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effectively manage Revenue,
Operations &
Administration
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Sounds easy, but in today's
health care and payor environment it is critical to
routinely assess performance and adjust to the changing
payor environment to maintain income.
IPAs, PHOs and other Risk Bearing
Entities
Medicare Advantage and Medicaid contracting, reporting and
operations, management company review, insurer and re-insurer
selection, contract evaluation and negotiation, cost and
loss-ratio structure assessments, utilization
management/quality improvement programs (UM/QI) for HEDIS,
CAHPs and CMS Star measures, credentialing
program development and delegation
Physician Groups and Providers
5010 and ICD-10
support: Readiness will be required by the end of
2010 with full implementation set for the end of 2011.
ACG's IT teams can assist you with timely implementation
Other:
Grant resource identification, proposal development and
writing, management service organization (MSO) and
cooperative administration development and/or
outsourcing, interim practice management, MSO or large
group management.
Health Systems
Accountable Care
Organizations, Administrator Managed care contracting, claims
payment review and revenue recovery.
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