Revenue leaks occur due to missed charges, duplicate denials, and failure to follow up. Finnastraplugs these gaps through charge master reviews, denial analytics, and dedicated A/R follow-up teams.
Finnastra ensures every claim is audit-ready by maintaining accurate documentation, payer-specific coding, and clear medical necessity linkage. We assist with RAC, MAC, ZPIC, and commercial audits, including record retrieval, appeal preparation, and compliance reporting—minimizing financial risk and protecting hospital revenue.
Frequent reasons include incorrect patient demographics, missing NPI/TIN info, or invalid CPT/ICD combinations. Finnastra uses front-end scrubbing tools and payer-specific edit logic to catch these issues before submission.
Absolutely. Finnastra offers comprehensive credentialing services, including initial enrollment, re-credentialing, CAQH updates, and payer contracting for all hospital-affiliated providers. This ensures your billing is not delayed due to credentialing gaps, and your providers remain active with all insurance panels.
Delays are usually caused by poor documentation, coding lags, or eligibility mismatches. Finnastra speeds up reimbursement by ensuring real-time charge capture, automated eligibility checks, and daily claim submission.
Yes. Finnastra handles comprehensive prior authorization workflows for inpatient, outpatient, surgical, and diagnostic services. Our team ensures timely approvals by submitting payer-specific documentation, reducing delays and preventing claim denials due to missing auths.
Denials often stem from coding inaccuracies, missing authorizations, or incorrect patient data. Finnastra implements a pre-bill audit process and payer-specific edits engine to minimize errors and improve first-pass claim acceptance.
Regulations change frequently across CMS, Medicaid, and commercial payers. Finnastra stays ahead with a live regulatory compliance tracker, and provides monthly updates to ensure billing processes are always aligned.
Manual processing slows down throughput. Finnastra leverages automation, batch processing, and claims intelligence tools to handle high volumes efficiently while maintaining compliance and speed.
Incorrect DRG assignments lead to significant overpayments or underpayments. Finnastra’s certified coders conduct real-time coding audits and DRG validation to ensure correct case-mix indexing and compliance.
Most rejections stem from coding errors, missing prior authorizations, or eligibility mismatches. Finnastra runs a 1,200‑rule pre‑bill edit and payer‑specific scrub that lifts first‑pass acceptance above 95 % and slashes rework.
Lack of structured follow-up and payment options limits collections. Finnastra provides custom payment plans, eligibility screening for charity care, and patient-friendly billing to increase recovery rates.
Incorrect DRGs lead to costly under‑payments or RAC audits. Finnastra’s certified inpatient coders perform real‑time DRG validation and secondary reviews to protect revenue and mitigate audit risk.
Hospitals often miss deadlines or submit incomplete data. Finnastra responds promptly to medical record requests, ensuring timely and complete documentation to prevent delays or recoupment.
Each October and January bring new codes, wage indexes, and device‑intensive lists. Finnastra’s regulatory tracker pushes every IPPS/OPPS update into your chargemaster and coding rules to keep you compliant on day one.
Finnastra’s variance engine compares every remit to your contract rates, auto‑flags discrepancies, and files appeals within payer timely‑filing limits—recovering dollars that would otherwise be written off.
Hospitals must post machine‑readable chargemasters and consumer‑friendly shoppable‑service files. Finnastra automates file creation, quarterly updates, and web hosting, keeping you compliant and audit‑ready.
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Finnastra streams these metrics to a real‑time dashboard and issues variance alerts.
Patient balances now account for 30 %+ of hospital revenue. Finnastra offers upfront cost estimates, text‑to‑pay links, and interest‑free payment plans that raise self‑pay collections by 25 %.
Yes. We maintain separate NDC accumulators, split‑billing logic, and audit trails for 340B and other drug‑discount programs, ensuring compliance and optimal savings.
We start with a 30‑day data assessment, stand up HL7/API feeds, and assign specialty work‑queues by service line. Most hospitals see denial reductions and A/R improvements within 45 days of go‑live—without disrupting clinical or financial workflows.
Yes. Finnastra offers free, integrated EHR and PM software to our hospital clients who use our billing services. This eliminates the high licensing costs associated with traditional platforms and ensures seamless data flow between clinical and billing teams—boosting efficiency and reducing errors.
