We Are Straightforward Health
Care Advisors.

An extensive client roster in health care provides the experience necessary to understand the array of problems facing health care organizations. Through informed questions and deliberate processes we answer the questions that face CEOs, CFOs and other executives to help improve performance, effectively and efficiently comply with regulatory issues and uncover hidden opportunities for growth. Below are just a few of the hundreds of questions that clients and others ask when it comes to their health care organization. We would welcome the opportunity to talk to you today about your critical questions.

“I’m facing a merger and under pressure to unlock value and integrate processes, technologies and culture, all while keeping risk levels acceptable. How do I get it all right?”

“Are there any technology tools available at this time that will allow us to make better decisions for our ICD-10 initiative”

“HITECH requirements have me focused on strengthening internal controls over privacy and security. How can I cost effectively comply while positioning my organization to take advantage of government implementation funding?”

“I’m facing a merger and under pressure to unlock value and integrate processes, technologies and culture, all while keeping risk levels acceptable. How do I get it all right?”

Beyond closing on a merger or acquisition transaction, an organization needs to know at a detailed level how it is going to drive value. It’s about more than checklists or standard approaches… you need strategic clarity on what specific tactics will drive value for this deal. Developing a detailed “roadmap” with tactics, synergy and optimization targets, along with clear accountabilities and due dates, is critically important for realizing anticipated value. Surveys have shown that poor execution is more often the cause for organizations not realizing the anticipated value of mergers and acquisitions, more so than poorly defined strategies. Accordingly, it is important to begin integration planning early, involve key subject matter experts across the organization, and bring a sense of urgency for Day 1 readiness and what needs to be accomplished in the first 100 days.

Effective integration roadmap development requires a holistic approach that often encompasses the following: a shared strategic vision; focus on customers; integrated go-to-market strategies; effective leadership and governance structure; key employee engagement; synergy planning and revenue optimization tactics; integrated design of operating practices, processes and systems; shaping a common culture; and performance measurement mechanisms. As a starting point for realizing the full value of an acquisition, McGladrey suggests beginning with synergy and integration planning workshops for developing an effective roadmap.

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“Are there any technology tools available at this time that will allow us to make better decisions for our ICD-10 initiative?”

Technology tools are available that analyze your historical claims so you can use data to drive decision making, focus your ICD10 efforts and guide mapping and translation of ICD9 to ICD10 for your organization. Combining your organization’s data with timely electronic updates that have the most recent GEMs information, you can easily accomplish the mapping and translation of ICD9 to ICD10. Leveraging the analysis of your historical ICD9 information gained from the use of these tools, you can effectively prioritize coding and training needs.

Not only can the technology tools help you plan for ICD10, but once your transition begins, you can also use the data analytic capabilities to track and manage key revenue performance metrics such as case mix index, capture rates and denials during transition.

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"HITECH requirements have me focused on strengthening internal controls over privacy and security. How can I cost effectively comply while positioning my organization to take advantage of government implementation funding?"

The HITECH Act of 2009 updated HIPAA of 1996 in a few areas of privacy and security. HITECH also increased the penalties that can be assessed to health care organizations that don’t provide adequate privacy, security and confidentiality of protected health information. HIPAA/HITECH privacy and security requirements are based on good privacy and security standards which should be the basis of implementing any system that contains confidential information. The most economical approach is to ensure that good privacy and security standards are a part of implementing any new system.

To apply HIPAA/HITECH privacy and security standards to existing systems, we suggest performing a risk assessment of your existing system and developing a plan of action based on the level of risk that is not acceptable to your organization. Compliance with HIPAA/HITECH is an aspect of meeting the meaningful use criteria to receive funding for use/expansion of Electronic Health Records and, therefore, must be addressed as part of your meaningful use application.

To connect with a specialist today, call 800.274.3978 or email Brenda Kloewer.

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