-
- BUSINESS ASSESSMENT
- BUSINESS ASSESSMENT AND PROCESS IMPROVEMENT
- Operational review and assessment for purposes of process improvement
- and increased efficiencies.
Patient
Access Assessments
Conduct
Operational Assessments covering functions such as:
A.
Scheduling Services
B.
Pre-registration and Registration
C.
Preauthorization/Pre-certification for Services
D.
Letters of Non-Coverage/Advanced Beneficiary Notice
E.
Establishing Patient Financial Responsibility
F.
Evaluate Medicaid Eligibility
G.
Evaluate Liens/Liability/Cobra Situations
H.
Benefit Verification and Authorization
I.
Registration
J.
Patient Type - Inpatient versus Observation
K.
Patient Transfers
L.
Census Verification - Bed Control/Census
M.
Revenue Generation
N.
Patient Discharges
O.
Pre-registration receivable and collections
P.
In-house receivable and collections
Q.
Discharged receivable and collections
Identify/Implement
Restructuring Initiatives
Develop
Job Descriptions and Performance Measures
Develop
Policies and Procedures
Train
Staff
Implement Staff Reassignments
Operational
Analysis of expenses
Outsourcing
Evaluation
Analysis and Reduction of Bad Debt
Patient
Financial Services -
Business Office Assessments
Conduct
Operational Assessments covering functions such as:
A.
AR Management and Measurements
B.
Unbilled Receivable
C.
Billed Receivable
D.
Account Management
E.
Account Revisions
F.
Bill Production
G.
Claim Production
H.
System Electronic Data Interchange
I.
Insurance Collector Work File
J.
Collector Work Files
K.
Private Pay Collections
L.
Account Transactions
M. BD
Account Management
N.
Quality Assurance Tracking
O.
System Master File Review
P.
Forms Review
Q.
Reports Review
Identify/Implement
Restructuring Initiatives
Develop
Job Descriptions and Performance Measures
Develop
Policies and Procedures
Train
Staff and
Implement
Staff Reassignments
Operational
Analysis of expenses
Early
Out or Outsourcing Evaluation
Analysis and Reduction of Bad Debt
Key Benefits
- Conduct full or partial assessments within the Business Office with
regards to current processes and operational inefficiencies
- Identify process changes that will enhance operational efficiencies
- Facilitate operational changes to gain efficiencies
- Establish performance monitoring to insure efficiencies
- Identify job skills that can be enhanced to promote resource maximization
- Identify tools that can be used to enhance operations
- Identify and focus on ways to increase cash flow
- Decrease lost reimbursement from incomplete or untimely pre-certification
and or authorizations.
- Facilitate compliant third party billing
- Facilitate maximum reimbursement based on contract terms
- Improve workflows and eliminate unnecessary tasks
- Reduce Bad Debts
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GAGNON
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