Maximize Reimbursement while Reducing Overall Costs
Our Services
At your service
For over 50 years, Kovo RCM has set the standard in revenue cycle management. In fact, when you join forces with our expert team, you're partnering with professionals dedicated to securing proper payments for your claims. See why countless healthcare providers trust us to handle their medical billing with excellence and reliability.
Personal Service
From scheduling to zeroing claim balances, Kovo RCM delivers unmatched professional revenue cycle management, including eligibility verification, accurate patient data collection, and full medical billing support.
Forward Thinking
With new payment plans and the shift to pay-for-value models, revenue cycle management now demands advanced skills. Additionally, care providers face increasing financial risk from evolving payor mixes and methodologies.
Robust Technologies
MACRA, MIPS, APMs, P4P, ACOs, E-Prescribing, EHR meaningful use, and capitation are now key components of successful revenue strategies. Furthermore, advanced technologies and analytics are essential tools for effective management.
Services We Offer
Revenue Cycle Management
From appointment scheduling through zeroing out claim balances, Kovo RCM Services delivers professional revenue cycle management (RCM) with personal service.
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We work with our providers to verify eligibility and accurately gather all necessary patient information and manage every step of the medical billing process. As new third-party payment plans emerge and the healthcare industry transitions from traditional fee-for-service to pay-for-value models, successful revenue cycle management requires a more complex skill set. Conventional revenue streams are giving way to more complex payor mixes and payment methodologies, many of which shift the financial risk of providing care from payors to physicians. MACRA, MIPS, APMs (alternative payment models), pay-for-performance (P4P), accountable care organizations (ACOs), E-Prescribing, EHR meaningful use, and capitation are all becoming vital elements in a healthy revenue makeup. New, robust technologies and analysis tools are standard equipment for smart managers.
See how Kovo RCM helps you thrive in these changing environments.
Status is a comprehensive claims management, claims submission and remittance management application that integrates with our Revenue Cycle Management (RCM) suite to give you higher first-pass acceptance rates; faster delivery to payers; and superior denial management, thanks to its complete detailing of each event within a claim’s lifecycle.
Using Status, we identify problem claims early and take necessary steps to assure medical claims are processed in a timely manner. Then, we monitor the medical claim throughout its life cycle, using our automatic account follow-up tools to aid our medical billing specialists in working claims denials and resolving payor issues, an integral part of our revenue cycle management process.
Credentialing. Just the mention of the word can strike fear in to the hearts of your back office staff, yet credentialing can make or break a practice. Good credentialing that is complete, accurate, and up to date means clean claims will be paid. Bad credentialing can mean a complete stall of revenue from the associated payors, no matter how timely and accurate the billing.
If your office is struggling with a credentialing back log call Kovo RCM today. Our practice management staff can provide credentialing services to ease your paperwork load and insure your medical claims are paid as quickly as possible.
Payor contracting is a difficult and often one-sided proposition. The insurance companies have all of the data - not just your fee schedule and reimbursement data, but that of all of your colleagues and competitors. Our revenue cycle management analysis tools provide independent physicians with the information they need to successfully prepare to negotiate third-party payor contracts by providing accurate reimbursement data for all of your payors for any CPT code!
After over 50 years of successfully providing practice management software and medical billing services, we know a thing or two about the environment in which our clients operate. Far more than a medical billing service, we are healthcare revenue cycle management experts, providing valuable analysis of your data and helping you make sound business decisions for your practice. Our comprehensive approach to practice management is often the difference maker between moderate success and a truly thriving practice.
High patient co-pays and deductibles are shifting financial risk to providers. Starting with easy-to-read statements, we are always looking for ways to make paying for services easy for your patients, including online bill pay, HSA payments credit card acceptance, and payment plans.
Practice Metrics and Analysis
Kovo RCM is more than a medical billing company. In fact, after almost 50 years working in practice management, we know how successful practices work as well as the information physicians and managers need to make sound decisions for their practice.
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Mining from multiple sources like our billing system, your EHR, clearinghouse data, and 835 electronic remittance advice, we go way beyond standard end-of-month reporting and dig deep for the practice intelligence you need to thrive.
Knowing what to charge for your medical services can be a shot in the dark. Let our practice management consulting team perform a fee schedule analysis and provide insight as to where your fees stand in relation to Medicare and other payors.
Our practice management experts help you make sense of the data using long term trends analysis reporting. Examples include Five Year Modality Trends by Charges, Payments and Allowances (Radiology) and Long Term Payor/CPT analysis.
Don't see the information you need in our scores of on-demand and end-of-month reports? As your data company we can create the exact report you need to make informed decisions about your practice.
At your request our team of IT and programming professionals can create custom reports to meet either on-going information requirements or one-time analysis. We will do everything we can to provide valuable data and meaningful analysis to our clients!
Additionally, our Client Portal provides dozens of configurable reports and charts that show data using user selected criteria.
Medical Coding and Compliance Program
The Kovo RCM team was, notably, instituting corporate compliance programs long before it was a standard industry practice.
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Through proven programs and approaches, we provide confidence to our clients that they are protected against abuse and fraud.
All physician dictated reports are reviewed for accuracy. Routine audits are performed by in-house certified medical coders to ensure that coding errors are eliminated and maximum payment is received for services rendered. Client accounts are audited from point of entry through the final payment.
At Kovo RCM, you can be assured that we follow the highest code of ethics. Our compliance program protocol includes:
- Confidentiality agreements with all employees
- Secure off-site and electronic data storage
- HIPAA Compliance and HITECH Compliance
- Data Encryption Secure firewalls
- Timely refunds Payment posting verification
- Regular medical coding reviews
- Routine internal audits
- Mandatory employee training in compliance programs - including regular compliance meetings
The complexities of medical coding are increasing and payers are requiring finer and finer specificity.
The Certified Professional Coders (CPC) at Kovo RCM can provide physician education and expert advice for your medical coding needs, verifying that your ICD-10 coding accurately represents your dictated record.
At Kovo RCM, we take pride in the fact that physicians look to us as their single source for practice management services. Several of our certified medical coders (CMC) provide medical coding audit and analysis in conjunction with written advisories or face-to-face education.
Kovo RCM is committed to the highest standards of medical coding certification. All of our medical coders carry professional medical coding certification including membership in AHIMA®, the American Health Information Management Association.
Client Portal
The Kovo RCM secure Client Portal ultimately provides our clients the information they need, when they need it.
Each month you receive a comprehensive set of EOM reports detailing valuable information about your practice in graphical and column formats. Our standard package can be augmented with custom reports to fulfill your specific information needs. A typical month-end report suite includes:
- Overall A/R
- Transaction Analysis
- Units of Service (broken by provider and location)
- Charges by Referring Physician
- Original Payor Production
In addition to EOM reports, our clients enjoy access to a host of powerful on-demand reports through our client portal. On-demand portal reports provide a deeper look at what's behind the EOM numbers and snap shots of daily and month to date activity. On-demand reports include:
- 12 Month A/R Analysis
- Charge Volume by DOS
- Claim Adjustment/Denial Reason Breakdown
- Collection Analysis
- Current A/R by Location
- Current Insurance Aged A/R
- Daily Transactions for Billing Month
- Location MTD/YTD Production Report
- Location Charges and Payments Graphs
- Modality Reports (Radiology)
- Payor Transaction Analysis Reports and Graphs
- Provider Statistical Production and Analysis
- Top 50 Diagnosis Codes
- Top CPT Usage
HIPAA and HITECH mandates demand safeguards for protecting PHI. Our client Document Vault provides a compliant, secure repository for sharing reports, spreadsheets, EOB images, ect. - anything that would include PHI or practice sensitive information - and allows clients to access it from anywhere.
We maintain a complete history of all ERAs that come to us, allowing our clients to review EOBs at any time, for any date.
Advanced Billing Technology (Turning Data into Dollars)
Essentially, smart revenue cycle management is about using your data to obtain optimum reimbursement.
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As your data company, we’ll help you discover long term trends and analyze practice metrics, statistics, and key performance indicators, providing you with the knowledge you need to make sound decisions.
Because EHR systems collect diagnosis and CPT information as part of the medical record, many EHR vendors have incorporated modest medical billing modules into their systems. The logic is simple enough, and these "bare bones" systems seem like a natural outgrowth of collecting diagnosis and CPT data. However, experienced practice managers know that effective medical billing and revenue cycle management (RCM) goes far beyond producing an electronic claim file.
Kovo RCM is working with several EHR vendors to integrate patient demographic and medical coding data with Kovo RCM Suite. Using standard HL7 interfaces, data necessary for billing is captured to the Kovo RCM software where medical billing specialists eye the data and the process of claims filing and accounts receivable management begins. EHR end-users need not touch the billing process at all, and the seamless flow of charge data keeps revenue cycle management in the hands of committed professionals.
There is a prevailing myth that new technologies are making all data easily portable and that data accessibility happens like magic. Not true.
In real life, portability of healthcare data only happens when skilled HL7 programmers make it happen. The programming team at Kovo RCM will interface or import patient demographics, dictation, patient appointments, or integrate with your electronic health records (EHR) system to keep your data moving.
One of the most significant advantages of working with Kovo RCM comes from the fact that our medical billing software has been developed in-house and is continually refined. That means we are able to produce custom reports and analytical data for our clients when they need them.
Additionally, our easy to use Client Portal provides you with a wide range of On-Demand Reports, End-of-Month Reports, Applications, News, and other useful information. Many of these are available as a report, chart, pdf, or spreadsheet.
Don't see the information you need in our scores of on-demand and end-of-month reports? As your data company, we can create the exact report you need to make informed decisions about your practice.
At your request our team of IT and programming professionals can create custom reports to meet either on-going information requirements or one-time analysis. We will do everything we can to provide valuable data and meaningful analysis to our clients!
Additionally, our Client Portal provides dozens of configurable reports and charts that show data using user-selected criteria.
Solutions that Fit You and Your Team