Health care is an integral part of your campus and your mission. Like the rest of your community, it operates as a whole and can’t be broken into separate components. Simple Solution understands the interrelated nature of health care operations and works with your leadership to build programs as unique as the rest of your organization.
Our Expertise
Home Based Care -Before becoming consultants, our team were highly successful operators of home based services. We have profitably run home health, hospice, home care, rehabilitation, SNF and transport businesses. Our understanding of these businesses allow us to identify process, care plan, staffing and operational efficiencies to allow your programs to thrive.
New Program Implementation - Simple Solution doesn’t believe the job is finished at strategy. Effectively transitioning from the design to operation is where many programs falter. Our team is focused on implementing the plan you have created. A detailed approach of process mapping, data and reporting, escalation and training programs are necessary to ensure a successful launch to your future model.
Financial Models - Your communities may operate in a different model than traditional home based care. Why use financial models that don’t apply? The Simple Solution team will work with your team to create total cost of care models that meet community based goals that apply to your environment and population.
Operational Assessments - Objectivity while in motion is hard to achieve. Our team can provide a comprehensive assessment of your operations, workforce, billing, compliance, contracts, and care management. Simple Solution is grounded in the notion that each care environment is unique and create benchmarks that apply to your current circumstances.
Care Coordination - Health care costs are the single largest variable to your communities future costs. Effectively managing level of care is as important as quality of care. Our team has built care coordination and navigation models designed to maintain patients safely and comfortably at the most appropriate level of care. Effectively managing your patient population has tremendous long term impact on your sustainability.
Billing, Contracts and Compliance - Simple Solution believes that consideration of each element as part of a unified process is critical to the overall success of the organization.
Billing - Successful billing begins with strong processes. Our team can work with yours to build solid daily behaviors that result in consistent billing and revenue practices. We assess the process from preauthorization through claims payment, identifying key areas and metrics that impact the quality and timing of payment, aging and collections.
Contracts - Vendor and Payor contracts are at the foundation of many revenue and expense opportunities. Our team has strong experience in contract initiation, review and negotiation. Whether you are looking to expand health network access, align with strategic partnerships or evaluate vendor terms, Simple Solution believes that the contracts leveraged across your organization should match the needs and realities of your business.
Compliance - In today’s regulated environment, demonstrating clinical, financial and operational compliance is so much more than checking an audit box. It is the awareness that every healthcare action is built on the expectation that documentation and behavior align to meet the obligations of state and federal rules, payor requirements and contractual expectations. Our team of experts can support yours to review and update many essential areas, like Policy & Procedure, QAPI/Quality Initiatives, Billing Triple Checks, Mock Survey, Human Resource Audits, JCAHO/CHAP preparation, etc.