Health Care Consulting

Uncover Opportunity

Audit and tax are vital. But you may have needs that go beyond these core functions. For example, what if you’re trying to put together an ICD-10 road map? Or examining integrated delivery models to build your ACO strategy?

From coding validation and chart reviews to revenue cycle assessments and EMR system selection, our skilled health care consultants understand the complexities you face—and have a proven track record of delivering cost-effective solutions. We can help you proactively address operational inefficiencies, barriers, and disconnects, working with you to identify risks, take advantage of emerging opportunities, and develop an action plan to improve care operations, enhance infrastructure, and strengthen your bottom line.

Whether your goal is to better control costs, address growing demand and increased regulation, or cope with declining reimbursement rates, we’ve helped organizations like yours make smart, informed business decisions and find innovative financial solutions to drive growth and reduce risk. Use the links below to discover how we can help your organization meet its specific challenges and position itself for the future.

Discover how we can help your organization meet its specific challenges and position itself for the future. Our industry-specific services include these specializations, among others:

Cost Reimbursement

  • Medicare
  • Medicaid
  • Wage index reviews
  • Uncompensated care

Government Compliance

  • Regulatory compliance
  • Coding validation
  • Coding department redesign

Lean Consulting

  • 3P & innovation
  • Strategic planning and strategy deployment (Hoshin Kanri)
  • Lean management systems and visual management
  • Lean operations
  • Quality and patient safety
  • Developing internal infrastructure (Kaizen or Lean Promotion Office)

Operational Improvement

  • Revenue cycle enhancement
  • Claims recovery
  • ICD-10 assessment

Strategy & Integration

  • Provider risk analysis
  • M&A support
  • Feasibility studies
  • Benchmarking

Insights


Webcast
Cost containment continues to be a priority for self-funded health plans as organizations look for ways to protect plan assets and ensure funds aren’t lost due to improperly paid claims. Listen to our on-demand webcast on best practices. We explore cost-containment strategies plan sponsors can employ to manage financial risk while meeting their fiscal and administrative responsibilities.

Webcast
In our webcast, we address how your health care organization can use the Centers for Medicare & Medicaid Services' Medicare Shared Savings Program model to collaborate, integrate, and ultimately transform your health care delivery model from a fee-for-service to a value-based care organization.

Article
California is expanding oversight of RBOs regulated under the Knox-Keene Act. Applying for an application is a difficult process, but we can help.

Article
(AHIA New Perspectives) Organizations can achieve operational improvements by consistently monitoring and auditing their revenue integrity program.

Article
While the 340B Drug Pricing Program provides health care organizations with significant benefits, it also has many noteworthy regulatory and compliance requirements.

Article
Health Care News. Implement lean management to improve your hospital or health care system’s processes without additional costs or resources.

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