RCM Management
Somebody has to run it on Monday morning.
An audit tells you what is wrong. This is the part where Genesis does the work — running a revenue cycle, or one piece of it, for as long as you need it run.
An audit tells you what is wrong. This is the part where Genesis does the work — running a revenue cycle, or one piece of it, for as long as you need it run.
They are sold separately because they are needed separately. A hospital drowning in unreconciled AR does not also need its coding outsourced, and a clinic about to be audited does not need a contract review first.
Short term is for something that has got away from you: a submission backlog, a system go-live, a senior coder on unexpected leave, a month where the denials outran the people. Defined scope, defined end date, handed back.
Long term is the standing function — coding, submission, denial management, resubmission, AR follow-up — run by Genesis against numbers agreed before anyone starts.
Most providers in this market are carrying remittances that were never matched to a claim, and claims that were never matched to a remittance. The balance sheet says one thing and the payer portal says another.
Genesis reconciles line by line: paid, short-paid, denied, never adjudicated, never submitted. Each payer is worked to an agreed closing position. What is genuinely gone is written off with a reason attached to it, and the period is closed.
Holding and working the agreements themselves: tariff schedules, negotiated rates, discount structures, the list of services you are actually contracted to deliver, and the dates each agreement falls due for renewal.
The quietest loss in a revenue cycle is a claim paid below the contracted rate, because nobody re-opens a claim that was paid. Genesis checks remittance against contract and puts a number on the difference.
Your function stays yours — your staff, your system, your payroll. Genesis runs and maintains it: daily supervision and work allocation, denial workflow, upkeep of the coding rules and system edits as the regulators publish changes, and monthly reporting your board can read.
Genesis is answerable for the numbers without being answerable for the payroll — which suits an organisation that wants its revenue cycle competently run but does not want to hand the function away.
Genesis finds the coders and billers, tests them properly rather than reading their CVs, trains them on your specialities and your payer mix, and then stays on for an agreed period to supervise the work while they settle in.
They join your payroll and your visa. Genesis is paid for the sourcing, the training and the supervision — never a percentage of anybody’s salary, and never a fee charged to the person hired.
The Department of Health – Abu Dhabi appointed TASNEEF–RINA Business Assurance as the certification body for JAWDA Data Certification, the programme previously called Clinical Coding Certification. It examines JAWDA quality KPI data, claims, and the clinical coding process behind both.
Genesis runs the rehearsal: a mock audit against the published methodology, a gap list with owners and dates, the evidence pack assembled, the coding and documentation problems fixed while there is still time, and the team trained on the areas the audit actually tests.
What hurts, how long it has hurt, and what you have already tried. Free, and it sometimes ends with Genesis saying the problem is not one of these six.
The current numbers, measured and written down before Genesis touches anything: denial rate, days in AR, first-pass yield, unreconciled balance, whatever the engagement is meant to move. Without a baseline there is no honest way to say later whether it worked.
A fixed scope with the targets in it. Genesis prices the work, not a share of what the work recovers.
Genesis does the work, inside your systems, under your provider identifiers, with a named person on your side who can stop it.
Monthly, against the numbers agreed at step two — including the months the numbers did not move, and why.
Both of these cost Genesis money. They are here because the alternative costs you more.