Revenue Cycle advisory, talent and other specialized resources

Revenue Cycle Management

Healthcare reform and regulations continue to bring dramatic change as costs increase and reimbursements decline. Yet expectations for patient care rise. Forward thinking organizations that face these pressures with an open-mind toward value-based models and new technology can improve profitability, efficiency, and the client experience. Health systems and hospitals of all sizes, both public and private, risk loss of revenue unless they put in place systematic processes to assess operational fitness, troubleshoot deficiencies, and transition seamlessly to new reimbursement methodologies. Pivot Point Consulting brings in the expertise needed to analyze the financial, regulatory, and technical activities of the organization across all revenue cycle functions. Among many of the outcomes, we identify areas of risk and improvement along with recommendations for solutions.

Revenue Cycle / HIM experts with practical, quality-driven solutions.

Our Revenue Cycle Management and HIM experts work in partnership with client revenue cycle, financial and IT leadership to assess and optimize systems, as well as the people and processes for all aspects of the revenue cycle.

We assist clients with:

Advisory

Automation Strategies
Optimization Strategies
Outsource Management and Strategy
Revenue Recovery
Technology Solutions and Optimization

Revenue Cycle Integrity

Auditing
Charge Capture
Clinical Documentation Improvement
Denial Management
Education

Revenue Cycle Analytics

Dashboards and Reporting
Payment Variance Analysis
Reimbursement Methodologies
Risk-Based Programs

Talent Solutions

Case Management
Coding
Clinical Documentation Improvement
Health Information Management
Registry
Revenue Cycle
Utilization Management

Advisory

Reimbursement is changing rapidly and will have significant impact on Revenue Cycle operations. Solving common industry issues related to workflow and IT investment strategy are paramount for thriving in the value-based reimbursement landscape. Pivot Point Consulting can provide innovative solutions and resources to navigate these pressing issues and be your partner to ensure a healthy revenue cycle.

Revenue Cycle Integrity

Revenue cycle integrity can be characterized by consistency of actions, values, methods, measures, principles, expectations and outcomes. Specific to the healthcare industry, revenue integrity is the achievement of operational efficiency, compliance, and optimal earned reimbursement. Pivot Point consulting can provide you with resources and solutions to meet the never-ending demands facing all healthcare organizations.

Revenue Cycle Analytics

Healthcare organizations are struggling to enhance analytics competencies to access and leverage actionable insights. Organizations require enhanced access to analytics and reporting that offer comprehensive, trustworthy insights into opportunities to trim waste, enhance efficiency, and make strategic decisions. Pivot Point Consulting will work with you on managing risk in a value-based environment and applying new technologies to financial monitoring and prediction activities.

Talent Solutions

Today’s healthcare industry is wildly complex and undergoing constant change. A singular, trusted advisor with insights and experience spanning the entire revenue cycle to help you navigate this complex environment, both now and into the future. Our team of industry and technology experts will bring order to your mission critical projects and engage the necessary expertise to achieve successful delivery and completion. We are experts at mobilizing highly skilled teams and individual subject matter experts to assist deliver your projects on time and within budget.

Why Pivot Point?

Pivot Point Consulting brings 25+ years of experience in operational revenue cycle leadership – with deep policy expertise and technical capabilities in planning, implementing and optimizing Epic, Cerner and other EHR/Revenue Cycle platforms.