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Increasing
efficiency, improving productivity and financial performance
Outlook Associates has extensive experience in the operations
of both payer and provider organizations. Because of our broad
understanding of health care organizations, our consultants
can help you quickly identify opportunities to improve and
streamline your business operations and achieve cost savings.
Process Improvement
Assess the efficiency and adequacy of your internal
processes. Provide hands-on assistance in implementing improved
processes and documented procedures. Develop and provide interim
operational management and staff training. Align information
systems with operational processes to improve efficiency,
accuracy and compliance.
Turnaround Assistance
Define immediate operational, system and financial
changes/functions that are critical to quickly improving your
profitability. Assess and prioritize the key business initiatives,
processes and other improvements necessary to enhance performance.
Develop and implement work plans necessary to achieve increased
profitability.
Contract Analysis
Review and identify your key contract provisions
and assess the scope of financial and administrative risks
to your organization. Recommend and implement improvements.
Staff Planning and Training
Develop training materials and programs for your
staff. Provide on-site or web-based training in new regulatory
requirements, processes and use of systems to enhance performance.
Policy and Procedure Development
Assess your current procedures and develop/revise
your internal and external policies and procedures to assure
accuracy and compliance with your regulatory, contractual
and other requirements.
Outsourcing Options
Evaluate vendors, impacts, costs and viability of
outsourcing all or a portion of your operational and IT processes.
Claims Processing Improvement
Evaluate staffing ratios, processes, procedures,
coding and systems within your claims department. Identify
sources of claims backlogs and incorrect payments. Develop
and implement effective redesign workflows, processes, controls
and system changes to assure optimum efficiency and accuracy. |