Today is a complex healthcare environment. Government regulations and compliance are more complicated and critical than ever. Margins are declining and the need to control costs is paramount. All while driving towards a value-based model to improve quality of care and outcomes.
Harmony Consulting Solutions offer you a range of services to solve these growing challenges in a changing healthcare landscape. Harmony consultants bring you innovative approaches and perspectives driven by deep industry experience to help you capture revenue and move your organization forward.
Key to Success: WE THINK DIFFERENTLY ABOUT OUR CLIENTS
WE DELIVER SOLUTIONS DIFFERENTLY. We approach a project from a client-value point of view. Our solutions and services are delivered by a team of experts with hands-on experience, and with a guaranteed return on investment.
WE BUILD CLIENT RELATIONSHIPS DIFFERENTLY. We base them on strong connections and superior client service, including a dedicated consultant team and executive leadership support.
WE’RE FOCUSED DIFFERENTLY. We continuously stay abreast of industry changes to invest in the long-term success of each client, and the community, with superior services they can always count on.
Physician-Led Compliance Integrity Audit
Our Compliance Integrity Audit (CIA) solution takes coding audit and validation reviews to the next level through a physician-directed clinical documentation review which validates whether the patient truly possesses the conditions that were documented in the medical record.
- Physicians are trained in the principles of inpatient coding and focused on improving the specificity and accuracy of documentation
- Physicians uncover hidden truths in patient documentation and partner with coders to assign the most accurate DRG on all DRG reimbursed inpatient cases
- Physicians connect the clinical indicators in the chart and write peer-to-peer queries to identify the appropriate medical diagnoses
Our approach differs from traditional coding audit and validation with physician-directed reviews, provider education, technology, and predictive analytics. Through use of our cloud-based software, cases needing specialized physician review are micro-segmented. Through clinically-focused analytics, data is captured to identify challenges by discipline and DRG categories. With our physician-led CIA solution you’ll minimize risk and drive revenue recovery and compliance.
Outpatient Clinical Documentation Improvement
Our Outpatient Clinical Documentation Improvement (OP-CDI) is an effective and efficient solution that will facilitate long-term sustainable outcomes for decreased denials and enhanced revenue.
- HCC data analytics to identify and quantify high-value and high-return physician specialty focus areas
- Problem list repair and management solutions to streamline physician workflow and eliminate pre-visit HCC reviews, multiple problem list confusion, and conflicting documentation
- Optimized physician EHR documentation and coding tools to simplify physician workflow, enhance documentation quality, and promote appropriate coding for optimal reimbursement
With our physician-centric, cost-effective OP-CDI solution, you’ll achieve the benefits of improved clinical documentation, physician workflow simplification, and a streamlined physician point of care coding process for improved physician satisfaction and increased revenues.