For more than 25 years, VantagePoint Healthcare Advisors has been a consulting firm with a deep understanding of where the business of healthcare is and where it is headed.
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Healthcare Due Diligence
When small- and middle-market private equity firms, investment banks, and boutique investors seek opportunities to finance or acquire a healthcare business, VantagePoint is the ideal due diligence partner. Our experts provide the guidance and deep analysis needed to identify opportunities as well as potential risks. Commonly requested healthcare due diligence services include verification of credentials and exclusion status, evaluation of payer mix, probe-level audits of claims and medical records, analysis of the revenue cycle operation, and payer contract reviews.
Revenue Cycle Assessments
Collecting and accurately tracking revenue has grown increasingly complex across the continuum of healthcare provider organizations. The VantagePoint team includes consultants with first-hand experience in all phases of the revenue cycle, including HIM, billing, and denial management. We offer full or targeted revenue cycle assessments for any type of health care organization, including hospitals, health systems, physician groups, FQHC, home health, hospice, and long-term care facilities.
Clinical Documentation Improvement and Coding Reviews
VantagePoint’s team includes nurses, health information management professionals, AHIMA and AAPC certified coding professionals and trainers, as well as billing experts. Our experts are skilled in CPT, HCPCS, DRG, ICD-10-CM/PCS, E/M, risk-adjustment, and HCC coding. VantagePoint CDI and coding reviews are revenue integrity focused by confirming that patient encounters are coded in a way that maximizes legitimate reimbursement. Additionally, separately or as part of a review, our consultants are available to present coding education and training for staff and providers, as well as advisory services around documentation and coding best practices.
Healthcare Litigation & Expert Witness Support
VantagePoint supports health law attorneys and their clients by providing expert healthcare subject-matter expertise in the domains of Medicare and Medicaid payment policy, payer audit response, medical billing, coding, clinical documentation requirements and more. We also have consultants with experience serving as a defense-side expert witness.
Increasingly, healthcare organizations of all types are pursuing creative approaches to managing credentialing and enrollment processes, including insourcing previously outsourced services, full or partial outsourcing, accreditation, and delegated agreements. Organizations often need temporary support for new credentialing department set-up, policy and procedure development, project management for full or partial outsourcing transitions, establishing a credentialing committee, or improving existing credentialing department operations.
Through our first-hand experience as an NCQA-certified CVO providing credentialing and enrollment services for clients across the continuum of care, as well as our deep bench of compliance and revenue cycle consulting expertise, VantagePoint is uniquely positioned to offer Credentialing Consulting services.
Network and Information Security
In today’s landscape of network vulnerability to hackers, unauthorized internal users and identity and financial theft, understanding your exposure to information risks is more critical than ever. Avoiding breaches, monetary loss, penalties and even irreparable damage to your firm’s reputation can be a daunting mission. To help you succeed, we can identify the threats you face daily and assist in determining the best course of protective action.
With diverse knowledge and experience, our skilled staff partners with your team to develop a strong and practical security program that will meet your organizational goals. We also provide recommendations as to how to prioritize security action items.
New Healthcare Business Start-up
Starting a new healthcare related business can be overwhelming. The complexity of the healthcare regulatory and reimbursement environment alone is a good reason for engaging an expert advisor. From traditional medical practice set-up to telehealth and beyond, VantagePoint can customize a consulting engagement scaled to a start-up budget and level of risk.
Physician Practice Assessment
VantagePoint’s typical physician practice assessment includes a site visit, meetings with the providers and their staff, as well as evaluation of operational processes and key productivity, quality, and financial indicators for the practice. Our experts can also simulate the financial impact of potential changes in business arrangements or affiliations, including the impact of a change in payer contracts on the practice.
Physician Compensation Models
Physician compensation plans should incentivize physicians to achieve both traditional productivity goals, as well as goals such as more cost-effective care, meeting quality standards, and patient satisfaction. For hospitals and health systems, physician compensation models must also be designed with compliance, recruitment and retention in mind. VantagePoint’s experts can advise both physician groups and facilities because we have worked on both sides of the physician compensation equation.
Interim and Transitional Leadership
VantagePoint differentiates itself from other firms by exclusively employing consultants with extensive real-world healthcare organization, health plan, or physician practice experience. Our consultants can bring stability, expertise, and new perspectives during times of transition within an organization as an interim management team member.
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