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Healthcare organizations are constantly challenged by industry-wide reform initiatives as well as their need to grow and profit while complying with a wide range of complex and rapidly changing regulations. Whether your top concern is payment reform, regulatory compliance, improving revenue, managing costs, evaluating and safeguarding protected health information, or leveraging new technology, Protiviti brings deep industry knowledge and skill to help healthcare organizations manage risks and maintain their financial health. At Protiviti, our teams of dedicated healthcare professionals work with a variety of healthcare providers and payers including large multi-hospital health systems, community hospitals, post-acute delivery systems, physician-owned hospital management companies, managed service organizations, Medicare Advantage plans and other private healthcare insurance payers.
Protiviti’s professionals assist healthcare providers with managing reimbursement risks and improving technology, privacy, compliance, finance and revenue cycle efficiency and effectiveness, resulting in improved operational performance and lower costs.
The healthcare industry continues to face intense regulatory demands at a time when revenue is decreasing and expenses are increasing. To respond to the pressure to improve access, quality and efficiency, under these financial constraints, healthcare providers must engage in risk assessment and management. Service quality, revenue cycle and regulatory compliance effectiveness are central to the viability and success of providers, regardless of size. Also notable is the implementation of electronic health record and enterprisewide integrated information systems, which is sorely needed and strongly advocated by related industries.
Protiviti’s team of industry experts understands the challenges faced by healthcare providers. Our professionals help providers achieve growth and profitability through effective risk management in the following areas:
- Reimbursement
- Revenue Cycle and CDM/Charge Capture
- Finance Transformation
- Cost Reduction and Supply Chain
- Capital Projects and Construction
- Internal Audit
- Regulatory Compliance
- Security and Privacy
- Technology
- Electronic Health Record (EHR) Implementation Risk Management
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