Hospitals & Health Systems Accounting Firm

Evaluate Service Lines

Counter the mounting financial challenges related to heightened revenue pressure, increased accountability, and intensified cost containment by assessing the effectiveness and efficiency of your service lines.

Improving service lines not only has potential financial benefits, but can also strategically position your organization to be more competitive. Drive profitability by identifying opportunity areas so you can make informed decisions for short- and long-term planning and organizational evolution.

Service line focus areas include:

Departmental expense allocation design
Expansion assessments, including financial feasibility analysis and service line complement design or redesign based on market analysis
Hospital service line financial performance analysis
Multispecialty medical group specialty analysis
New service feasibility analysis
Operational assessments
Physician compensation analysis
Physician integration services, particularly helping develop hospital-owned physician practices for the benefit of all parties
Turnaround assessments and assistance

Navigate Transactions

Evaluate strategic alternatives, conduct thorough operational and financial due diligence, and confidently navigate the transaction process end to end—whether your organization is considering buying, selling, or affiliating or already entered preliminary discussions with another entity.

Develop a thorough understanding of your position and readiness for alignment, evaluate options, and assess the cultural and operational fit if you’re approaching due diligence—so you can make informed transaction decisions.

Strategically position your organization to take advantage of a transaction should opportunity arise even if one isn’t currently part of your short-term strategy.

Transaction support can include:

Acquisition impact analysis
Affiliation analysis and support, including strategic and partner-affiliate options
Buy-side operational due diligence
Sell-side alignment analysis and preparation
Foundation development for hospitals and health systems or other corporations interested in physician employment and network development
Full financial impact analysis, including independent, blinded analyses
Merger operational and cultural fit assessments
Turnaround assessments and assistance
Regulatory landscape assessment to maintain compliance with emerging laws

Enhance Contracts

How you draw up contracts is a key component in your revenue cycle when you partner with another provider or payer. For example, contracts can be written to boost and protect cash flow and efficiency with your billing and collection departments.

Working closely with your contracting team and legal counsel, we analyze how your contracts affect your organization operationally and financially. Gain insights that can help provide greater leverage in negotiation and contract processes.

Managed care assessment and negotiation focus areas can include:

Assistance with financial and operational terms
Capitation contract analysis
Contract reviews and financial performance assessments
Model contract development
Negotiation support

Improve Reimbursement

Enhancing your organization’s reimbursement requires a deep understanding of the cost report and coordination across people, systems, and processes.

Support your organization’s overall strategy and operations as you navigate Medicare and Medicaid’s ever-changing landscape—whether you seek full enterprise outsourcing solutions or help in a specific area.

In addition to staying alert to the latest regulations, our professionals understand how your organization’s operations—whether revenue cycle or billing practices—impact reimbursement and can provide insights on:

Revenue cycle processes such as payer mix management, charge master, and billing
Regulatory interpretation of federal and state provider-based and outpatient service line assessments
Clinical pathway reviews for inpatient and outpatient service lines
Application of overhead rates including indirect cost for federal grant funding, managed care plans, and the correlation to fee-for-service calculations

Our provider reimbursement enterprise services include:

Maintain Compliance

Avoid the consequences of noncompliance by addressing the complex nuances and requirements related to health care compliance and internal audit.

Identify improvement areas, correct billing errors, and prevent future oversights with a focus on four key areas:

Regulatory compliance
Coding validation
Coding department redesign
Electronic health record internal controls

Improve Performance

Transform your organization’s processes and improve results through lean health care, a management approach that empowers clinicians, frontline leaders, and employees to understand and solve problems sustainably.

Lean health care coaches leaders to unleash the potential of your best resource—the frontline employees and providers who deliver care—thoroughly examining your current processes rather than relying solely on quick fixes. Envisioning and facilitating improved processes and promoting organizational learning through lean methodologies can help bring sustained success into the future.

Lean can help:

Improve quality and patient safety, prevent adverse safety events, and improve overall care through workshops
Develop continuous improvement
Evaluate and improve processes
Reduce burnout and improve workflows