Healthcare
Over the past several years, healthcare has become moe complex, Understanding these complexities is increasingly important in an ever-changing landscape.
Healthcare
Over the past several years, healthcare has become moe complex, Understanding these complexities is increasingly important in an ever-changing landscape.
RubinBrown’s Healthcare Services Group provides a broad array of services to a diverse group of healthcare providers, payers, and third-party administrators in the healthcare industry, including health systems, hospitals, rural health providers, physician practices, medical groups, behavioral health providers, post-acute providers, payers (such as insurance companies, governmental, and self-insured employers), nonprofits, and other health organizations.
Our clients benefit from our extensive and diverse expertise in healthcare. Our services include healthcare consulting, traditional tax and audit services, business valuation, and assistance with healthcare disputes.
As the healthcare landscape becomes increasingly complex, we continue to expand our expertise, with a particular focus on consulting services.
Our reimbursement consulting includes cost report strategies, revenue cycle management, Medicaid services, rural health services, volume decrease adjustment, and physician practice services. Our technology consulting includes predictive analytics, data systems and processes, continuous monitoring, IT risk services, and system implementation.
Our payer-focused services include process optimization, technology assessment and enablement, change management, procedure writing, and training across all functions of the value chain from application and enrollment through billing, claims, subrogation, and more. Our experience includes working with fully insured, self-funded, and government programs (e.g., Medicaid, MedAdvantage, third-party liability, and RADV) across all lines of business, including individual, ACA, small group, ICHRA, and large group.
In addition, we continue to focus on strong financial planning, including income tax strategies, retirement, personal financial planning, estate planning, and fringe benefit planning.
- Budgeting
- Forecasting
- Cash flow analysis and projections
- Billing and collections
- Billing and overhead rate development and analysis
- Accounting systems and functions
- Financing and capital needs
- Statistical comparisons
- Buy/lease analysis
- Outsourcing of accounting functions
- Audits, reviews and compilations of financial statements
- ViewPoints Report
- Medicare, Medicaid and third-party payer services
- Cost report preparation, adjustment review, and appeals
- Medicare bad debt
- Financial operations and structure
- Financial and reimbursement analysis
- Contractual allowance reviews
- Feasibility studies
- Revenue cycle analysis and optimization
- Documentation and coding audits
- Education programs for providers and staff
- Charge capture reviews
- Clinical documentation improvement assessments
- Denials reduction for improved cash flow
- Payer negotiations and contract optimization
- Provider compensation and productivity analysis
- Mergers and acquisitions support
- Chargemaster reviews and education
- Interim Leadership
Process optimization services focused on eliminating process inefficiencies and applying technology capabilities.
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CRM Strategies and Technology Evaluation
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Finance Operations Review and Implementation
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Project and Program Management
- Start-up assistance
- Structure of entity
- Practice assessments
- Employee policies, benefits and compensation
- Satisfaction surveys – client, employee and patient
- Policy and procedure manuals
- Education for providers and administrative staff
- Insurance analysis
- Strategic planning
- Internal control/operational reviews
- Organizational and operational benchmark studies
- Technology consulting
- Documentation and coding audits
- Coding and billing vendor audits
- Medical necessity reviews
- Interim leadership
- Denials and A/R reduction
- Provider compensation analysis
- Independent review organization integrity agreements
- Payor negotiation and contract optimization
- Charge validation process design and implementation
- Cost report preparation and optimization services
- Optimizing Medicare and Medicaid reimbursement
- Disproportionate share hospital (DSH) services
- Nursing and allied health education (NAHE) services
- Audit and appeals support
- Outsourced reimbursement
- Third-party payor strategies
- 340B eligibility compliance
- Contractual allowance and accounts receivable analysis
- Payor contract negotiations
- Medicare bad debt
- Rate setting reviews
- Service line cost analysis
- Worksheet S-10 uncompensated care
- Interim services
- Denials and A/R reduction
- Payor negotiations and contract optimization
- Billing and payment review
- Chargemaster assessment, maintenance & education
- Price transparency compliance and strategic pricing
- Support for federally qualified health centers (FQHCs) and rural health clinics (RHCs)
- Documentation & coding audits
- Transaction advisory services
- Independent review organization for corporate integrity agreements
- Physician contracting
- Education programs for providers and staff
- RAC, UPIC and other external audit response and appeals
- Interim services
- Critical Access Hospital strategies
- Volume decrease adjustment payment
- Rural emergency hospital services
- Reimbursement services
- Provider-based status determinations
- Rural health clinics (RHC) strategies
- Financial management support
- Cost allocation
- Cost report services
- Financial projections and proformas
- Assist health systems in optimizing rural hospitals
- Covid funding assistance
- Revenue cycle optimization
- Departmental lean projects
- Componentized depreciation
- Corporate income and franchise taxes
- Property taxes
- Credits and incentives
- Sales and use taxes
- Mergers and acquisitions
- Tax planning and compliance
- Retirement plans – design and administration
- Tax structuring
- Personal wealth management
- Data and analytics
- Continuous auditing/monitoring
- IT risk services
- System implementation support
- Business valuations
- Insurance claims
- Lost profits quantification
- Government claims and audits
- Mergers and acquisitions, including due diligence
- Expert witness testimony
- Succession planning
- Tribal healthcare
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