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Other Service Categories:

  Electronic Medical Record (EMR)
     
  Systems and Technology
 
Quality and Compliance

 

Research, Planning and Development

 


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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.

 


Case Studies...

Hospital Makes Successful Transition to Managed Care
This hospital had taken on managed care contracts without making the operational changes required to be successful and asked Outlook Associates for assistance.