Services
Program Integrity
Public and private sector organizations require a business partner to help improve program integrity and safeguard the health and welfare of citizens. HCRS helps customers combat fraud, waste and abuse — and keep program dollars intact — by:
- Providing planning and 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 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 health care and social services.
Our Program Integrity practice includes:
Strategic Planning
Organizations rely on HCRS to guide them in successfully developing and implementing strategies for growth. 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
HCRS helps organizations improve key business processes in order to drive better bottom-line results, improve quality and increase customer satisfaction. Whether customers are looking for a total organizational change in process management, or selective upgrades in your existing processes, HCRS can help. Our Business Process Review and Improvement Model helps customers re-focus the enterprise on their primary business processes.
Project Management
Precise execution of projects is imperative to cost containment, sustainability, growth and profitability in health and human services. HCRS 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.
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 change management success with training services customized to fit the customer’s needs.
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.
Studies and Surveys
HCRS provides independent, statistically and scientifically accurate evaluations for an array of studies and surveys in health care and social services. Our network of subject matter experts helps our customers develop detailed protocols defined by solid methodology.