PHYSICIAN-LED CLINICAL VALIDATION FOR HOSPITALS

Achieve sustainable results in quality, compliance, and reimbursement.

EXPLORE OUR SOLUTION

PHYSICIAN REVENUE PERFORMANCE IMPROVEMENT

Facilitate long-term sustainable outcomes for decreased denials and enhanced revenue.

EXPLORE OUR SOLUTION
Innovative Revenue Integrity Consulting Services

VALUE-BASED OUTCOMES

We approach a project from a client-value point of view. Our solutions and services are focused on quality and sustainability.

PERFORMANCE IMPROVEMENT

Our solutions provide robust data analytics capabilities to diagnose, assess and improve performance.

OPTIMIZED REIMBURSEMENT

We target challenges with revenue integrity to optimize reimbursement, improve efficiencies and reduce cost.

YOUR CHALLENGES SOLVED
In an ever-evolving healthcare environment where effective revenue integrity can make or break future progress, we work with clients to integrate the most valuable consulting solutions—delivered via a diverse network of expert consultants—to create a smarter health system that benefits all.
Our Solutions
Your partner for revenue integrity consulting

Clinical Documentation Improvement

Physician Revenue Performance Improvement

Physician-Led Clinical Validation for Hospitals

Physician EHR Workflow Simplification

HCC Management

HCC Data Analytics

Denial Management

Revenue Integrity Audits

Our Approach

1. Define Challenge

DEFINE CHALLENGE – Client challenge and perceived solution are often misaligned. Our approach to every project begins with defining the scope and challenge to identify best solution.

2. Analyze Data

ANALYZE DATA – Our approach is rooted in analyzing data to identify the source of the problem and develop strategies based on best practices and available resources.

3. Optimize Solution

OPTIMIZE SOLUTION – By adopting a systematic approach for standardization with both engagement management and client services, solutions are optimized ensuring successful and sustainable outcomes.

4. Customize to Client

CUSTOMIZE TO CLIENT – We innovate from a client-centric point of view, modifying our consulting solutions around our core infrastructure to customize according to client needs.

Client Success

HEALTH SYSTEM REDUCES DENIAL RATES AND RECOVERS MILLIONS IN REVENUE

By partnering with HCS Consulting, this health system gained insight into the root causes of their claims denials and was able to improve the processes needed to effectively prevent future denials realizing the associated positive revenue results.

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HEALTH SYSTEM UNCOVERS $10.5M IN HCC REVENUE OPPORTUNITY

As a result of HCS Consulting’s Physician Revenue Performance Improvement solution, this health system is now equipped with a performance improvement implementation plan and outpatient clinical documentation improvement program tailored to meet the unique needs of each location.

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IDEAS AND INSPIRATION TO HELP YOU THRIVE



Looking Back on 2018

Looking Back on 2018 2018… Do we want to sigh? It was with great anticipation that we entered the year, predicting 2018 as the year of meaningful change, yet much remains the same. Our health insurance costs continue to rise outstandingly disproportionately to inflation—while healthcare on an individual basis has not appreciatively improved. Programs built to help physicians and facilities are not being taken advantage of to the extent they were built, while bureaucratic incumbencies continue to increase costs and slow progress. Overall, the progressive nature of the U.S. healthcare system has been frustratingly restrained with system-wide progress elusive. As…

It’s Time to Revitalize Your CDI Program—The Why and How of BPCI

It’s Time to Revitalize Your CDI Program—The Why and How of BPCI Clinical Documentation Improvement (CDI) programs have experienced significant transformation over the last decade. Under the new MS-DRG (Medicare Severity-Diagnosis Related Group) system—a major driver for many hospitals and health systems to invest in CDI programs—capturing CC/MCCs (complication or comorbidity and major complication or comorbidity) became the focus. Many organizations that have implemented an MS-DRG focused review program have seen success, experiencing benefits in improved provider documentation and true Case Mix Index (CMI) capture. The introduction of APR-DRG’s (All Patient Refined-Diagnosis Related Group) changed this landscape even further. Capturing…

New Website Launched to Showcase Revenue Integrity Consulting Solutions

New Website Launched to Showcase Revenue Integrity Consulting Solutions HCS Consulting is proud to announce the launch of our new website at www.hcs.consulting.  HCS Consulting provides consulting services in revenue cycle management and population health to a diverse range of healthcare organizations nationwide. The new site offers quick and easy access to essential information on HCS Consulting's portfolio while offering a more comprehensive understanding of our value proposition and overall client benefits. A leading partner for revenue integrity consulting, solutions include clinical documentation improvement, physician revenue performance improvement, physician-led clinical validation for hospitals, physician EHR workflow simplification, HCC management and…
HCS CONSULTING

A consulting company providing solutions for Revenue Integrity to a diverse range of healthcare organizations nationwide. The company’s portfolio delivers quality solutions to empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.

Location

2909 West Bay to Bay Blvd., Suite 500
Tampa, FL 33629
813-324-2107

Compliance Report Line:
813-369-5165
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