  • Documentation analysis for quality and improvement

 

The Benefits

  • Improves readiness and transition to ICD-10
  • Provides education to staff for ICD-10
  • Recommendation of educational procedure and document improvement