Give your health care business a good check up Ernst & Young’s Health Advisory Services can assist both payors and providers manage risk and improve performance. We have helped our clients achieve sustained, measurable results by leveraging our deep industry knowledge and leveraging all of the capabilities of our firm. Our clients are: - Providers which can include academic medical centers, health systems, community hospitals, home health agencies, skilled nursing homes and physician practices
- Payors which include health insurers and managed care plans
No matter what your stake is in health care, our professionals can provide strategic, financial, information systems, or performance improvement services to deal with the key issues that our clients face every day including: | Provider | Payor | | Declining margins | Health reform | | Health reform | Enterprise risk management | | Revenue cycle management | Expansion into international markets | | IT effectiveness | Security and fraud detection | | Medical error reduction | Customer relationship management (360-degree view) | | Push for Electronic Health Record | Core application modernization for claims, billing and back-office functions | | M&A | | | Consumerism | | | Security and compliance | Price compression | | Clinical skills shortage | Post-merger integration |
Our broad vision, rich experience and unwavering commitment can really make a difference in achieving a superior client experience. Our services address current and future issues, the impact of reform, declining volume and margins and compliance complexity: - Revenue cycle — provide assistance during the patient visit from registration to income verification to pricing, coding and billing, and collections,
- Regulatory — provide assistance in preparing Medicare and Medicaid cost reports and obtaining all appropriate reimbursement for special programs per the regulations.
- Finance — provide assistance relating to projections, rate setting, management reporting, due diligence and managed care analyses.
- ICD-10 — services address the increased complexity accompanying the change from ICD-9 to ICD-10 which is the coding nomenclature used to create patient bills.
- Managed care provider/payor services — services include strategic planning, operational performance improvement (claims, network management, sales, enrollment/disenrollment, IT, etc.), finance, M&A, scenario modeling, benchmarking, ERM and compliance/risk assessments
- Supply chain — including cost reduction, GPO compliance and optimization, tax efficiencies, and inventory and procurement
- Provider care operational improvement — patient throughput, benchmarking and clinical documentation
- Healthcare IT — Security, compliance, and privacy, clinical decision support, electronic medical records, and cost efficiency and effectiveness.
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Contacts Ernst & Young sector contact John Simon, Principal Americas Leader Pittsburgh, PA Office: +1 412 644 7832 Cell: +1 412 897 4908
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