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Sample of Engagements

 

KOHLER HealthCare Consulting, Inc. provides a wide array of consulting services. Below is a sample of current or recently completed engagements:

 

Revenue Cycle

  • Assisted with the creation of a centralized billing office to bill and provide support services for hospital employed physician practices. Creation of work flow process, job descriptions, policies and procedures, and compliance components.
  • Effectiveness audit for utilization review and case management functions of a large hospital.
  • Professional services review for hospital owned medical practices in the following specialties: Primary Care, Cardiology, OB/GYN, Oncology, Surgical, Pathology, and Orthopedics.
  • Operational and revenue cycle reviews of Cardiac Cath, Emergency Department, Wound Care, Psychiatric/Behavioral Health, Observation, Laboratory, and independent esoteric Oncology/Stem Cell Center.
  • Charge Master reviews for individual hospital departments, entire hospital, specialty hospital (Psychiatric and Rehab). Including Operational, Compliance, Revenue Cycle, and billing aspects.
  • Pre-acquisition regulatory assessment regarding documentation, coding, billing and related controls for dental, ASC, DME, and Medical Practices.
  • Third Party Audit/Revenue Defense support at a multi hospital health system. Recovered millions of dollars in lost revenue.

Compliance/Audit

  • Audit of a faculty practice Department of Medicine to improve compliance adherence and proper documentation to ensure accurate billing for services provided. Also, provided unique interactive specialty specific physician training.
  • Complete and comprehensive compliance review of hospital and its employed physician entity for a large tertiary care metropolitan medical center.
  • Coding and compliance reviews of hospital operations and services including surgical services, for large rural hospital system. Provided related training and review of managed care contract fees.
  • Annual assistance with regard to regulatory, coding, and compliance issues. Provided services to several large and small hospitals including university/tertiary and small rural hospitals.
  • Development and implementation of compliance related policies, procedures and processes including Incidental Benefits, EMTALA, Charity Care, Self Pay, Readmission, and Medical Necessity.

Operational

  • Assisted hospitals in establishing an Observation Unit and provide nurse and operational training to support endeavor.
  • Reviewed and assisted with set up of hospitalists programs including involvement of non-physician providers.

Please contact us by phone at (410) 461 − 5116 for more information regarding how we can tailor our services to fit your needs.

 

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