Revenue Cycle Solutions

Key Performance Indicators (KPIs) define and measure progress toward your organization’s goals. By focusing on KPIs, revenue cycle weaknesses are identified and targeted for improvement.

Key performance indicators should include denial management metrics that allow you to proactively review denials. This up-front approach to denial management is a proven method to prevent lost revenue, reduce accounts receivable issues and minimize administrative costs.

SunStone can help determine the KPIs critical to your business and measure progress on an ongoing basis.

SunStone can assist with managing the contract process to ensure that payers are meeting their commitments and you’re receiving optimal reimbursement based on predetermined goals and strategies.

Leverage SunStone’s expertise to define and implement your contracting strategy, negotiate contracts and monitor contract performance to ensure optimal reimbursement.

Third party payers often underpay claims, attributable to items such as denied or downgraded days. For many healthcare organizations, opportunities for large recoveries from payers exists. With decades of experience over-turning underpaid claims, SunStone is a partner focused on getting you what you’ve earned.