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Management Services

Sierra’s approach is client-centric with an emphasis on communication,
accountability, and flexibility. We customize our client solutions by analyzing your processes and developing an approach unique to you and your company. Sierra’s comprehensive array of services will meet every aspect of your billing needs.

 

Hospital and Physician Services 
 

 

Sierra ensures the effective billing and collection of all accounts referred by providers. Our specific procedures and services are designed to meet performance standards that have placed Sierra at the forefront of accounts receivable management.

Accounts Receivable Management 
 

 

Concise reporting is critical to informing a client of their receivables.  Sierra consistently evaluates the accounts receivables to determine current collection performance for each carrier type.  An analysis is performed to identify issues and implement solutions, as well as set collection standards appropriately.

Medicaid/Charity Care Eligibility Services 
 

 

As a leading Revenue Cycle Management (RCM) company, we specialize in offering comprehensive eligibility services for essential programs such as Medicaid, Charity Care and Family Care, to name a few. Our unique approach includes the flexibility to have dedicated staff (bilingual and PE Certified) onsite at our clients' facilities, ensuring a seamless integration of services. Supported by our robust back-office operations that includes financial counselors and a customer service team, we provide end-to-end solutions that optimize eligibility determinations and enhance the financial health of healthcare providers.

Coding 
 

 

Coding Is an intensive process that requires training and expertise.  Sierra’s staff of expert, multi-specialty coders have been certified by the American Academy of Professional Coders and will complete all claims on behalf of our clients.  We keep updated on published AMA guidelines and compliance requirements and code to capture maximum revenue.

Third Party 
Follow-Up 
 

Sierra handles the follow-up on all insurance and other third-party payments.

Billing 
 

 

A client cannot get paid if they do not bill.  Sierra customizes our clients' statements to match their specific needs, facilitating prompt payment.

Insurance Claim Submission 
 

 

Sierra generates claims to payers, Medicaid, Medicare, HMO’s, commercial insurance and liability claims.  We manage clearing houses and deal with patients, employers and insurance companies so our clients can focus on their patients.

Data & IT Analysis

Analyzing A/R (Accounts Receivable) data from a diverse range of sources is a fundamental aspect of our customized services for hospitals and physicians. Our expertise in handling data from the billing system, the clearinghouse, and 835 data is at the core of what we offer to our revenue cycle clients. Additionally, our proprietary system is specifically designed to seamlessly transform this data (i.e., 835 files) into a practical format that allows for a comprehensive analysis. We leverage this treasure trove of valuable information to provide insights, trends and issues, root cause analysis and payer and provider analytics. A tailor-made analysis of payments and denials that empowers us to uncover and recover lost revenue, ensuring that your financial operations are optimized to their fullest potential.

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