Our mission is to provide the best, most compliant revenue cycle solutions to the healthcare community.

Pollux's Revenue Cycle Management services and processes were engineered to ensure that we have control of your practice’s key performance factors. To accomplish this, we implement the Pollux Performance Control System. As your processes change, we adjust our tailored control system accordingly. In the revenue cycle, every process matters. Our system establishes control of all of them, from charge capture to A/R and denial management. Each of your processes will be documented and measured to ensure we collect every dollar on your behalf.

We will even take it to the next level, and contractually guarantee this performance. In addition to the Pollux Performance Control System, we offer all of the traditional revenue cycle services; credentialing, charge capture, claim submission, payment posting, refund processing, and secure practice messaging system. We believe the services below are what makes Pollux Systems different.

Revenue Cycle Management

SERVICES

Service List
A/R Management

A/R Management

We believe Accounts Receivable Management is one of the key services that differentiates a Revenue Cycle Management companies from the next. Our approach is to implement processes to reduce denials on the front end, and streamline the resolution on the back end. Our resolution process is aggressive, highly detailed and effective in tracking denials, overseeing files and receiving a timely response. We have developed specific software tools and processes to effectively manage and reduce denials, thus improving your practice’s payment cycle and cash flow.

I.T. Expertise

I.T. Expertise

Our in-house IT Programmers will develop the interface needed to import your billing data into our revenue cycle management software. We have experience with many practice management software and file types. We will also create the exact report sets needed for you to make those critical business decisions. We pride ourselves on customizes your reporting needs to align with the many nuances of your practice.

Coding

Coding

Our Coding team consists of AAPC certified coders with many years of experience. Our billing system utilizes coding edits to help reduce those front-end denials. We implement an in-house quality assurance program as well as third party audits. If applicable, we will handle all of your MIPS/MACRA reporting needs.

Compliance

Compliance

Medical Billing, OIG, and HIPAA compliance and regulations are extremely important, and we treat them as such. We have an in-house Compliance Officer that manages our adherence to all of the necessary guidelines for your revenue cycle management processes. We will provide feedback and training to our team members and your staff. We also conduct a third-party HIPAA/E-Security audit to make sure your Protected Health Information is safe.

Contract Variance

Contract Variance

We provide an insurance contract variance solution to verify that your current reimbursement levels are accurate. Our enterprise-level revenue cycle management software is capable of measuring these variances instantly. Contract variance can increase revenue, but also proactively identify and avoid mass recoupment liability.

Log Reconciliation

Log Reconciliation

We've developed a proprietary log reconciliation system that reports variances in comparisons (electronically or manually) between a patient log file of services performed to charges currently entered into our system. This process is to ensure that all service rendered are captured and timely charged.

Patient Pay Solutions

Patient Pay Solutions

We want to make it as easy as possible for your patients to interpret their statement and to make payments. We submit customizable statements to patients within hours of patient liability being established. Our United States based customer service team serves as a seamless extension of your. We have several options for payment; credit card, ACH, check, payment plan, online pay.

Onboarding

Onboarding

We understand that a change in billing solutions is a daunting task. There is a very small margin for error in the transition phase. So, we created an onboarding team, and a detailed project plan, to streamline the transition. Our shared goal is to smoothly transition you to our solution, while simultaneously keeping your cash flow stabilized.

MIPS

M.I.P.S.

We have partnered with a qualified registry and experts to help your practice navigate MIPS (Merit-based Incentive Payment System) data submission, measure improvement, and overall compliance.

Unclaimed Property

Unclaimed Property

We will ensure that your practice is in total compliance with all unclaimed property regulations for all states.

Service List
A/R Management

A/R Management

We believe Accounts Receivable Management is one of the key services that differentiates a Revenue Cycle Management companies from the next. Our approach is to implement processes to reduce denials on the front end, and streamline the resolution on the back end. Our resolution process is aggressive, highly detailed and effective in tracking denials, overseeing files and receiving a timely response. We have developed specific software tools and processes to effectively manage and reduce denials, thus improving your practice’s payment cycle and cash flow.

I.T. Expertise

I.T. Expertise

Our in-house IT Programmers will develop the interface needed to import your billing data into our revenue cycle management software. We have experience with many practice management software and file types. We will also create the exact report sets needed for you to make those critical business decisions. We pride ourselves on customizes your reporting needs to align with the many nuances of your practice.

Coding

Coding

Our Coding team consists of AAPC certified coders with many years of experience. Our billing system utilizes coding edits to help reduce those front-end denials. We implement an in-house quality assurance program as well as third party audits. If applicable, we will handle all of your MIPS/MACRA reporting needs.

Compliance

Compliance

Medical Billing, OIG, and HIPAA compliance and regulations are extremely important, and we treat them as such. We have an in-house Compliance Officer that manages our adherence to all of the necessary guidelines for your revenue cycle management processes. We will provide feedback and training to our team members and your staff. We also conduct a third-party HIPAA/E-Security audit to make sure your Protected Health Information is safe.

Contract Variance

Contract Variance

We provide an insurance contract variance solution to verify that your current reimbursement levels are accurate. Our enterprise-level revenue cycle management software is capable of measuring these variances instantly. Contract variance can increase revenue, but also proactively identify and avoid mass recoupment liability.

Log Reconciliation

Log Reconciliation

We've developed a proprietary log reconciliation system that reports variances in comparisons (electronically or manually) between a patient log file of services performed to charges currently entered into our system. This process is to ensure that all service rendered are captured and timely charged.

Patient Pay Solutions

Patient Pay Solutions

We want to make it as easy as possible for your patients to interpret their statement and to make payments. We submit customizable statements to patients within hours of patient liability being established. Our United States based customer service team serves as a seamless extension of your. We have several options for payment; credit card, ACH, check, payment plan, online pay.

Onboarding

Onboarding

We understand that a change in billing solutions is a daunting task. There is a very small margin for error in the transition phase. So, we created an onboarding team, and a detailed project plan, to streamline the transition. Our shared goal is to smoothly transition you to our solution, while simultaneously keeping your cash flow stabilized.

MIPS

M.I.P.S.

We have partnered with a qualified registry and experts to help your practice navigate MIPS (Merit-based Incentive Payment System) data submission, measure improvement, and overall compliance.

Unclaimed Property

Unclaimed Property

We will ensure that your practice is in total compliance with all unclaimed property regulations for all states.

Service List
A/R Management

A/R Management

We believe Accounts Receivable Management is one of the key services that differentiates a Revenue Cycle Management companies from the next. Our approach is to implement processes to reduce denials on the front end, and streamline the resolution on the back end. Our resolution process is aggressive, highly detailed and effective in tracking denials, overseeing files and receiving a timely response. We have developed specific software tools and processes to effectively manage and reduce denials, thus improving your practice’s payment cycle and cash flow.

I.T. Expertise

I.T. Expertise

Our in-house IT Programmers will develop the interface needed to import your billing data into our revenue cycle management software. We have experience with many practice management software and file types. We will also create the exact report sets needed for you to make those critical business decisions. We pride ourselves on customizes your reporting needs to align with the many nuances of your practice.

Coding

Coding

Our Coding team consists of AAPC certified coders with many years of experience. Our billing system utilizes coding edits to help reduce those front-end denials. We implement an in-house quality assurance program as well as third party audits. If applicable, we will handle all of your MIPS/MACRA reporting needs.

Compliance

Compliance

Medical Billing, OIG, and HIPAA compliance and regulations are extremely important, and we treat them as such. We have an in-house Compliance Officer that manages our adherence to all of the necessary guidelines for your revenue cycle management processes. We will provide feedback and training to our team members and your staff. We also conduct a third-party HIPAA/E-Security audit to make sure your Protected Health Information is safe.

Contract Variance

Contract Variance

We provide an insurance contract variance solution to verify that your current reimbursement levels are accurate. Our enterprise-level revenue cycle management software is capable of measuring these variances instantly. Contract variance can increase revenue, but also proactively identify and avoid mass recoupment liability.

Log Reconciliation

Log Reconciliation

We've developed a proprietary log reconciliation system that reports variances in comparisons (electronically or manually) between a patient log file of services performed to charges currently entered into our system. This process is to ensure that all service rendered are captured and timely charged.

Patient Pay Solutions

Patient Pay Solutions

We want to make it as easy as possible for your patients to interpret their statement and to make payments. We submit customizable statements to patients within hours of patient liability being established. Our United States based customer service team serves as a seamless extension of your. We have several options for payment; credit card, ACH, check, payment plan, online pay.

Onboarding

Onboarding

We understand that a change in billing solutions is a daunting task. There is a very small margin for error in the transition phase. So, we created an onboarding team, and a detailed project plan, to streamline the transition. Our shared goal is to smoothly transition you to our solution, while simultaneously keeping your cash flow stabilized.

MIPS

M.I.P.S.

We have partnered with a qualified registry and experts to help your practice navigate MIPS (Merit-based Incentive Payment System) data submission, measure improvement, and overall compliance.

Unclaimed Property

Unclaimed Property

We will ensure that your practice is in total compliance with all unclaimed property regulations for all states.

 

Our facility is HIPAA Compliant. Third party audits are conducted annually, internal audits are conducted quarterly, and we hold continuous HIPAA Privacy and Security training for all employees.