Project List

Presentations and Speaking Opportunities

Our current and recent projects:

Recently completed a RAC Audit preparedness for a 600 plus bed hospital in Pennsylvania. This included setting up a cross functional team of patient access, patient accounts, HIM, Risk Management and Finance. Set up process to receive and respond to RAC claim requests. Set up database to match requests against claims already reviewed. Initiated a documentation integrity review and identified gaps. Initiated a concurrent review of all observation and one day stays. Set up process to review each record requested and file appeals at all levels. Calculated estimated financial impact based on current error rates in documentation to allow creation of financial reserve.

Currently engaged in implementing revenue cycle initiatives for a 300 bed community hospital in Virginia. These initiatives include:

  • Implementing a CMS compliant process for charging for Observation services
  • Developing a denial management system from scratch, including report development, assignment of responsibilities for mitigation and follow-up.
  • Developed a charge master maintenance program including process for timely change management.
  • Implemented a front-end medical necessity program thereby mitigating over $1 million in medical necessity write-offs.
  •  

We firmly believe in knowledge transfer to our clients. While we have presented at National and regional industry events, including HFMA and AAHAM, we believe our strongest contribution has been to the front-line staff with topics like Medicare 101 and Revenue Cycle Overview.

We can customize these and other topics to your organization. We have presented one-on- one with the C-Suite to system-wide sessions.

Topics Presented:

  • Medicare 101
  • Charge Master Strategies for Reimbursement
  • Revenue Cycle Overview
  • RAC Audit Preparation
  • Observation versus One Day Stays
  • Red Flag Rules
  • Denial Management – Tips & Techniques