Welcome to Praxis Healthcare Solutions

Praxis Healthcare Solutions is an organization that specializes in Healthcare Revenue Integrity and Recovery. We believe our success is predicated on three factors; 1) the skill set of our staff, 2) our technology that drives workflows and provides actionable reports to our clients, and 3) our ability to determine root causes associated with any lost revenue opportunities that impact hospital revenue.

At Praxis, we employ seasoned healthcare clinicians and attorneys to handle our Denial Management, Aged Claims Resolution, Worker’s Compensation, Third Party Liability and Audit programs, and our experienced healthcare collectors and certified coders go through a rigorous “Praxis” training.

At Praxis Healthcare Solutions, we are continually engaged with the healthcare community and work to leverage our best practices and processes to drive not only maximum reimbursement due to our clients, but also determine the root causes associated with any lost revenue opportunities. Detailed root cause analysis and reporting, allows our clients to modify their internal or external processes in order to avoid revenue delays or loss on the front end.

By definition, “Praxis” is the process by which a theory, lesson, or skill is enacted, embodied, or realized. Praxis may also refer to the act of engaging, applying, exercising, realizing, or practicing ideas. While Praxis usually refers to the process of putting theoretical knowledge into practice, the strategic and organizational usage of the word emphasizes the need for a constant cycle of conceptualizing the meanings of what can be learned from experience in order to reframe strategic and operational models. This philosophy rolls into how Praxis Healthcare Solutions operates as an organization.

We are continually striving to review both our internal, as well as our partners’ processes, and look for the opportunities that allow us continued growth and enhanced revenue cycle models. Praxis Healthcare Solutions believes in being the best at what we do. Many of todays’ organizations believe “bigger is better”, “the more you offer, the better you must be”. We disagree. Our belief, supported by feedback in the hospital and healthcare community, is that focusing your efforts on a strategic and select amount of service offerings allows you to be the “best of breed”. Additionally, you can be assured that our full focus is directed to providing the highest quality and continue to remain cutting edge and delivering those best practices and results to you.

Solutions We Provide

Denial Management

Praxis Healthcare Solutions has the dedicated clinical and legal resources you need to not only increase your revenue, but we also identify the root causes of your denials, providing you actionable data and reports that will provide you the insight and assistance leading to a reduction of your initial denial rate.

Medicare, Medicaid and Insurance Follow-up

Delayed and outstanding claims are painful for your financial wellbeing. Staffing constraints can allow for a “creep” in your aged receivables. Accounts aged 90+ days and greater from discharge have a higher cost to collect and require more effort to resolve. Allow our AR specialists to work the more difficult to collect claims, while your team focuses on the easier to resolve claims.

Workers Compensation & Third Party Liability

Worker’s Compensation and Third Party Liability payer sources may represent a much smaller percentage of your business; these accounts typically take an inordinate amount of time, usually from your most skilled team members to get resolved. As your partner, Praxis Healthcare Solutions can be your dedicated resource to handle these accounts from Day 1 through resolution.

Lost Charge Audits

Today, more than ever, it is crucial for healthcare providers to correctly capture all chargeable items and services in order to maximize revenue, at the same time providing the additional assurances that you are remaining compliant with billing rules and regulations. While every facility works diligently to stay on top of the changing healthcare environment, the reality is, you are still faced with daily challenges and finite staff resources. Praxis Healthcare Solutions will partner with you to help you assess and manage any potential revenue loss. Our experiences have shown there are many inadvertent scenarios that contribute to lost charges.

Commercial and Managed Care Outlier Audit

With the continued complexity of many payer contracts, combined with inadvertent charging errors, you may be losing the potential for greater reimbursement for the valuable services you are providing. Praxis Healthcare Solutions will partner with you to perform an audit of accounts that did not meet your outlier threshold, but came within 2 to 3% of your outlier clause.

Temporary Work Queue Assistance

Short on staff due to vacations, FLMA, etc.? Praxis Healthcare Solutions is able to quickly work with you to establish a work queue within your system allowing our skilled team members to handle anything from the initial billing and follow up or follow up only. Your needs are important and we are able to tailor to match your needs and timeframes.

How Praxis Can Help

Praxis Healthcare Solutions believes in being the best at what we do. Many of todays’ organizations believe “bigger is better”, “the more you offer, the better you must be”. We disagree. Our belief, supported by feedback in the hospital and health system community, is that focusing your efforts on a strategic and select amount of service offerings allows you to be the “best of the best”. Additionally, you can be assured that our full focus is directed to providing the highest quality and continue to remain cutting edge and delivering those best practices and results to you.

Click here for more information about Praxis.

Client Testimonial

Your team has done the best job of any outsourcing company I have ever worked with. The accounts you took weren’t ideal but your staff fought through and got us the money we deserved.

Thank you so much!!

Darla Wilkerson-Ervin

Director, Revenue Cycle

Latest News and Events

New Year Open Enrollment Challenges

Every year at this time, hiccups in your revenue stream may be compromised as patients change their insurance company or their current coverage may have updated policy changes that were not noticed by the beneficiary. This creates uncertainty and potentially costly...
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2017 Medicare Inpatient Only Procedures

We all have experienced Medicare denials for procedures performed outpatient when they are on Medicare’s list for inpatient only. This seems counter intuitive at times, but the rules are followed and processes need to be put in place to prevent lost reimbursement....
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Improving Patient Identification: A Joint Commission Safety Goal

Often when we think of problems with patient identify, we think of stolen identification. While this can and does happen, there are other ramifications more common that result from lack of having the correct patient information. If individuals are registered under the...
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Happy Halloween from Praxis Healthcare Solutions

Hoping all our friends and partners had a wonderful and safe...
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Are You Prepared for MACRA?

The final reporting requirements for the new MACRA (Medicare Access and CHIP Reauthorization Act) rule for physician payment were finalized this month and will be implemented January 1, 2017.   MACRA puts an increased focus on quality and value of care. According to...
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Our Mission is Simple.

Doing the right thing for both our clients and our employees while honoring our commitments with integrity and delivering results with ongoing and open communications.