Health Care Consulting

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

Revenue Cycle Services 

• Operational revenue cycle assessments including benchmarking evaluations of key performance indicators (KPIs) based upon industry best practices
• Cash acceleration projects
• IT reviews, system redesigns, system conversions, and operational IT improvements

Strategy & Integration

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