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Healthcare Performance Improvement

Accelerate performance improvement initiatives and implement strategies to achieve healthy margins.
Businesswoman using a digital tablet with graphs on it in a modern office.
57% 

of executives rank operational efficiency as top priority for the next two years.*

>80% 

of executives rank labor and non-labor expenses as top obstacles to financial sustainability.*

76% 

of executives are concerned about denials management.*

Empowering healthcare organizations to help improve financial and operational performance.

Healthy margins are critical to fulfilling your organization's mission of achieving health for the communities you serve. Our healthcare consultants provide services that support financial discipline for hospitals, health systems, and organizations across the care continuum. We help you identify and act on opportunities to reduce costs, improve clinical and operational efficiency, and advance enterprise-wide performance improvement initiatives. Our goal is to help you move with momentum to succeed in the ever-evolving healthcare landscape.

*Source: Mindsets 2025 Healthcare Executive Leadership Report | Forvis Mazars

Revenue Cycle Improvement

We understand the revenue cycle is a source of both persistent challenges and opportunities for continuous improvement. Our experienced team helps identify opportunities to excel in revenue cycle operations and management by improving cash flow, efficiency, and patient satisfaction. We also support revenue integrity through clinical documentation and coding with approaches tailored to your organization’s structures, opportunities, and compliance challenges.

Our services include:

  • Revenue Cycle Assessment
  • Accounts Receivable Management
  • Denials Prevention & Management
  • Patient Access
  • No Surprises Act Compliance
  • Pre-/Post-System Implementation Support
  • Revenue Cycle Organizational Design & Staffing
  • Patient Liability Strategies
  • Revenue Cycle Vendor Management
  • Cash Posting
  • Payment Variance
  • Clinical Documentation Integrity (CDI)
  • Charge Description Master (CDM)
  • Strategic Pricing & Price Transparency
  • Charge Capture
  • Coding & Billing Compliance
  • Managed Care Contracting

Clinical & Operational Excellence

Our team of clinicians, physician advisors, and former hospital executives helps clients identify and implement clinical and operational improvements through data-driven assessments, benchmarking, design, and implementation efforts. We help organizations improve performance and patient outcomes through:

  • Emergency Department (ED) Fine-Tuning
  • Utilization Review & Case Management (UR/CM)
  • Length of Stay Management
  • Patient Statusing
  • Swing Beds
  • Surgical Services Calibration
  • Service Line Strategy & Performance
  • Physician Practice Management

Labor Cost Management

Healthcare providers must rigorously manage increasing demands for an efficient workforce. However, patient care needs shouldn’t be compromised when determining staffing requirements and contractual labor arrangements. We can help organizations monitor, understand, and continually improve workforce productivity to support sustainable financial success.

Non-Labor Cost Management

Rising costs of supplies, equipment, pharmaceuticals, IT, utilities, employee benefits, and other purchased services are a growing burden on healthcare providers. High performers know continued investment in non-labor cost reduction is productive and critical to maintaining financial discipline. We can help identify focused cost reduction opportunities across the organization, generate return on investment, and achieve year-over-year margin improvement.

Physician Services

Our team of physician enterprise consultants has the background, know-how, and skills necessary to help drive performance excellence. Our front-to-back assessment approach includes payor contracting, reimbursement strategies, patient throughput, charge capture, revenue cycle, cost management, and provider compensation design.

Pharmacy, 340B, & Clinics

Staying up to date with regulations and meeting increasing demands from providers, patients, payors, and regulators can be daunting for pharmacy leaders. Our professionals understand the pressures you’re facing. That’s why our services are tailored to help you enhance financial performance, remain compliant, and assess cost savings opportunities so you can focus on providing innovative, effective, and valuable medicines to your patients. Our services include:

  • 340B Compliance
  • 340B Program Development & Calibration
  • 340B Co-Sourcing
  • Provider-Based Billing
  • Clinic Strategies & Compliance
  • Rural Health Clinic (RHC) Strategies & Compliance
  • Pharmacy Compliance
  • Pharmacy Expansion
  • Pharmacy Structure
  • Drug Diversion
  • Opioid Assistance

Healthcare Analytics

The healthcare industry is flooded with data. However, data without context is neither valuable nor actionable.

Valuable data should help you execute strategies and drive meaningful change. Our team focuses on providing clients with relevant, timely information. We leverage our experience in data analysis to create powerful, technologically advanced data visualization products, models, and dashboards that help users quickly and intuitively understand and analyze complex data sets. In addition, our tools and checklists include best practices to incorporate into daily operations.

Who We Serve

Hospitals & Health Systems
Achieve Health with tailored assurance, tax, and consulting services.
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Academic Medical Centers & Teaching Hospitals
Achieve Health with tailored assurance, tax, and consulting services.
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Community Health Centers
Achieve Health with tailored assurance, tax, and consulting services.
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Rural Health
Achieve Health with tailored assurance, tax, and consulting services.
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Physician Enterprise
Achieve Health with tailored assurance, tax, and consulting services.
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Senior Living & Long-Term Care
Achieve Health with tailored assurance, tax, and consulting services.
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