All outsourcing services can be performed on or off-site.

• Negotiate managed care reimbursement rates and language provisions for Hospitals, SNFs, Medical Groups, HHAs, Chemical and Substance facilities.
• Model current managed care contract profitability and re-negotiate to ensure maximum yield.
• Analyze and monitor financial outcomes of Risk and Pay for Performance Agreements.
• Manage provider credentialing and re-credentialing process using proprietary and CAQH data sources.
• Manage credentialing and contract management process for providers.
• Develop and maintain non-mainframe contract management databases to minimize legacy system modifications.
• Analyze critical revenue cycle processes, from initial patient registration through collection, and develop actionable plans and recommended steps to maximize patient revenue. Identify causes of claim denials and develop plans for reducing lost revenue.
• Create baseline operational measures and propose improved efficiencies.
• Assist with structuring and managing medical staff relations.
• Assist with physician contract structuring and negotiation.
• Assist providers in marketing their capabilities to payers, other providers and patients.
• Provide interim management placement solutions.
• Create innovative new business development plans.
• Provide senior executive search and leadership services.