Process for Betterment
Our process engagements generate sustainable savings, in addition to measurable improvements in patient safety, satisfaction and quality of care. Leveraging our expertise, providers can improve the bottom line while creating operational efficiencies with more satisfied patients, happier staff and physicians.
Our process engagements with a financial focus generally provide an average ROI of four-to-one in sustainable savings, in addition to measureable improvements in patient safety, satisfaction and quality of care.
With Process Improvement Solutions, providers can:
Provide a clear path toward implementing process improvement solutions
 | BillingImprove quality, safety, time, capacity and satisfaction metrics |
| Generate more revenue/increase profitability |
| Improve patient, staff, and physician satisfaction |
| Enable staff to become active problem-solvers and improvement specialist |
| Sustain and spread success for lean healthcare environment |
| Helps develop cost standards, calculates case costs and allocates overhead |
| Includes costing capabilities for open charge codes, RVU, micro-costing, markups, etc. |
- Provides flexibility to manage costs at the level needed
- Reduces costs down to charge item level and applies to patients for multiple analyses by service line, physician, etc.
- Allows departments to proactively manage their cost centers and departments
- Provides departmental variance reporting against budget and alerts management for intervention
- Helps identify emerging trends and monitor key financial indicators on a daily, weekly or monthly basis
- Provides ability to measure progress in reaching stated business objectives
- Allows for provider-driven customization to meet performance objectives
- Provides standard features including:
- Unlimited number of client-defined business measures
- Customizable dashboard views by users and user groups
- Multiple graph types
- Flexible drill down capability
- Targets and Thresholds definitions
- Data sources from the entire client enterprise
- Source systems integrated to KI database via automated data loading or through form-based entry screen
- Role-based security by user, by indicators and by indicator dimensions
- Briefing book organizational structure
-Designed for easy administration and configuration maintenance
Oversight of Day-to-Day Operations
Our experienced and highly trained team will conduct an initial operational assessment of your practice.
As an additional resource to you and your staff, we research, recommend and advise you on strategic changes to help enhance your practice and only implement them upon your approval.
On a regular basis, we personally meet with the practice officers and administrators.
We advise you on cost containment programs, human resource issues and compliance with Government mandated programs, such as HIPAA, OSHA and Labor Laws. In addition, we oversee:
| Staff productivity |
| Financial policies and over-the-counter collection protocols |
| Front office registration and discharge procedures |
| Laboratory compliance |
| Provider Satisfaction |
| Patient flow, accessible supplies and equipment, timely return of test results and consult reports, accurate message taking |
| Patient SatisfactionClinical systems |
| Waiting time, telephone responsiveness and sensitivity, notification of test results |
| Follow-up logs, chart preparedness, documentation, patient callbacks |
Managed Care, Credentialing & Negotiations
We have been extremely successful in assisting practices with negotiating substantially enhanced payment rates.
Hand over the tedious credentialing process to us. Our experts review all managed care agreements and advise which plans to participate in, recommend an appropriate out-of-network strategy and assist with the implementation of a managed care plan.
Since nearly all managed care agreements have 90-day termination clauses, we assist practices in approaching every contracted managed care entity to reopen the negotiation process.
