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Health Managed Services

Award Winning Revenue Cycle Outsourcing Solutions For
Health Systems & Hospitals | Physician Groups | Dental Organizations

Our Technology 

Unparalleled technology helping our clients reduce costs, increase revenue,
and improve the patient experience.

 

 

Guidehouse Health Managed Services

Patient Access Solutions — Front-end patient services that are used prior to the delivery of clinical services, set the stage for full and prompt payments after care is provided.  The patient access department serves a critical role in provider organizations as it interacts with every patient through the registration, insurance verification and cash collection process.  Due to increased pressure to enhance patient experience, healthcare organizations need to improve their patient access services by employing best practice workflows through the implementation of technology, processes and highly trained personnel.

Health Information Management —The middle section of the revenue cycle should be designed to ensure that the data collected and used for payments is robust, correct, and up-to-date. The Health Information Management (HIM) department serves a critical role in provider organizations in the collection and retention of clinical and financial data.  As healthcare organizations grow with an emphasis on performance excellence and business strategy, accurate coding and clinical documentation integrity are paramount to an organization’s financial success and longevity. Our credentialed clinical coders and certified management staff enable our clients to receive accurate reimbursement.

Guidehouse Health Managed Services
Guidehouse Health Managed Services

Revenue Integrity — In conjunction with HIM, revenue integrity operates in the middle section of the revenue cycle and is used to ensure that the data used for payments is robust and up-to-date. The revenue integrity department serves a critical role in provider organizations for the accurate documentation of clinical services, translating these into reimbursable offerings.  We design and implement processes to monitor revenue and identify, correct, and optimize the processes and systems that lead to lost revenue. 

Patient Financial Services — Back-end patient account resolution services guarantee full and prompt payment after care is provided.  The patient financial services (PFS) department serves a critical role in provider organizations to ensure the full and timely collection of payments. As healthcare providers look for ways to achieve the full potential of their revenue cycle, it is vital to increase collections and obtain timely and accurate reimbursement on every patient account. As a leading extended business office services provider, our accounts receivable management team members extend the capabilities of your business office to gain efficiencies and reduce accounts receivable. 

Guidehouse Health Managed Services

Innovative Partnerships & Ventures

Guidehouse partners with clients to create managed services joint ventures. These innovative partnerships harness the expertise of both parties while providing significant shared revenue opportunities. In 2020, Guidehouse partnered with Connecticut Children’s Medical Center to form the Children's Health Consortium. The consortium harnesses the expertise and power of a collective, allowing clients to achieve scale, access cutting-edge technology, reduce costs, and transform their revenue cycle teams from a cost center into a revenue stream. 

Guidehouse partners with clients to create managed services joint ventures. These innovative partnerships harness the expertise of both parties while providing significant shared revenue opportunities. Over the past two years, we developed revenue cycle management partnerships with Baptist Health South Florida (Health Systems Solutions) and Connecticut Children’s Medical Center (Children's Health Consortium). The latter follows a consortium model, allowing for future partners to benefit as owners. 
 

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Children

I would absolutely buy Guidehouse’s services again. We just keep going back to Guidehouse. I don’t want to sound like an infomercial, but Guidehouse has overdelivered on every project they have worked on. We can easily go back to them and show them the next thing we are looking at because they know us extremely well. We can create change at a fast pace with Guidehouse.

Financial Improvement Consulting Client | Source: KLAS Research

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If you are interested in knowing more about Guidehouse and how our expertise can support your toughest challenges during this period, contact our experts.

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