Our Revenue Cycle Management and Managed Care Strategy Services
Health & Hospital Systems
Managed Services
Chart Completion
Coding & Clinical Documentation
Revenue Integrity
CDM Support
Charge Reconciliation
Clinical Denials & Appeals
Release of Information
Utilization Management/Review
Mid-Revenue Cycle
Hospitals & Health Systems
Managed Services
Revenue Cycle & Financial
Advisory Services
Billing
Insurance Follow-Up
Self-Pay Follow-Up/ Financial Assistance
Cash Posting
Payment Variance Collections
Credit Balance
Payer Enrollment (Credentialing)
Denials Management
Patient Financial Services
Scheduling
Insurance Eligibility & Benefit Verification
Referral Management
Pre-Authorization
Pre-Reg/Registration
Financial Assistance
Patient Liability/POS Collections
Provider Enrollment (Credentialing)
All the above can offered as a modular contact center solution
Patient Access
Scheduling
Insurance Eligibility & Benefit Verification
Referral Management
Pre-Authorization
Pre-Reg/Registration
Financial Assistance
Patient Liability/POS Collections
Patient Access
Chart Completion
Coding & Clinical Documentation
Revenue Integrity
CDM Support
Charge Reconciliation
Clinical Denials & Appeals
Release of Information
Utilization Management/Review
Mid-Revenue Cycle
Billing
Insurance Follow-Up
Self-Pay Follow-Up/ Financial Assistance
Cash Posting
Payment Variance Collections
Credit Balance
Payer Enrollment (Credentialing)
Denials Management
Patient Financial Services
Pre-Registration
Registration
Contact Center Implementation & Optimization
Comprehensive Access Strategy
Patient Access
Coding, Quality & Clinical Documentation Improvement (CDI)
Mid-Revenue Cycle
Denials Management
Billing & Accounts
Receivable Collections
Cash Posting
Self-Pay Collections
Patient Financial Services
Modular offerings highlighted in bold
Modular offerings highlighted in bold
EHR Implementation & Optimization
Revenue Cycle Automation & AI
Revenue Cycle Assessment
Additional Services
EHR Implementation & Optimization
Revenue Cycle Automation & AI
Revenue Cycle Assessment
Additional Services
EHR Implementation & Optimization
Revenue Cycle Automation & AI
Revenue Cycle Assessment
Additional Services
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Physician & Dental Managed Services
Hospitals & Health Systems
Managed Services
Physician & Dental Managed Services
Revenue Cycle & Financial
Advisory Services
Managed Care & Payer Strategy Advisory Services
Commercial rate benchmarking and transparency
Managed Care & Payer Strategy
Utilization Management/Utilization Review
Revenue Integrity
Clinical Denials Management
Select a service
Managed Care & Payer Strategy Advisory Services
Improve your negotiating position by benchmarking your organization’s commercial rates against peer organizations.
Payer contract revenue rebalancing
Align managed care pricing strategies with service line growth, patient volume targets, and margin improvement goals.
Chargemaster optimization
Strengthen compliance, reduce cost variation, and unlock incremental revenue by aligning your chargemaster with payer contract strategies.
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Payer contracting strategy, support, and execution
Integrate “pay-me-right” strategies into your contract negotiations, modeling, and analytics, to advance your revenue goals.
Transplant and complex care revenue strategy
Strengthen reimbursement for high-acuity service lines including transplant, CAR T, trauma care, oncology, neurosurgery, and cardiac tertiary and quaternary services.
Guidehouse’s team of managed care strategy and pricing experts helps providers navigate the complex, ever-changing reimbursement landscape. We’ve helped the nation’s largest health systems, academic medical centers, and physician enterprises improve revenue performance, optimize margins, and strengthen payer-provider relations.
Our proven strategies and Best in KLAS® revenue cycle management services offer healthcare organizations end-to-end support in getting paid fast, accurately, and in full.