Advisory Solutions:

Experts in Hospital-Based Physician Specialties

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:

ADVISORY SOLUTIONS Include Coding Reviews, Audits, Clinical Documentation Improvement & Education:

Coding Reviews & Audits

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. 

Compliance, Accreditation, & Regulatory Support

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).

Clinical Documentation Improvement & Education

Identify opportunities for improvement via one-on-one coaching, education, and training. We review all electronic health records for quality of physician documentation.

Recoupment Defense 

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

Transition Management 

Manage structural transitions within departments or organizations via ongoing monitoring supported by regular reporting.

Revenue Cycle Optimization

Analyze and evaluate billing and collections. Benefit from fresh ideas for revenue enhancement, claims processing, denial management and tracking, and patient collections.

RFP Process Management and Implementation

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.

Managed Care Contracting

Assess managed care contracts. Develop strategies to improve contract renewals and forge new contracts and payer relationships.

Department/Practice Scorecards

Identify key performance indicators for service lines by using tailored scorecards to track and share performance across your organization.

Performance Metrics / Incentives

Analyze and evaluate provider incentive compensation plans before launching a metrics-based plan that aligns provider and organizational goals.