Design and implementation of HPM cost accounting for a variety of sole community providers and health systems.
Revenue models for Trendstar and HPM customers combining actual payments, contract management expected payments and estimates based on patient accounting activity.
Custom SQL Server and Microsoft Access applications for interfacing, data transformation and loading into HPM, HBI and Trendstar.
Core measures and AHRQ data applications in HBI.
Decision support needs analysis
System and vendor criteria development and evaluation
Devised mechanism for allocation of service-specific medical education expenses and revenues using patient level activity measures
Revenue rules for NJ Medicaid, NY Medicaid, Federal CMG
Analysis of recurring outpatient activity to enhance revenues
Rules to allocate charity and payor adjustment pools to patients to support fully allocated P&Ls
Bone marrow transplant, episode based reimbursement rule
Integration and analysis of denied payments data to enhance revenues
Integration of HCUP national benchmark standards into analysis
Extraction and use of APR-DRG severity adjusted benchmarks from large state data sets
Benchmarking and clinical analysis to reduce clinical resources and costs
Product line contribution and resource analyses to support profitability improvement
Design and building of online management report networks
Physician, payor and management performance report card design and build
Executive, management, physician and board-level education
Development of corporate allocation and fully burdened pro forma income statements
Integration and analysis of outcomes measures
Outcomes analysis using severity measures including 3M APR-DRGs and MediQual
Implementation, analysis and benchmarking using national, state and proprietary data sets
Developed national decision support consulting services organization
Cost accounting design and implementation
Benefits Realization/Return on Investment studies
Market based service analysis
Ambulatory health care data collection process design
Ambulatory business and clinical process audits
Information systems design and consulting
Clinical coding quality assessments
Ambulatory medical records system installation
