Provider Services

• Strategic Assessment & Development of programs to meet your objectives – HCSS will tailor all programs, process and conclusions to client specific requirements. 

• Provider Reimbursement Strategies (Hospital & Physicians & Ancillary providers) - HCSS has extensive experience in the area of provider/payer contracting methods. These have included large health systems, provider groups and independent hospitals.
  
  
• Pay for Performance Programs, Risk Distribution Programs – (P4P for hospital & physicians) - HCSS has designed sophisticated risk and pay for performance models  representing payers, providers and case management organizations.
  
  
• Financial Projections based upon the anticipated changes in your reimbursement program.
  
  
• Specific Reimbursement Programs (CPT-4 FFS, Capitation, Per Diems, DRGs, APCs) - Using actual data, HCSS can prepare specific rate proposal for contracts. HCSS has experience with contracting strategies and detailed rates for each of these types of reimbursement.
  
  
• Technology Assessment & Coordination of Data Warehouse Process - HCSS can determine if analysis systems and technology are at the current state of the art level for healthcare analysis. 
  
  
• Healthcare Statistical Reporting Design  - (e.g. Integrated HealthCare Solutions visual).   
  
  
• ROI of case management programs & review of predictive modeling approach for patient identification.