Health providers must manage multiple operational areas across their organization to maintain the highest levels of payment integrity for all services rendered. Complications associated with these functions can impact timely and accurate reimbursement and include those associated with provider credentialing and enrollment, unbilled claim management, accounts receivable and denials management, and ensuring accurate reimbursement through the collection process. Guidehouse solutions drive net revenue improvement through use of technology and operational enhancements to address these challenges.

Our solution offerings include:

• Managed care PFS below but update as follows:
• Bullets should be: 
• Credentialing and Provider Enrollment
• Billing
• Insurance and Self-Pay Collections
• Denial Management
• Payment Processing