Delivering experts across all care settings
Specializing in population health, reimbursement, and health information technology

WE DELIVER SOLUTIONS DIFFERENTLY

We approach a project from a client-value point of view. Our staffing and consulting solutions are focused on quality with a return on investment.

WE BUILD CLIENT RELATIONSHIPS DIFFERENTLY

We offer a partnership based on strong connections and superior client service, including a dedicated consultant team and executive leadership support.

WE’RE FOCUSED DIFFERENTLY

We’re committed to staying abreast of industry trends and changes so that we can invest in the long-term success of each client, providing superior service they can always count on.

YOUR CHALLENGES SOLVED
In an ever-evolving environment, we deliver experts in 3 core categories to providers across all care settings. We're proud to be a part of creating a smarter healthcare system for all.
Our Solutions

Outpatient Clinical Documentation Integrity (CDI) Services

Denials Prevention and Recovery

denials icon

Coding

coding

Audit & Validation

Clinical Documentation Improvement

Revenue Cycle Management

revenue cycle management

Revenue Integrity

revenue integrity

Registry

Case Management

case management

Utilization Review

utilization review icon

Health Information Management

health information management

Healthcare Digital Transformation

healthcare digital transformation icon

Data Analytics & Insights

Healthcare Interoperability

case studies

OUR SUCCESS

 

TEAM HARMONY BLOG


Someone implementing critical CMS changes they learned from Harmony Healthcare

Critical CMS Updates Your Healthcare Organization Needs to Know

Centers for Medicare and Medicaid Services (CMS) issued a press release at the end of May stating that they will be ramping up Risk Adjustment Data Validation (RADV) audits. There will be 2000 coders auditing 200 patient charts across 550 Medicare Advantage (MA) plans. The numbers are up from 40 coders auditing 35 patient charts across 30 MA plans prior to these planned audits. These retrospective reviews will occur from 2018-2024 and should be completed by early 2026. Extrapolation will occur following the audit to recoup the estimated $17 billion in overpayment to MA plans. Outpatient Clinical Documentation Integrity (CDI)…
Harmony Healthcare shares common pitfalls in revenue cycle management and how to avoid them

Common Pitfalls in Revenue Cycle Management and How to Avoid Them

Revenue Cycle Management (RCM) is the backbone of healthcare finance, encompassing every step spanning from patient registration to final payment. However, many organizations face recurring pitfalls that can drain revenue, frustrate staff, and diminish patient satisfaction.   Here’s a look at the most common RCM pitfalls and actionable strategies to avoid them.  Incomplete or Inaccurate Patient Information  One of the most frequent RCM errors is collecting incomplete or incorrect patient data during registration. Even minor mistakes like a misspelled name or wrong insurance ID can lead to claim denials and payment delays. How to Avoid:  Train front-desk staff to verify all…
Person implementing Harmony Healthcare's tips for a successful OP CDI program

Implementing a Successful Outpatient Clinical Documentation Integrity Program: Best Practices

Outpatient Clinical Documentation Integrity (OP CDI) programs are essential for healthcare organizations aiming to improve documentation accuracy, ensure compliance, reduce denials, and optimize reimbursement. As care shifts to outpatient settings, the need for robust CDI programs outside the hospital grows. Here are seven key steps and best practices for implementing a successful outpatient CDI program, supported by industry guidance and expert recommendations. 1. Define Clear Goals and Scope Set specific objectives for your CDI program, such as improving risk adjustment scores, reducing claim denials, enhancing quality measures (e.g., MIPS/MACRA), and ensuring accurate reimbursement. Also, determine the scope of the program.…
HARMONY HEALTHCARE

We deliver expert consultants within reimbursement, population health, and health information technology to providers on a national basis and across all care settings. These experts empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.

Location

401 E Jackson St
Suite 
3150
Tampa, FL 33602

Compliance Report Line:
813-369-5165
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