Recognition for the necessary process improvement is very often overlooked and only identified because of inadequate results. In the continually changing healthcare environment, ongoing identifications of future process improvement are vital to a well-run operation.
This assessment includes all areas revenue cycle from the moment the patient registers and receives services through the coding, billing and claim submission cycle. The communication between these departments is vital to a timely collection and accurate claims payment.
This is a targeted review of the back office departments that include billing, collection, payment posting, claims appeal and vendor management. The coordination of these departments greatly affects the turn around time of claims payments and their accuracy.
Independent mentors for management and staff can help provide an objective review of the current process and procedures. Often the management and staff are not on the same page. This leads to an inability to complete needed process changes efficiently. Independent subject matter experts can effectively bring the staff and management to work together. The coordination of process change will be the responsibility of the project manager which allows the current management time to be able to lead the transition. The project manager will hold the burden of hands-on synchronization of the project details.
Organizational written policy is a requirement for all organizations. The accurate and up to date policies are vital to creating correct procedures and workflows. Providing concise workflows that are helpful to the staffs daily work process can be challenging. Obtaining additional help to complete the policies and procedures may be the road to efficiently success in your organization.
We provide training of the written policy and procedure to all staff members. This includes group review and one on one educational sessions. We also include train the trainer sessions so your organization can assist new employees to become effective staff members.
E-learning modules are also an extra add-on that can help employees review the processes at any time during their work time. The modules are custom designed based on your organization’s requirements.
Our focus is to help your business grow and run smoothly. We understand the challenges faced with the claims processing and recovery environment. Sunlit Cove Healthcare Consultants provide professional subjects matter experts in the healthcare industry to enhance your business. Our consulting services are available to assist with your day-to-day operations and provide expertise in growth and change management.