Healthcare Consulting

AdvisorsMD’s consulting division provides clients with the expertise needed to safely navigate the ever-changing environment of the healthcare industry. With the advent of government audits, an expanding focus on existing regulations, and the changing face of healthcare delivery and reimbursement; healthcare organizations must re-engineer old processes, integrate new systems, and re-educate existing physicians and staff to keep abreast with this dynamic industry. These consulting services provide hospitals and clinics with the assurance that their business processes are not only efficient, but they are also compliant with governmental regulations.

Our consultants have expertise in the following areas:

  • Audit appeals
    • RAC
    • MIC
    • ZPIC
  • Business office denials
  • Compliance programs and creating compliance manuals
  • Educational programs for physicians and staff
  • Facility analysis (staffing, business processes, due diligence)
  • False Claims assessments
  • Medical necessity analysis
  • Physician contracting and compensation models
  • Physical plant security assessment (can our consultants “break-in” to your facility?)
  • Physician services
    • start-up
    • credentialing
    • management
  • Revenue cycle assessments
    • billing
    • coding
    • data capture
    • documentation
  • Strategic planning
  • Stark and Anti-Kickback assessments

 

Our areas of specialization are:

  • Outpatient facilities
  • Inpatient facilities
    • short-term acute
    • long-term acute
    • critical access
    • nursing home
    • psychiatry
  • Physician clinics
    • primary care
    • specialty care,
    • rural health
  • Home health / hospice