Revenue Assessment
The Revenue Assessment is a critical exercise included as part of our initial project scope with every client. This end-to-end financial assessment brings together internal and external data to define the practices’ revenue. This foundation, and our shared understanding, provides a launching point for contract negotiations and revenue cycle analysis projects.
As part of this initial service offering Provider Solutions Consulting conducts the following:
Current market assessment
Review of practice productivity
Analysis of current payer agreements
Analysis of the charge master
Contract Optimization
Payer contracts drive reimbursement. We conduct a comprehensive review of your current contracts and reimbursement data providing recommendations to support physicians and health care providers in contract negotiations.
As part of our analysis Provider Solutions will help the practice:
- Establish reimbursement objectives for each payer
- Understand obligations under each contract
- Determine appropriate next steps for each contract including termination or renegotiation of existing contracts
Payer Price Transparency Analysis
The data unlocked by Price Transparency in Healthcare laws are quickly becoming some of the most powerful tools for providers and practices in managing their revenue cycle.
Provider Solutions leverages the expertise of our industry partners to purchase negotiated rate data which allows our analyists to create detailed market analyises in support of contract negotiations or find detailed issues related to payment discrepencies.
These analysis bring clarity and direction to all aspects of our client engagements, and have become an integral tool in our mission.
Revenue Cycle Optimization
Business process analysis is a critical step in the path to change. Our analysis includes a detailed review of your operational processes and your current software systems from your front office schedulers to your back-office billers and coders. The analysis helps us identify and correct gaps in the process, optimize handoffs between departments, and educate your team on the end-to-end revenue cycle of a claim with the goal of eliminating errors and improving efficiency. As part of our analysis, we will help you:
Understand the roles and responsibilities of key personnel
Document role-based process flow charts
Update billing software
Create job aids for staff to drive standardization and reduce denials
Complete online risk assessments and write policy & procedures to ensure compliance
Implementation & Training Services
Our team develops client and project specific implementation workplans and timelines. We provide staff training and provider coding and documentation education offerings customized for the needs of your organization.
Implementation services vary by client needs. Whether you need help executing on our key findings, need help opening or closing a practice, or need help ensuring the successful rollout of new software in your practice we work hand in hand with you to project manage these critical initiatives and train your staff to do their jobs in an efficient and compliant manner.
