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Revenue Cycle Management Services 

What we do

Streamline the Revenue Cycle Management process with our RCM Services to improve agency performance and revenue generation.

RCM is the pillar of a healthcare organization as it deals with processes and policies; thus, a successful and well-organized Home Health Revenue Cycle Management is essential in delivering timely revenue for healthcare providers. LKN Strategies’ Revenue Cycle Management Services ensures that clinical and administrative functions in your agency are strategically managed, allowing your healthcare agency to operate optimally, and facilitating a steady flow of revenue.  

LKN offers the following services to help cater to specific agency needs: 

  • Authorization Management       
  • Coding and Billing 
  • Insurance Benefits Verification                                                 
  • Discharge Summary                 
  • Eligibility Verification     
  • Medication Review      
  • Non-Admit / DOS                                                             
  • Order Management                  
  • Patient Intake / Entry             
  • Receptionist / Call Management 
  • Referral Verification 
  • Scheduling         

LKN Strategies’ Revenue Cycle Management team consists of expert medical professionals with the best skill set, experience, and training on the subject matter. They have extensive knowledge of the medical terminologies, diagnoses, procedures, and services, and a thorough understanding of most insurance plans’ federal regulations and billing requirements, ensuring a decrease in billing errors and an increase in turnaround time. Your agency can expect expert handling with every single step in the RCM process by having a dedicated team working tirelessly to provide only the best outcome for your agency. 

With our top-notch Revenue Cycle Management Services, these specialties are also supported to assist you every step of the way:

  • Orthopedics
  • Spine 
  • Pain
  • Surgery Center
  • ED
  • MRI
  • Labs
  • DME

Through this partnership, we’ll help you drive your agency’s efficiencies and together we’ll explore opportunities for agency improvements by transforming challenges into strengths and helping you achieve your agency’s objectives. 

Grow your productivity with our cost-efficient home health medical coding services.

Guarantee success no matter what stage you are at in starting a home health care agency with our knowledgeable and experienced certified consultants.
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(310) 883-8920

LKN Strategies

5 STAGES OF CMS APPEALS

STAGE
1

Redetermination

When initial review is denied for PCR; PPR; ADR; UPIC; RAC, etc. and providers of the claim is denied, you have 120 days to submit a Redetermination Request (30 days from date of initial decision demand to avoid recoupment). This request is handled by the Medicare administrative contractor (MAC). If the claim is denied you have 60 days to submit an appeal request to level 2 to avoid recoupment.
STAGE
2

Reconsideration

Reconsideration is step 2 in the appeals process. You have a maximum of 180 days to submit your appeal. You will submit your documentation with the request for reconsideration and a detailed "rebuttal" of the reason(s) you disagree with the decision made at level 1. This review is completed by qualified independent contractors. If denied, you may move to stage 3. You have 60 days from date of receipt of Reconsideration.
STAGE
3

AU

At level 3 you will have a chance to present your appeal case to an Administrative Law Judge. You will need to submit a request and a detailed rebuttal as to why you disagree with the level 2 appeal decision. Your claim will only be elevated to level 3 if it meets the minimum dollar amount. For 2022, the required minimal amount is $180.00 If denied, you may try stage 4. You have 60 days from date of receipt of AL decision.
STAGE
4

MAC

The Medicare Appeals Council reviews the appeal decision made by the AU. If the claim is denied, you have 60 days to submit a request for judicial review by a federal district court.
STAGE
5

Federal Court

To get a judicial review in federal district court, the amount of your case must meet a minimum dollar amount. For 2022, the minimum dollar amount is $1760. You may combine claims to meet this dollar amount. Follow the MAC's decision letter you received at level 4 tafileacomnaint.
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LKN STRATEGIES is a healthcare consulting, medical billing, revenue cycle and business management firm with over 20 years of industry experience. 

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