Health Care

The health care industry is undergoing radical change. Hospitals, long-term care providers, home health care agencies, and physician practice groups must prepare for the inevitable and necessary transition to a system in which cost containment and managed care dominate. Health care providers must make greater strides in the delivery of health care services by improving quality, increasing benefits, expanding access, and controlling costs. Driven by increasing demands, providers are turning to WeiserMazars for help in establishing strategic direction.

Health care providers look to WeiserMazars to negotiate managed care contracts and relationships, structure alliances, and assist with strategic planning. Our clients rely on us to guide them through the intricacies of insurer/payor systems and referral sources, along with all reimbursement considerations.

WeiserMazars has a strong track record in:

• Performing audits and financial reviews of health care organizations
• Conducting IT control reviews, system selections and contract negotiations
• Improving revenue cycle management by implementing and monitoring new processes

Health Information Technology Solutions

Our information technology (IT) methodologies are designed to meet the complex requirements of health care organizations. We develop realistic, effective plans and facilitate selection processes that lay the foundation for successful implementations. We believe IT needs to enable the organization to improve productivity and operational cost effectiveness, leading to the achievement of your strategic goals. Our extensive experience includes the full range of providers – large integrated health systems, academic medical centers, community hospitals, large physician practices, long term care facilities, home care, and public health agencies.

Our services include:

• Strategic information technology planning
• Focused diagnostic review of IT delivery models
• IT governance, organization, and management
• Tactical/operational assessment and action-oriented planning
• Network planning and design services
• Systems evaluation and vendor selection
• Contract negotiations
• Implementation project management and oversight
• Facilities management
• Interim CIO
• Due diligence and regulatory support
• Merger integration

         

Revenue Cycle Management

WeiserMazars’ Revenue Cycle Management team has a consistent track record of helping healthcare facilities improve overall revenue cycle performance. Optimizing payments supports the optimization of a health care system’s margins – the entire revenue cycle must function, together, and at peak performance. WeiserMazars focuses on improving the efficiency and effectiveness of the Patient Access department which is the linchpin of optimization. We steer our clients through the redesign and implementation of improved business processes and the integration of new technology by:

• Conducting a comprehensive assessment
• Helping the client realize their full revenue cycle potential
• Identifying improved staffing and productivity models
• Implementing and monitoring new processes

Revenue Cycle Transformation

Improving an organization’s structure, its processes, and its technology, requires a unique “task force” methodology that facilitates bottom-up contributions to the design and implementation process. Sustained results are achieved only through the development of individuals invested in organizational change.

We create organizational change by being:

• Data Driven – using extensive client-specific data for qualitative and quantitative analysis
• Process Enhancement Focused – focusing on “best practice” process standards\
• Engaged Technology Partners – partnering with industry technology leaders to optimize system functions
• Providers of Proven Results – our innovations regularly yield 2-3% net revenue increase per year, reduce write-offs and increase cash collections

Managed Care

January 2014 will see major provisions of healthcare reform implemented under the Patient Protection and Affordable Care Act. All aspects of the healthcare delivery system will need to be substantially transformed in under a year. As the paradigm shifts from procedure-based to value-based, Managed Care approaches will become essential.

Through a merger with Creative Health Concepts Group, a boutique healthcare consulting firm, we have gained a dedicated team of professionals highly specialized in providing managed care related services to payers, providers and private equity firms.

Our services include:

• Network development
• Contract Negotiations
• Credentialing of Physicians, Ancillary Services
• ACO development
• Executive search
• Out-Sourced Managed Care services
• Strategy, development and implementation for building turn-key payer networks
• Develop strategies for creating reimbursements claims across all healthcare product lines
• Reimbursement Methodologies/Capitation Fee For Service
• Private equity offerings
• Payer and Provider Quality Improvement, HEDIS Scoring