Performance Improvement

With the healthcare industry’s shift from a fee-for-service reimbursement model to one based on value, providers are under pressure to improve overall quality of care while reducing costs. Cumberland delivers results-driven solutions to help providers reduce costs, increase revenue, streamline efficiencies and improve overall care delivery.

We provide the following service offerings to help you meet your clinical, financial and technology goals.

  • Revenue Cycle Optimization

  • Care Coordination

  • Technology Optimization

  • Cost Reduction

  • Operational Improvement and Performance Monitoring

“The Cumberland team was able to seamlessly merge priorities from both operations and IT to develop a plan for effectively implementing our revenue cycle management system. Not only did they deliver a customized plan for our organization, but they were easy to work with, professional and knowledgeable.” Patrick Simon, AVP Patient Financial Services, Health Quest

Revenue Cycle Optimization Services

We employ a multidisciplinary and collaborative approach to help our clients enhance revenue cycle performance across clinical, financial and technology operations of their organizations by focusing on the following.

  • Provider Access iconPatient Experience
  • Scheduling and Pre-arrival
  • Registration
  • Eligibility
  • Insurance Verification
  • Patient Placement
  • POS Collection
  • Denial Avoidance
  • Case Management iconDischarge Planning
  • Utilization Management
  • LOS Management
  • Inpatient vs. Observation Status
  • Care Coordination
  • Clinical Denial Management
  • Transition Planning
  • Post-acute
  • HMI & CDI iconHIM Redesign
  • DNFC
  • Physician Education
  • Clinical Documentation Improvement
  • Post ICD-10 Monitoring
  • Revenue Integrity iconCharge Capture
  • Charge Reconciliation
  • CDM Review
  • Margin Management
  • Net Revenue Improvement
  • Billing iconClaims Editing and Billing
  • Patient-Friendly Billing
  • DNFB Management
  • Billing Edits
  • VBP
  • Global Billing
  • Payer Edits
  • Collections iconCash Acceleration
  • Self-Pay Collections Management
  • Account Resolution
  • Global Payment Distribution and Tracking
  • Physician AlignmentDenial Management icon
  • Denials and Appeals Tracking
  • Appeals Process
  • Contract Management Services
  • ITPFS System Optimization
  • Bolton Analysis
  • Analytics and Reporting
  • PFS System Re-implementation for Population Health Management
  • Financial System Integration
  • ROI for IT System Re-implementation

Revenue Cycle Optimization Services
We employ a multidisciplinary and collaborative approach to help our clients enhance revenue cycle performance across clinical, financial and technology operations of their organizations by focusing on the following.

  • Patient Access

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  • Case Management

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  • HIM and CDI

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  • Revenue Integrity

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  • Billing

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  • Collections

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  • Denial Management

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  • IT Optimization

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Becker's Hospital Review

Cumberland Managing Director Mark Newton provides five strategies for how revenue cycle managers can create a customer-service culture.

Read more