Services

Our clients rely on the strength of our resources. But it’s equally important to us to strengthen your resources internally. Working as your partner, we help identify and correct any deficiencies in Admitting/Registration/Patient Access documentation, Case Management/Utilization Review, Medical Records/HIM, and similar processes. Improving your efficiency and profitability is our main concern.

We can meet this goal in a number of ways:

Full Outsourcing

To reduce overhead and increase efficiency, we can assume complete responsibility for your Patient Financial Services department – from bill drop to final account resolution. On a remote basis from our Operations Center in Hendersonville, Tennessee, we will provide:

  • Initial and secondary billing
  • Investigation of undisclosed insurance coverage (primarily Medicaid)
  • Account follow-up and collection
  • Cash posting
  • Denials management
  • Bad debt logs
  • Matrix development/management of managed-care contract payments
  • Quarterly Medicare credit balance reporting
  • Maintenance of vendor relationships with collection agencies
  • Special projects as needed

 Please see the FAQ section for more detailed information regarding remote connectivity.

If you wish, you may choose to keep some functions on site, such as initial billing and cash posting. In such instances, you choose whether these functions remain under your own control and payroll or under ours.

Partial Outsourcing/Early Out

You may also look to us for specific "problem” accounts. No matter which level of service you select, we provide the same attention to detail and the same aggressive pursuit of results.

Under Partial Outsourcing, select certain third party and government payor accounts for Citadel’s follow-up and resolution. These may fit any criteria you choose, from older accounts to specific payor categories, either as a one-time placement or as an ongoing contract on accounts of that type. Our Early Out services process selected accounts at an early stage – in many cases, from date of discharge.

Custom Services

We can also assist you and your staff in a number of shorter-term services that require special focus or expertise. Draw on our expertise for consulting and special project assistance such as credit balance review and resolution, cash posting, Medicare Bad Debt Log preparation and maintenance, on-site personnel evaluation or assistance with fully utilizing your IT system (especially Meditech).

From time to time, you may be left short-handed by employee illness, vacations, maternity leave or other events. Our Account Specialist Interim program gives you access to trained Citadel personnel on a daily, weekly, monthly or even longer-term basis. Since interim staff members remain in our Hendersonville, Tennessee office, connected to your system via VPN or frame relay, you save travel costs and incidentals. This means you pay only for the services you have selected. Of course, if you prefer, we can place an Account Specialist in your facility for part or all of the interim period.

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