Government Consulting Services
Nuance Healthcare’s Government Programs Consulting Division provides thorough insight, knowledge, and understanding of the distinctive methodologies practiced in the VA work environment. From revenue cycle process improvement, workload capture to provider documentation analysis and education, Nuance Healthcare offers unmatched expertise within the Veterans Affairs business and clinical settings.
Revenue Cycle Process Analysis and Improvement
Nuance Healthcare’s Government Programs Consulting Division provides comprehensive analysis of revenue cycle processes and workload capture for VA medical centers. It uses both VistA and Nuance Healthcare’s Encoder Product Suite to implement and standardize business practices. Nuance Healthcare offers valuable insight into the technical nuances of various VistA packages and third-party software and their effect on a facility’s bottom line.
Nuance Healthcare identifies potential deficiencies and recommends workflow adjustments to identify, collect and pass workload and billable data to the necessary data capture and billing programs. Additionally, in-depth knowledge of each service’s VistA packages allows Nuance Healthcare to identify outdated, incorrect, or missing CPT and ICD-9 codes and descriptions that can prevent accurate workload capture and billing for services.
Documentation, Coding Integrity and Physician Services
The focus on provider professional services documentation, coding and regulatory compliance has increased dramatically with continued government emphasis on eliminating waste, fraud, and abuse.
With guidance from Nuance Healthcare’s credentialed documentation and coding specialists, a facility’s patient care team and HIM staff work together to identify opportunities to strengthen or further clarify medical record documentation for more comprehensive and accurate coding of services.
This collaborative analysis allows the Nuance Healthcare team to develop and implement focused education for clinical and medical record personnel to enhance their departmental communication, chart analysis and documentation guidelines.
Data Mining and Revenue Recovery
Inability to collect and analyze clinical workload and billable claims data can hinder an organization’s ability to increase collections and decrease A/R days. In addition to in-depth process analysis, Nuance Healthcare offers a variety of services focused on improving your bottom line through data discovery. They ensure accurate and comprehensive identification, coding, billing and collection of all services.
Nuance Healthcare gives the organization roadmaps, recommended changes and strategies for revenue and process improvement to ensure accurate and complete information reflecting the patient care is reported, captured and subsequently billed.
Decision Support Services
Nuance Healthcare’s Government Programs Consulting Division has vast experience helping VA medical centers correct, organize and self-regulate Decision Support Services’ operations and data management. By working closely with DSS personnel, Nuance Healthcare offers assistance with a variety of components that make up the department’s duties, including clinic set-up, stop-code assignments and workload capture.
Nuance Healthcare’s Government Programs Consulting Division can also provide standard operating procedures based on best practices to ensure that the analysis and recommendations made within the project can be followed by the VAMC staff long after the project is completed.
VERA Optimization Services
Nuance Healthcare’s Government Programs Consulting Division has developed proven tools and strategies that utilize much of the functionality found within the Encoder Product Suite to monitor, identify, and correct patient care encounters found within both the inpatient (Vista PTF) and outpatient (Vista PCE) in order to assure proper patient vesting and classification within the VERA model so that the facility and VISN are funded based on the most accurate patient data available.