Anesthesia | Emergency Medicine | Hospital Medicine | Radiology
Ventra Health Advisory Solutions offers a multi-disciplinary team of experts who understand how to streamline and enhance operations. The strategy is simple: Reduce expenses through efficient use of people and facilities while you maximize revenue and collections. Ventra Health Advisory Solutions offers solutions that meet the primary challenges faced by hospital-based physicians and the organizations that support them.
Take Advantage of OUR Advisory Solutions High-Level Service Line Assessments:
Revenue Cycle Analysis
We assess and analyze charge master, charge capture, reports, and payer contracts as you examine the handling of out-of-network services and construct fresh strategies to enhance revenue.
Utilization and Efficiency Review We assess your service line utilization via patient data analysis. Reduce expenses, boost revenue, and optimize resources through targeted improvements in efficiency.
Staffing Model Analysis
We analyze your staffing models for flexibility, resilience, and cost-effectiveness. Then we construct an optimized model that meets your evolving needs and meshes with clinical and business strategy.
Provider Compensation Benchmarking
Benefit from timely insights on Fair Market Value as you analyze compensation data against regional and national benchmarks. We develop compensation plans that fit strategic imperatives for workforce, clinical care, and financial performance.
Professional Contract/Service Arrangements
We review provider employment agreement templates and professional service agreements on dimensions like service expectations and contract demands.
We analyze performance incentives for compliance with guidelines and cost/benefit. We will calculate the impact of re-engineered incentives on finance, clinical care, operations, and physician performance.
ADVISORY SOLUTIONS Include Coding Reviews, Audits, Clinical Documentation Improvement & Education:
Analyze CPT, HCPCS, and ICD-10 code assignments, modifiers, and units billed. Maximize revenue via coaching, education, and training in coding for providers and coders.
Track the nature, scope, and timing of compliance issues, including how the organization resolved an issue. Assess the quality of procedure documentation compared to the Centers for Medicare and Medicaid Services (CMS) Local Coverage Determination (LCD).
Identify opportunities for improvement via one-on-one coaching, education, and training. We review all electronic health records for quality of physician documentation.
Evaluate prospects for appeals and disputed claims by analyzing documentation, coding, and Medicare coverage criteria, including local and national coverage determination. Create and share documentation practices that support timely, accurate coding.
Advisory Solutions Key Focus Points
Manage structural transitions within departments or organizations via ongoing monitoring supported by regular reporting.
Analyze and evaluate billing and collections. Benefit from fresh ideas for revenue enhancement, claims processing, denial management and tracking, and patient collections.
Secure the advantages of a customized RFP process that fits your needs, timetable, and budget. Tap Ventra Health Advisory Solutions expertise to evaluate and present responses, orchestrate presentations, support decision making, and build budgets, projections, and proformas.
Assess managed care contracts. Develop strategies to improve contract renewals and forge new contracts and payer relationships.
Identify key performance indicators for service lines by using tailored scorecards to track and share performance across your organization.
Analyze and evaluate provider incentive compensation plans before launching a metrics-based plan that aligns provider and organizational goals.