Healthcare Revenue Cycle Consulting

Multiple industry drivers are making it more important than ever for health systems and payers to address payment and reimbursement practices. Freed’s healthcare revenue cycle management solutions bring consultants to the table who are highly qualified to help maximize your revenue potential.

Basic healthcare payment processes remain crucial to your organization’s fiscal health. Freed has the proven experience and independent partiality it takes to expertly evaluate every aspect of your organization’s revenue cycle — from a provider, patient and health plan perspective.

• Provider revenue cycle evaluation, patient experience assessments, and improvement implementation
• Health plan claims payment and risk adjustment evaluation
• Evaluation of vendor partner performance and support
• Reporting and analytics assessment and optimization
• Technical solution review and improvements

Reimbursement models are becoming more complicated as the federal government and payors look for ways to increase value in our healthcare system. As a result, successfully implementing and managing multiple reimbursement methods has become an even more daunting task for most healthcare organizations.

Freed consultants help clients design and implement new processes and solutions to support existing and emerging reimbursement models, such as value-based care.

• Design and implementation of quality measures to drive more efficient and lower-cost care aligned with maximizing value-based reimbursement
• Design and implementation of system-wide approaches to managing risk arrangements
• Creation of centralized processes for monitoring and analysis of risk arrangement opportunities and industry changes
• Management of payor and claims analysis for existing fee-for-service and capitation arrangements

Provider networks afford health plans a unique opportunity to offer superior access to quality care for your members. The experts at Freed understand the competitive advantage that can be gained by closely managing your network to improve cost-efficiency and quality along with member experiences.

• Provider network modeling, contracting and credentialing optimization
• Provider performance incentives and measurement
• Provider network evaluation and growth strategies
• Assessment of supporting vendor capabilities (i.e., utilization review)
• Network management design for new services and associated payment models