Encompass Health Solutions

Meet Georgia Strasler, Director of Revenue Cycle Operations at Encompass Health Solutions.

Georgia provides oversight of coding and billing processes including AR aging, claim resolution, and collections. She's also responsible for the development, implementation, and quality assurance of all policies and procedures related to billing and coding operations, ensuring maximum efficiency and reimbursement for our clients.

Georgia brings over 30 years of Revenue Cycle Management experience to Encompass Health Solutions.

Her credentials include certification by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) and a Certified Anesthesia and Pain Management Coder (CANPC), recognizing a high level of revenue cycle knowledge and excellence.

The strength of any RCM partner is the team behind it. We're proud to have Georgia on ours.

Denial management is the systematic process of identifying, analyzing, correcting, and preventing insurance claim denials.

When a payer (insurance company, Medicare, Medicaid) refuses to pay a submitted claim, denial management is how you recover that revenue and stop the same denials from happening again.

It works in four stages:

• Identify, catching denials as they come in via EOBs and ERAs
• Analyze, categorizing by root cause (eligibility, authorization, coding, documentation, etc.)
• Resolve, correcting and resubmitting, or appealing with supporting documentation
• Prevent, feeding insights back into front-end processes so the same denials stop occurring

Industry data shows 5 to 15% of claims get denied on first submission, and a significant portion are never reworked. That's permanently lost revenue.

New on the blog: a deep dive into how we helped a neurosurgery group transform their revenue cycle and unlock real growth.

Specialty practices, especially in surgical fields, face unique revenue cycle challenges. Complex coding, high-dollar claims, prior authorization hurdles, and tight payer relationships all stack up. When even one of those areas is misaligned, the impact on cash flow is immediate.

In this case study, we walk through:

• The bottlenecks the group was facing before the engagement
• The specific changes we made across coding, billing, and A/R follow-up
• The measurable results (faster reimbursement, cleaner claims, healthier A/R)
• What it unlocked for them strategically

If your practice is feeling stuck on revenue cycle performance, this is worth a read.

Read the full case study at goencompasshealth.com

Every day a claim sits unsent is a day your practice is financing the insurance company instead of itself.

Late billing quietly drains revenue in three ways:
• Timely filing denials (most payers have a 90 to 180 day window. Miss it and the claim is dead.)
• Charge capture leakage (the longer you wait, the more likely you'll miss charges, modifiers, or
documentation)
• A/R aging creep (every day of delay pushes your aging buckets in the wrong direction)

The fix isn't complicated, but it requires discipline:
• Same-day or next-day charge entry
• Daily claim submission, not weekly batches
• A clean handoff between providers, coders, and billers
• Weekly review of unbilled encounters

If your A/R is creeping up and you're not sure why, late billing is one of the first places to look.

Schedule a quick revenue review and we'll show you where the gaps are.

Visit goencompasshealth.com

Wishing all the moms in our Encompass Health Solutions community a wonderful Mother's Day.

Thank you for everything you do, both in your homes and in the practices that keep healthcare running.

From all of us at Encompass Health Solutions

Most practices know their denial rate. Far fewer know their Clean Claim Rate, and it's arguably the
more important number.

CCR measures the percentage of claims that pass through to the payer cleanly on the first try. No edits,
no rejections, no rework.

Why it matters:
• Industry benchmark: 95% or higher
• Average practice: 75 to 85%
• Every point below 95% means revenue sitting in rework queues instead of your bank account

Three ways to start moving the number this month:
• Pull your CCR from your clearinghouse or PM system
• Run a Pareto on your top rejection reasons (usually 3 or 4 issues drive 80% of the noise)
• Build pre-submission scrubbing into your workflow, not post-submission cleanup

Last month we focused on preventing denials before they happen. CCR is how you measure whether
it's actually working.

Visit goencompasshealth.com

You can’t fix what you can’t see.

When you don’t have clear insight into your revenue cycle, issues like denials, delays, and missed opportunities can go unnoticed, which can cost you time and revenue.

Better visibility means better decisions, stronger performance, and fewer surprises.

Schedule your quick revenue review today!

www.goencompasshealth.com

Happy Earth Day from Encompass!

Efficiency in revenue cycle management doesn’t just support your bottom line. It can also reduce waste and support more sustainable operations.

Here’s to smarter processes and a healthier planet. 🌿

FAQ: What is a Clean Claim Rate in RCM?

It’s the percentage of claims submitted and processed correctly the first time, with no errors or rework.

A higher rate means fewer denials and faster payments.

👉 Follow along for more RCM FAQs!