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. |