We at Synapse pride ourselves on our core knowledge of global health systems.
Our deep understanding and hands on experience of both the operational, regulatory and financial challenges in the health sector enable us to be the perfect consultant for our significant client base.
Examples of project types
MEDICAL BILLING AUDITS FOR PROVIDERS
A complete review of your current processes
MEDICAL BILLING AUDITS FOR PAYERS
A comprehensive review of paid claims
Bespoke workshops and seminars for your inhouse teams
FTE TEAMS TO SUPPORT YOUR INHOUSE TEAM
Let us be the telephone team, following up your unpaid claims. Or if you are a payer, let us make the calls requesting clarification or further information in support of claims you have received.
CODE MAPPING PROJECTS
Our Aircoder system does this faster and more accurately than any human
Synapse works on all sides of health financing transactions at the interface between patients, payers and providers. Our focus has always been on the single, most important principle – compliance. Because our patients deserve it and our health systems won’t survive without it.
In any health system money needs to flow quickly, because when it doesn’t, patients pay upfront. While speed and accuracy are the hallmarks of an efficient payment system, the Synapse brand has never, and will never be associated with ‘maximising income for providers’, ‘increasing medicare returns’ or ‘optimising reimbursement’.
Synapse’s conception of the health system is focussed around the fact that whilst health and human variability are not finite, health budgets are, and to ensure the health systems we work in remain sustainable for the world’s populations, we proudly provide products and services to promote compliant, transparent practices in health financing transactions. If payers collapse, so do our providers, and worse still, our patients!
We have always believed that most payers want to pay. They just want to know they are paying for the right things at the right price.
Our experience also tells us that most providers would actually like to be doing the right thing by payers, if only they knew what that was. But labyrinthine, inconsistent and constantly changing rules make that difficult to achieve.
We are always excited to work with providers who want a complete clean out of old billing practices and to start afresh with a serious focus and commitment to compliance.
Equally, we enjoy working with payers, forensically analysing their paid claims and assisting with audits and education so they can better manage the compliance aspects of incoming claims.
Those who say it can be measured, estimate that the global average of non-compliant claims caused by billing errors and fraud is 7% Our work with one payer found that over 30% of claims had been paid incorrectly. On another project, we identified that the provider was both underbilling for legitimate services, as well as incorrectly billing for other services, sometimes on the same patient!
If you would like more information on how Synapse can assist you or your organisation to bill compliantly, or assist you to have confidence that you are paying correctly for services legitimately delivered, or even if you just need extra FTEs with decades of experience in this area to bolster your inhouse team please get in touch.