SHA's team of specialized Healthcare professionals brings decades of experience in Hospital System Strategic Guidance Services along with Healthcare Provider Compliance and Reimbursement matters.
With a well balanced team of accomplished Clinicians, Hospital Administrators, Industry leading Healthcare Compliance Professionals along with Certified Coders and Legal Nurse Auditors, our team can assist providers with everything from Recovery Audit risk mitigation services to our world class - certified coder staffed- reimbursement Hotline services.
With a well balanced team of accomplished Clinicians, Hospital Administrators, Industry leading Healthcare Compliance Professionals along with Certified Coders and Legal Nurse Auditors, our team can assist providers with everything from Recovery Audit risk mitigation services to our world class - certified coder staffed- reimbursement Hotline services.
Services
Specialty Providers need to regularly seek out strategies and guidance to protect and enhance the growth and sustainability of their specialty services. SHA's team of C-Level Executives, including specialty physicians, can dissect the costly and highly important operational areas, quickly identifying opportunities for value creation and growth.
Reimbursement optimization is more complex today than ever before. When fully implemented, the Affordable Care Act will place enormous pressure on reimbursement teams, especially because of ICD-10s' inevitable utilization. The need for in-depth understanding of these new systems and their billing procedures will place new demands on the science of optimizing reimbursement for performed services.
In today's clinical and regulatory healthcare environment, protecting earned revenue has become almost more important than ensuring future billings. Healthcare providers can find themselves in the center of up to a 3-year claw back with recoupment responsibilities.
Improper or inaccurate overbilling due to "Lack of Medical Necessity" or "Non-Sufficient Documentation" along with higher utilization compared to neighboring providers are all audit triggers that need to be addressed.What is your Protocol if or when your organization is notified of an upcoming Recovery Audit?
Improper or inaccurate overbilling due to "Lack of Medical Necessity" or "Non-Sufficient Documentation" along with higher utilization compared to neighboring providers are all audit triggers that need to be addressed.What is your Protocol if or when your organization is notified of an upcoming Recovery Audit?
In today's heavily regulated business environment it is imperative that healthcare providers have strong compliance programs encouraging ethical behavior at every level of the organization. The significant costs of noncompliance includes fines, reputational damage, and personal liability for the company, board members and senior executives.
As a pioneer in neuro-musculoskeletal medical device clinical trial execution and management, MCRA's Clinical Research Organization (CRO) has built a reputation of excellence in this and other clinical areas working to streamline the effectiveness and success of clinical trials.
Our CRO enables international and US-based organizations of all sizes to successfully guide clients through the medical device and biologic lifecycle: from pre-clinical testing, to clinical planning & design, and clinical trial preparation & execution, to FDA submission, market approval, and post commercialization.
Our CRO enables international and US-based organizations of all sizes to successfully guide clients through the medical device and biologic lifecycle: from pre-clinical testing, to clinical planning & design, and clinical trial preparation & execution, to FDA submission, market approval, and post commercialization.
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