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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. - Ernst & Young - United States

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:

ProviderPayor
Declining marginsHealth reform
Health reformEnterprise risk management
Revenue cycle managementExpansion into international markets
IT effectivenessSecurity and fraud detection
Medical error reductionCustomer relationship management (360-degree view)
Push for Electronic Health RecordCore application modernization for claims, billing and back-office functions
M&A
Consumerism
Security and compliancePrice compression
Clinical skills shortagePost-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.

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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