Consulting/Interim Management

Development - Management - Consulting

Calisher & Associates, Inc. (C&A) has been working extensively in the development and management aspects of the ambulatory and acute healthcare industry for over 35 years. Combined, the senior management team at C&A has nearly 60 years of hands-on operational and development experience. Our clients have been afforded a strategic advantage in that they gain access to one of the only companies who specialize in the operational side of these facilities on every possible level. Through our vast experience and background in this area, we have watched our client facilities excel dramatically in almost every area of their day-to-day operations. This includes but is not limited to revenue cycle management, 3rd party contracting, overhead cost budgeting and containment, capital equipment forecasting and procurement, staffing solutions, IT/Software system restructuring and turnaround, physician recruitment and expansion.

Our advantage lies in the hands of our seasoned professional team, and our specialty lies in the restructuring and turnaround of existing facilities. We offer comprehensive consulting and interim management services with the flexibility to meet your exact needs. We understand that it is easy to very quickly lose control of all or part of any facility, and that the fault does not necessarily lie in only one area. With so many moving parts at a healthcare organization, it is common for things to go unwatched or unmonitored. We are here to help get your facility back on track and begin operating at the full capacity for which it was designed. If you look at the Management Services link on our website, you will see the types of results that our management facilities are accustomed to seeing.

We begin by taking an all-inclusive approach to auditing your overall operations. Any company that strives to achieve the magnitude of operational improvements that C&A does knows that no stone can go unturned. Each and every component of a facility’s operations must be thoroughly identified, reviewed, and evaluated for all potential improvements. With this mission statement in mind as the foundation of our company, we provide our clients with the following types of services:

• Thorough review and assessment of all operational processes at the facility
• Short and long term planning for drastically increased revenue and profit margins
• Compliance with all applicable regulatory requirements and preparation for upcoming inspections/reaccreditations
  • State and Federal reporting requirements
  • HIPAA compliance
• Revenue Cycle Management focusing on all aspects of the billing and collection process:
  • Analyze overall flow of billing and organizational protocols
  • Follow all critical process points such as initial scheduling, insurance verification, coding, and timely e-billings
  • Complete analysis of denials for “cause and correction” and claims resubmission
  • Evaluate methods and time frames used in the collection process
  • Self Pay – Policy and procedure review
  • Electronic clearinghouse reports – What is available and are the employees appropriately monitoring these reports?
  • Analyze flow of secondary billing process
  • Bad debt and write-off assessment
• IT/Software system streamlining (Emphasis on both clinical and administrative)
  • Evaluate employee utilization of system functions compared to actual system capabilities
  • Identify process improvements and inefficiencies caused by use (or lack of use) of existing and potential software systems
  • State and Federal facility reporting requirements
  • HIPAA IT compliance/HIPAA IT officer solutions
• Operational expansion
  • Physician recruitment
  • Capital projections, budgeting, and acquisition
  • Financial feasibility projections
  • Financing solutions, as well as existing loan/refinancing negotiations and restructuring
• Inventory controls and cost containment
  • Par level reviews
  • GPO involvement
  • Drug and supply benchmarking with other GI facilities nationwide to ensure top level pricing
• 3^rd Party contracting
  • Analysis and maximization of compensation under existing contracts
  • Review and analysis of existing and potential out-of-network arrangements

• Streamlining and maximizing the efficiency of all ancillary services provided and/or required (i.e. pathology services)
• Clinical and administrative QA and benchmarking assessment
• Mitigation and control of all negative effects caused by the changes in the Medicare reimbursement program
• Analyze accounts payable
  • Bill pay methodologies
  • Vendor contracts
• Evaluate staffing structure and patterns
  • Ratios of staff to patient volume
  • Use of per diem/PRN staffing
  • Staff functions and efficiency
  • Turnover and retention
  •  Morale, motivation, and camaraderie – Does a productivity oriented, accountable, and highly driven team of staff exist?

• Evaluate marketing tactics and effectiveness

 

 

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