When considering revenue cycle outsourcing, there’s a difference between traditional and specialized revenue. The traditional revenue cycle is composed of health payer claims where the path from patient discharge to health payer reimbursement is highly automated and efficient, and this constitutes the bulk of revenue. Then there is the specialized complex coverage revenue cycle, where discovery and coordination of benefits amongst payers and the manual processes and efforts are too costly, time-consuming and resource-intensive to efficiently pursue. Traditional business office systems are not designed to handle the process flow and the specialized regulatory, legal and third-party payer knowledge required. The on-again off again nature of the work, makes it almost impossible to staff for specialized complex coverage internally. This is where Kemberton goes to work for YOU.