HEALTHCARE PROVIDERS

The Institute for Quality Resource Management...
offers consulting services and proprietary computer software geared to revenue enhancement strategies for; full service healthcare facilities, outpatient departments, free standing clinics, alternative care sites, healthcare management organizations and physician groups. For example, in a typical imaging department, our revenue enhancing strategies can result in a 6 to 7 figure increase in revenue.

Another example ... the recently passed Fraud and Abuse Provisions Health Insurance Portability and Accountability Act requires providers, both hospitals and physicians, to improve the accuracy of their claim forms, and medical documentation to support their medical claims to all payers. The Institute, will consult with and guide your staff to make the changes in such a way so that it is not increased work. We believe our knowledge and understanding of billing practices can help implement the correct process to reduce the paper work hassles.

We provide the following Revenue Enhancement Strategies:

• Analyze current coding methods



• Validate the medical documentation to substantiate the medical necessity of the procedure



• Assure the physician, as well as the facility, are charging the same procedure by date of service and patient



• Verify the efficiency of the work flow processes



• Make recommendations regarding staffing and utilization of capital resources based on the most profitable procedures and those needed by the community but not adequately reimbursed



• Develop payer strategies to enhance risk position in managed care contracts

Team seminar goals:

• Proivde tools to enable problem solving on the firing line



• Sales representatives become a value resource



• Sales representatives and department manager and/or phyisican maintaines the teams momentum

We conduct workshops/seminars to make these strategies work, such as:

• Building and Empowering Total Quality Management Teams



• Value Pricing Strategies



• Managing for Profitability



• Understanding our Reimbursement System



• Selling to Managed Care



• Profits Residing in your Medical Charts



• Re-Engineering Documentation Processes