Health Care Consulting

Uncover Opportunity

Addressing your organization’s audit and tax needs is vital, but you likely face concerns beyond these core functions. From provider reimbursement outsourcing solutions, lean transformation, strategy and operational excellence to internal audit, compliance programs, and revenue cycle assessments, our health care consultants understand the industry’s complexities and can help deliver cost-effective solutions.

We work closely with you to uncover and address operational inefficiencies, barriers, and disconnects to identify risks, seize 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 can guide you to make smart, informed business decisions and find innovative financial solutions that help drive growth and reduce risk.

Discover how we can help your organization prepare for the future with industry-specific services including these specializations:

Government Compliance

  • Regulatory compliance
  • Coding validation
  • Coding department redesign

Lean Health Care

  • 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

Provider Reimbursement Enterprise Services

  • Medicare
  • Medicaid
  • Medicare Disproportionate Share Hospital (DSH)
  • Medicare DSH Appeals
  • Medicaid eligibility matching
  • Supplemental Security Income (SSI) ratio recalculations
  • Provider-based licensure and certification
  • Wage index reviews
  • Worksheet S-10 uncompensated care
  • Medicare bad debt

Strategy & Integration

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

Insights


Webcast
Join us for an on-demand webcast to learn how to get involved with the Medicare Shared Sharings Program (MSSP), requirements and timelines, and how to seize the substantial benefits it has to offer.

Article
Learn how being strategic, investing in population health, and more can help your health care organization shift toward value-based care.

Article
The California Supreme Court’s Dynamex Decision creates consequences for classifying independent contractors for health care employers. Get the details.

Webcast
Join us for an on-demand webcast addressing key changes in skilled nursing. This regulatory update features analysis of compliance considerations for the coming year, the impact of federal legislative changes, and useful benchmarks in strategic planning for skilled nursing providers.

Article
Implementing Medicare for All could dramatically alter health care. Understand the potential implications to hospitals, physicians, employers, and payers.

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.

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