Why Caduceus?

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It all started when…

Caduceus an early adopter of the Athenahealth service platform is the leading co-sourcing partner, offering complete business office and non-clinical operational support.  Supporting over 3,500 providers on Athenanet, we take on all the “you do work” in the Athenahealth co-sourced relationship. These tasks range from data entry, coding, claim error dashboard workflows, un-postable routing, interface management and error ques, live operator patient call / scheduling center, to business intelligence analytics and pop health reporting.  

When healthcare providers and physicians are not practicing at the top of their license, the result is overworked staff and squeezed margins. – Caduceus wicks off these time consuming “last mile” difficult to resource tasks, so you can focus on your core competencies and transform patient care.

Whether you are looking for end to end outsourced revenue cycle powered by Athenahealth, or just select segments of the workflow process, Caduceus provides a customized service solution to meet your needs.  

 

How may we support YOU?

Caduceus is designed to reduce your overall cost to collect by bringing scale to your revenue cycle operations.

 
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THE BIG PICTURE

We focus on the detail, so you can focus on the big picture

FACILITY COMPETENCIES

  • Patient registration

  • Appointment scheduling

  • Check-in/Check-out

  • TOS Payment collection

  • Referrals and prior authorizations

  • Charge capture [optional for Caduceus to perform]

  • Exception based workflows [No Shows, Missing Slips, Appts. to reschedule]

  • TOS reconciliation

  • Patient payment plans and pre-payment plans

  • Approve write-offs

  • Internal practice policy creation and deployment

  • Local hardware maintenance

  • Payer contract negotiation

 
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ENGINEERED FOR YOUR SUCCESS

With Caduceus behind the scenes, we will change the way you feel about your reporting

CADUCEUS EXPERTISE

  • Credentialing

  • Review of scrubs and practice specific denials (HOLD and MGRHOLD)

  • Fee schedule maintenance

  • Robust reporting and analytics

  • Complex denials management

  • Patient AR management and collections

  • Patient AR, refunds and credit balances

  • Real time performance monitoring

  • Creation and deployment of best practices

  • Analysis of patient population and market opportunities

  • Training and on-boarding of new practices

  • Interface queue management

  • Patient call center

  • Complex coding compliance review (optional)

  • Manage local practice rules

  • Athena table space build and future growth and maintenance

  • Consultative optimization and deployment of best practices

  • Dedicated on-site administrative and revenue cycle management team

  • Unapplied cash management

  • Practice acquisition consulting

 
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WORKING WITH ATHENAHEALTH?

Whether your facility is operating with or without athenahealth at the helm, Caduceus is equipped to streamline your business

PARTNERED FOR SUCCESS

  • Payer Enrollment (EDI, ERA and EFT)

  • Maintenance of master insurance package database

  • Creation and maintenance of claim scrubs and rules

  • Automatic eligibility checks

  • Patient appointment reminders

  • Credit card and check TOS processing

  • Initial claim scrub and claim submission prep

  • Process and manage payer transactions (payments, adjustments, etc.)

  • Translate denials and perform payer follow-up

  • Resolve denials and execute appeals

  • Patient statements

  • Upgrades and updates