Health Care

Revenue Enhancement and Recovery Services

Our professionals have worked with managed care organizations, physician practices, and hospitals to identify opportunities for financial revenue enhancement and revenue recovery. We don’t just identify revenue-related problems and make recommendations—we apply our extensive industry experience to implement new processes that minimize the occurrence of future financial exposure.

Areas of focus include:

  • Physician productivity and compensation
  • Support staff productivity and compensation
  • Claims payment accuracy
  • Coordination of benefits
  • Shared risk pool reconciliation and distribution
  • Optimization of business office operations (e.g., billings, collections)
  • Enrollment and capitation reconciliation
  • ESRD, SNF, and Medi-Medi billings

Our team will help you to identify operations that are performing sub-optimally and compare your organization to industry standards. We will present you with an action plan for recovery of retrospective amounts and an implementation strategy for corrective action. Typically, our consulting services pay for themselves.

Health Care Contacts

Arizona

Tony Maki

480-444-3424

New Mexico

Brandon Fryar

505-830-6200

Northern California

Marci Pierce

415-677-8205

Oregon/Southwest Washington

Tony Andrade

503-242-1447

Southern California

DeVon Wiens

949-221-4000

Washington

Don Hansen

425-259-7227

Send us an e-mail

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