Revenue Cycle & Management

A medical practice’s financial performance is a direct reflection of the thoroughness, accuracy and efficiency of its billing operations.

PJ&A offers a full revenue cycle transformation solution that elevates our provider partners to operational excellence. We take a holistic approach to developing your custom Revenue Cycle Management (RCM) plan; assessing your revenue drivers, risks, and aligning with your clinical and strategic goals. The PJ&A RCM Solution utilizes artificial intelligence (AI), deep learning and data science to automate the RCM process – validating demographics and eligibility, claims submissions, reconciliation, risk analysis – in turn, alleviating essential human resources for more high-level operational efforts. Through the seamless integration of Healthcare Management Systems (HMS) with RCM systems, our partners realize increased clean claim rate, cost containment and actionable, data-driven insights to support decision making.

Our end-to-end services focus on the entire revenue cycle and provide accelerators to overcome process and resource limitations:

• Medical Billing
• Denial Management
• DRG Appeals
• Accounts Receivables
• Follow-up for Physician groups, Individual Practitioners and Hospitals