Healthcare
Consultant
Definition
First,
a healthcare business contacts a healthcare consultant and identifies the
problem they wish to have fixed. The healthcare consultant then does some
preliminary research and examines the existing data available related to the
problem. This can involve analyzing employment numbers, revenue, and
interviewing various employees and managers. With that information, a
healthcare consultant can find methods of saving money or improving work
efficiency.
After
all their research is completed, healthcare consultants submit a report in
writing to the client. Additionally, an oral meeting may occur between the
client and the healthcare consultant where the findings are discussed openly
between the two. Afterward, a customer can hire the healthcare consultant to
stay on for a bit longer to help implement the changes to the organization.
Background
·
40 years of Coding
and Reimbursement
·
CORF Administrator
·
Center Administrator
( Health Plans: Humana / Care Plus )
· 30 years experience Medicare and/or Medicaid Audits represented physicians in over 500 Medicare and
Medicaid audits of overpayment assessments
· 15 years experience, Administrator , Medical
Discount Plan Organization – MDPO
· HEDIS Compliance
· MRA Compliance
· Joint Commission Compliance
· Quality Measure Compliance
· Local / State / Federal Compliance
· Provider Credentialing
· Director of Operations , Management Service
Organization ( MSO )
Contact
Paul G. Silverio-Benet
Phone: 305-975-1171
Email: sbhealthcaremgmnt@gmail.com
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