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Sutter Physician Services aims to lead the transformation of health care by providing technology-enabled services and innovative solutions that address the complex problems encountered by patients, physicians and health care organizations. We partner with our clients to achieve their strategic goals by: Enhancing the patient experience Advancing clinical integration Transitioning care from volume to value Optimizing operations and financial performance. Sutter Physician Services provides the following services through our Revenue Cycle Solutions (RCS), Accountable Care Solutions, (ACS) and Patient Access Solutions (PAC) business units. Enrollment and Credentialing Insurance Verification and Authorizations Insurance Billing Insurance Receivables Management Insurance Follow-up Denial Management Reimbursement Analysis Patient Receivables Management Patient Statements Patient A/R Follow-up Patient Bad Debt Processing and Management Customer Billing Inquiries Deposit Services Transaction Processing Payment Posting Credit Balance Management and Refund Processing Document Management (Explanation of Benefits) Reporting Revenue Cycle Solutions A patient-centered and data-driven approach to optimizing revenue cycle operations. The Revenue Cycle Solutions team provides fee-for-service billing services for physicians and ambulatory health care facilities. Representing nearly all physician specialties, we have a track record of low cost and high quality. Our efficient and accurate transaction processing and outstanding customer/patient satisfaction are the keys to success. RCS services include: Business Solutions for Medical Groups, IPAs, and Health Care Systems

SPS - Overview Flier

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Page 1: SPS - Overview Flier

Sutter Physician Services aims to lead the transformation of health care by providing

technology-enabled services and innovative solutions that address the complex

problems encountered by patients, physicians and health care organizations.

We partner with our clients to achieve their strategic goals by:

Enhancing the patient experience

Advancing clinical integration

Transitioning care from volume to value

Optimizing operations and financial performance.

Sutter Physician Services provides the following services through our Revenue Cycle

Solutions (RCS), Accountable Care Solutions, (ACS) and Patient Access Solutions

(PAC) business units.

Enrollment and Credentialing

Insurance Verification and Authorizations

Insurance BillingInsurance Receivables Management

Insurance Follow-up

Denial Management

Reimbursement Analysis

Patient Receivables ManagementPatient Statements

Patient A/R Follow-up

Patient Bad Debt Processing and Management

Customer Billing Inquiries

Deposit Services

Transaction Processing

Payment Posting

Credit Balance Management and Refund Processing

Document Management (Explanation of Benefits)

Reporting

Revenue Cycle Solutions

A patient-centered and data-driven approach to optimizing revenue cycle operations.

The Revenue Cycle Solutions team provides fee-for-service billing services for physicians

and ambulatory health care facilities. Representing nearly all physician specialties, we have

a track record of low cost and high quality. Our efficient and accurate transaction processing

and outstanding customer/patient satisfaction are the keys to success. RCS services include:

Business Solutions for Medical Groups, IPAs, and Health Care Systems

Page 2: SPS - Overview Flier

Patient Access Solutions

Helping connect patients to the care they need, when they need it.

Patient Access Solutions operates a contact center around the clock to improve the patient

experience and increase medical office throughput by providing a convenient, central

point of access for patient registration, appointment scheduling, and clinical and general

patient information.

Clinic AccessPatient Access

Answering Services

Patient Portal Support

Outbound Call Campaigns

Patient Billing Calls

Managed Care AdministrationProvider Credentialing & Enrollment

Eligibility & Benefit Maintenance

Claims Handling, Research and Processing

Medical Management

Recovery Services

Provider Services

Basic Finance/Accounting

Financial Analysis

Encounter Data Reporting and EDI Management

Care Coordination Hospice Nurse Advice

Advanced Illness Management (AIM) Nurse Advice

Readmission Management

Emergency Department Discharge

Telephonic Anticoagulation Management

Disease Management Wellness Coaching

Wellness Coaching

Patient Outreach and Engagement

Analytics Clinical Quality

Clinical Variation Reduction

Custom Analytics

ACO Dashboard

Data & Application ServicesDatabase Design and Development

Data Management

Business Intelligence

Custom Application Development

Accountable Care Solutions

Helping health care organizations provide value-based, outcome-driven care and an

exceptional patient experience.

ACS provides a comprehensive set of solutions focused around superior clinical integration,

care coordination, risk administration, health plan support, and support to Accountable Care

Organization’s and their partners.

To discuss your organization’s accountable care, revenue cycle, or patient access solution options, contact a Sutter Physician Service’s sales representative today.

Phone: (855) 452-7500 Email: [email protected]

Clinical AccessNurse Advice

Prescription Renewal Services

Health Plan Support/ACO ServicesHealth Plan Member Services

Provider Services

Care Coordination Advanced Illness Management (AIM) Nurse Advice