Revenue cycle management.
Billing and revenue cycle companies: anesthesia and specialty billing first, then billing for physician groups more broadly.
A billing company is paid a share of what it collects for its clients, usually each month. It earns that share by turning care into clean claims, and clean claims into payment.
What we look at.
The questions a careful buyer works through in this kind of company, before a price is final.
- 01
Client concentration
How much revenue rests on one client, and on the hospitals and groups behind each client.
- 02
Contract terms
How long clients are signed, what a change of ownership requires, and who owns the data.
- 03
Recurring revenue
Which revenue repeats each month, and which came from one-time work such as a backlog cleanup.
- 04
Performance by client
Days in receivables, clean claims, denials and net collections, client by client.
- 05
Where the work is done
Who does the work, where, and whether clients know.
- 06
Coding
An independent audit of a sample of claims.
Where a clinician helps.
Dr. Recio is a practicing CRNA. In this business, that shows up in a few concrete places.
- 01
Concurrency
Dr. Recio can rebuild medical direction from the timestamps and see whether it was computed or only asserted.
- 02
Time
He reads anesthesia start and stop times the way they are kept in the room, and sees rounding in either direction.
- 03
Units
He knows from the record up which units payers allow and which they deny.
Questions owners ask.
More on how a sale works is on the page for owners.
How would you value my billing company?
On its recurring earnings, the stability of its clients and the quality of its claims, tested by an independent quality of earnings review.
Will you move my clients to a new system?
Only with a plan that protects their collections. A platform change can slow cash for a few months, so it is never rushed.
Will you audit my past coding?
A sample of it, as any careful buyer would. We share what we find and talk it through with you.
Start a confidential conversation.
Tell us a little about your company and the best way to reach you. Dr. Recio reads every message himself, and what you send stays between us.
jesus.recio@crownestonecapital.com