Optimize your revenue cycle, improve your staff training, and formalize your practice policies
About HealthOps Consulting
Welcome to HealthOps Consulting! Our mission is to empower healthcare practices with access to both affordable healthcare consulting and a library of expert-created, white-label staff trainings and policies. Our team is comprised of several experts in ambulatory healthcare operations who partnered to create an expansive library of content to help ambulatory practices streamline their operations, formalize their policies and procedures, and reduce staff turnover by delivering effective training.
Our team has extensive experience in healthcare team building and process improvement, with experience leading both health systems of 1000+ employees and $200M+ in annual revenues as well as physician practices of 50+ employees and $20M+ annual revenues. We bring years of hands-on experience in healthcare operations and business office expertise to our consulting engagements, staff training courses, and other services.
Staff Trainings and Policies
As practice leaders, we ourselves recognized a need for robust staff training to improve patient care, increase practice efficiency, and reduce claim denials. We searched for on-demand training solutions, and found few options that were specific to and affordable for outpatient practices. This meant we had to create
We created HealthOps Consulting to solve that need — providing your practice with white-label policies and staff training content that can be implemented rapidly in your practice.
Revenue Cycle Consulting Engagements
Our team has directly managed ambulatory practice revenue cycles with annual revenues greater than $20 million. We offer the following revenue cycle consulting services, designed to help your practice optimize its revenue cycle, identify bottlenecks, flag underpayments, and maximize your clinical efforts.
Payer Ranking
Using data from your EHR or billing software, we can craft a payer ranking model that systematically ranks your payers by gross collections rate (GCR), net collections rate (NCR), and accounts receivable aging (AR) — helping you re-evaluate your payer mix to identify areas of opportunity.
Denials Analysis
We can craft a detailed analysis of recent claim denials, analyzing metrics such as first pass claim yield (FPCY), clean claim submission rate (CCSR), denial rates by payer, denial rates by provider, and denial rates by reason. Using this data, we can then recommend strategies to help you move from denials management to denials prevention.
Underpayments Model
Using the Medicare Physician Fee Schedule, organized by both region and year, we can craft a model of your average reimbursement rate by payer as a percent of Medicare and compare that to your contracted rates. This is incredibly useful in identifying worklists of underpaid claims that can then be appealed with each payer — helping you recover missed revenue.
Athena EHR Consulting Engagements
We are experts in the Athena EHR ecosystem. Our team consists of AthenaOne superusers, with expertise across the platform’s entire spectrum of functionality.
Athena EHR Revenue Cycle Consulting
Properly configuring and deploying Athena revenue cycle tools is key to optimizing your medical billing within the platform. This means setting up Claim Worklists with intelligent claim routing logic to easily manage denials, establishing Custom Claim Rules to scrub claims before denial, and analyzing multiple Athena EHR reports to develop complex revenue cycle models and analyses to provide recommendations.
Athena EHR Superuser Consulting
We can assist with any project or opportunity within the Athena EHR platform, such as establishing interfaces with external referral partners, implementing a new Marketplace tool, configuring an unused feature such as Enhanced Self Check-In, and more. We are ready to be your Athena EHR experts.
Quality, Process, and Performance Improvement Consulting Engagements
Our team has more than 20 years of experience in C-Suite COO and CQO executive roles in large FQHC health systems, physician practices, and population health organizations. We are experts in quality, process, and performance improvement across a spectrum of healthcare delivery organizations.
Helping You Meet Quality Metrics
We can strategize, implement, and advise on various quality programs to help you meet your HEDIS and UDS metrics, improve your Medicare Star Ratings, capture HRSA grant and reward opportunities, and maximize your participation in MIPS quality reporting.
Process, Performance, and Compliance
Our team is skilled in identifying your process barriers, performance opportunities, and compliance risks to craft an overall corporate quality improvement strategy that will drive value, improve outcomes, and minimize risk.
Healthcare Workforce Improvement
With years of experience in the C-Suite leading organizations with greater than 1000 employees, we offer our clients powerful insights into sustainable team-building and employee strengthening — driven by our large library of effective trainings and policies.
Contact Us
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