PERFORMANCE IMPROVEMENT RECOMMENDATIONS AND IMPLEMENTATIONS
Ninestone consultants have a broad spectrum of detailed experience in many facets of the healthcare payer and provider marketplace. Our approach facilitates the identification of business processes which may benefit from a realignment of technology and human resources. Ninestone provides an experienced and objective viewpoint that assists organizations in their adoption of streamlined operations resulting in an increase in financial and operational performance.
Ninestone brings with their consulting accumen a continuum of experience through the whole healthcare marketplace including vendors, payors, providers and facilities
Information Systems
Whether you are need of a new system implementation or a re-design of existing systems, Ninestone can assist in the overall strategy of aligning business requirements with corporate goals, culture, and objectives. Highlights of our services include:
- Organizational Assessments and Design
- Application Configuration (Fee Schedules, Contracts, Tables, Rules, Benefits, etc.)
- Business Application Selection, Design and Implementation
- EDI Solutions to support all HIPAA/x12 transactions
- Custom Solutions
Operations
Every organization provides unique opportunities and challenges. Drawing on many years of experience and aquired knowledge of the healthcare marketplace, Ninestone provides an objective viewpoint that assists organizations in their adoption of streamlined operations resulting in an increase in financial and operational performance. Ninestone will work with you to assist in the definition of operational efficiencies in all areas of your organization. Incorporate our experience into revised practices that assist in recognition of realistic, achievalbe results. Representative areas of Ninestone expertise include:
Process Improvement
- Review and analyze current state workflow processes and identify areas of potential process improvement
- Incorporate human and technological resources affecting change and increased efficiencies
- Quick Hit List – speedy and thorough assessment of processes and potential short-term strategies that result in improved efficiencies and potential savings with recommendations for long-term results realization
- Examples of Process Improvement Projects
- Streamline business rules for accurate and timely claims adjudication
- Provider contract analyses
- Case / Disease Management identification and alerts for potential high cost catastrophic cases
Compliance
- Assist in the identification of non-compliance related issues and high risk areas
- HIPAA – Privacy and Security
- Billing Regulations – early adoption of methodologies and processes allow organizations to meet changing regulations
Education
- Staff development, training, documentation assistance
- Increase productivity through education
- Reduction in staff turnover through improved understanding of responsibilities and continuing education
Data Mining
- Data mining and standardization of data elements and variables for consistent usage across an organizations’ multi-layered reporting structure
- Data mining strategies – to assist in identification of high cost cases
Quality Improvement
- By improving identified workflow processes it is possible to produce better outcomes and also reduce potential cost of delivering services. Unnecessary work process may be eliminated and the associated rework in situations where errors or complications arise due to inefficient procedures
Key Performance Indicators – Metrics identified
- Identifying measurable outcomes assists in the establishment of benchmarks and provides a path by which modified processes are evaluated. Circular iterations of process improvement facilitate the fine tuning of work activities, resource allocation, and outcomes.