Program Integrity
How well is your healthcare organization running? Do you think it could do better with the right healthcare program management? Evaluating and then working to improve your program integrity can have a positive impact on your organization and the service you provide to your customers. Public and private sector organizations require a business partner to help improve program integrity and safeguard the health and welfare of citizens. Healthcare Resolution Services (HCRS) helps customers combat costly errors that sap resources and cost you money — and keep your program dollars intact — by:
- Providing planning and healthcare program management, information management, research, communication and collaboration
- Evaluating effectiveness of strategies, processes and operations
- Reviewing business functions, plans and directions and making recommendations for optimal program management
- Conducting clinical coding reviews, reviewing provider activities and audit claims, identifying overpayments and training providers
- Collecting, analyzing, standardizing and validating coding practices
- Maintaining an ongoing commitment to healthcare process improvement
We work closely with our government and commercial customers to devise practical solutions that lower costs, reduce risk, expand operations and improve flexibility. Our results help customers keep pace with ever-changing business requirements and industry trends, and our efforts have a profound impact on the efficacy of healthcare and social services.
Our program integrity service includes:
Strategic Planning of Health Programs and Processes
Organizations rely on HCRS to guide them through successfully developing and implementing strategies for growth with our program integrity service. We leverage our expertise to provide customers with the decision-making tools they need to meet short- and long-term goals. Our strategic planning services help customers save time, increase focus and achieve the long-term bottom line results they are looking for.
Business Process Review to Improve Quality of Healthcare
HCRS helps organizations improve key business processes in order to drive better bottom line results, improve quality and increase customer satisfaction. Whether you are looking for a total organizational change in healthcare process management or selective upgrades in your existing processes, HCRS can help with our program integrity service. Our Business Process Review and Improvement Model helps customers re-focus the enterprise on their primary business processes.
Medical Project Management
Precise execution of projects is imperative to cost containment, sustainability, growth and profitability in health and human services. HCRS healthcare project management experts help guide, lead and support our customers’ mission-critical project initiatives to attain desired results. Thanks to our project management expertise and methodologies, corporate resource needs are anticipated, risks are mitigated, serious difficulties are avoided and corrective actions are taken as required.
Health Information Technology Solutions
HCRS is a recognized leader in implementation of electronic health records and clinical information systems. We guide our customers in transitioning from manual to automated processes. Then, we help ensure health program management success with training services customized to fit the customer’s needs.
Medical Studies and Surveys
HCRS provides independent, statistically and scientifically accurate evaluations for an array of studies and surveys in healthcare and social services as another aspect of our program integrity services. Our network of subject matter experts help our customers develop detailed protocols defined by solid methodology.
Acquisition Management
HCRS helps customers meet the challenges that come with complex acquisition strategies. We specialize in business cost and financial management, statement of work analysis, risk assessment, integrated acquisition and market research. We also focus on formation of advisory groups, source selection criteria and facilitation and development of contract performance metrics as part of our program integrity services.
Program Integrity Services from HCRS
HCRS is a health information management company dedicated to helping you bring your organization to its optimal level. Our program integrity services ensure your business has the tools and structure to thrive and continue to grow. As your healthcare program management improves, so will the care you give your customers. We will work to create a customized plan that will increase your bottom line while still seeing considerable healthcare process improvement as well as increasing the quality of your services. We’ve been helping customers with our program integrity services since 1998, so you can trust we have the expertise and knowledge base to help your organization succeed. We currently work with organizations in over 40 states and U.S. territories, so wherever you are and whatever your organization’s needs, we can help! Contact us for help increasing your program integrity today!