Healthcare Consulting for Hospitals and Physicians
GET RESULTS...REVENUE ENHANCEMENT QUALITY IMPROVEMENT

REVENUE ENHANCEMENT

Customized solutions to maximize revenue, contain cost, and to reduce rebills and delayed payments by:

  • Timely identification and intervention of undercharged, underbilled, undercoded, and underpaid claims
  • Charge master and cost analysis
  • Vendor supply price negotiation for targeted services
  • Documentation review
  • Coding audits
  • Reimbursement analysis, in-network and out-of-network
  • Training for coders, business office staff, and providers
  • Contracts modeling, impact analysis, and structure recommendations


QUALITY IMPROVEMENT

Customized solutions to improve performance on measures that are publicly reported and affect reimbursement by:

  • Process analysis and redesign
  • Measures education with providers, staff, and abstractors
  • Patient satisfaction analysis
  • Core Measures opportunity analysis
  • Physician Quality Reporting Initiative planning
  • Pay-for-Performance and Value-Based-Purchasing planning

ABOUT

Healthcare Quality Partners is a healthcare consulting company focused on Revenue Enhancement and Quality Improvement services for hospitals and physicians. Patients seeking care providers today have more opportunity than ever before to compare quality and cost among facilities and physicians. Payers are implementing solutions to help recoup payments and contracts are often offered without regard to a provider's cost or profitability. Non-contracted payers are implementing solutions to simply reduce provider payments. Many providers are not aware of what a particular service costs, what it is worth, or what the margin is on that service. And soon a provider's performance on specific quality measures will affect how much that provider is paid for all services. Now more than ever, achieving the highest level of performance on key quality measures and ensuring revenue integrity for every visit is crucial to profitability and perhaps even hospital or provider survival.

EXISTING CLIENTS

For current Texas hospital clients additional services are available:

  • Business analytics including profitability, case-margin analysis, etc
  • Regulatory Compliance assistance for Texas
  • Licensing Rules and Medicare Conditions of Participation

CONTACT

Learn more about how Healthcare Quality Partners can help make your hospital or practice more successful.