Advisory and Consulting services are a part of healthcare consulting services. These services help healthcare organizations with revenue cycle issues, clinical errors, negative contracting language, etc., that affect the revenue system of the organization. In a constantly changing regulatory landscape, healthcare organizations need consulting to get out of the financial pressures.
Process Improvement
The revenue cycle management (RCM) process is checked for any improvement. It includes verifying insurance, updating technologies involved in the process, measuring key performance indicators, staying updated on the new codes, checking the schedule of the fee, focusing on the denial management, and more. The healthcare advisory services give you the improvement you need on the RCM process.
Educating the Provider
These services give refresher training, boot camp training, and process management techniques as a part of educating the providers by sharing their expertise. Through this knowledge sharing the providers and their employees could manage revenue better than before.
Technology Consulting
Sometimes the technology you use to process RCM is outdated or not helping you to improve your revenue. One of the cases could be your patient number is increasing, but you haven’t made the shift to online payment portals. This might seem negligible but harms your revenue. Healthcare consulting services could offer technology consulting that improves your revenue.
HCC Capture
Hierarchical Condition Categories (HCC) coding estimates the health status and future health care costs of the patients covered under Medicare and Mediclaim services. In cases of poor clinical documentation, the patient’s condition will not be recorded in EHR, which results in lower capitated payments. These services can fix the HCC gaps.
Coding Audits
Coding audits help the provider to review medical coding at regular intervals. It improves the documentation of patients’ information, ultimately leading to improving RCM.
Clinical Documentation Improvement
Clinical documentation improvement is the process of reviewing the health records of the patients for completeness and accuracy. It improves patient outcomes, quality of the data, and accurate reimbursement of claims.
Clinical Abstraction
Clinical abstraction is the process of identifying and capturing important administrative and clinical data elements. This helps with information of patients for secondary use. These data are used to measure the outcomes of the healthcare organization and measure against their competitors.
Healthcare advisory and consulting services
help healthcare organizations gain insights from the experts and can improve
their process in revenue making. They offer practical solutions that are
customized as per the needs and problems of your organization. Availing these
services helps you achieve transformational and sustainable results.
