Healthcare Connects specializes in conducting thorough assessments of healthcare providers' systems and processes to identify areas for improvement and optimization. Our services encompass a wide range of areas, including:

• Revenue Cycle: We analyze and enhance the revenue cycle management processes to improve billing, coding, reimbursement, and overall financial performance.

• Nursing Care: Our experts evaluate nursing care processes, identifying opportunities to enhance patient care, improve workflow efficiency, and optimize resource utilization.

• Charge Capture Audits: We conduct audits to ensure accurate and complete capture of charges for services rendered, helping healthcare providers maximize revenue capture.

• Coding Audits: Our team performs comprehensive coding audits to ensure compliance, accuracy, and optimal reimbursement for healthcare services.Charge Description Master (CDM) Audits: We review and optimize the Charge Description Master to align it with current coding and billing requirements, ensuring accurate charge capture and reimbursement.

• Case Management: We assess case management practices, focusing on improving care coordination, resource utilization, and patient outcomes.

• Revenue Integrity: Our experts examine processes and controls to safeguard revenue integrity, identifying potential gaps and implementing measures to prevent revenue leakage.

• Compliance Audits: We conduct audits to ensure compliance with regulatory requirements, policies, and industry standards, mitigating potential risks and maintaining adherence to best practices.

• Denial Management: We analyze denial management processes, identifying root causes and implementing strategies to minimize denials, improve collections, and optimize revenue.

• Ambulatory Patient Access: We evaluate patient access workflows and optimize processes to enhance patient experience, streamline scheduling, and improve operational efficiency.

• Cash Acceleration: Our team identifies opportunities to accelerate cash flow, implementing strategies to reduce billing and payment cycles, and improve revenue realization.

• Technology Optimization/Enhancement: We assess healthcare technology systems and make recommendations for optimization or enhancement to improve efficiency, integration, and data management.

• Payor Credentialing: We assist healthcare providers in navigating the payor credentialing process, ensuring timely and accurate enrollment for streamlined reimbursement.

By offering in-depth system and process assessments along with a broad range of optimization solutions, Healthcare Connects supports healthcare providers in improving efficiency, financial performance, compliance, and overall operational effectiveness.