Healthcare Management Solutions
HealthCare Management Solutions is dedicated to helping healthcare practices thrive by providing expert services in healthcare compliance, coding, auditing, denials management, provider credentialing, and revenue cycle management. Led by experienced professionals including Gianni Gonzalez and Theresa Roman, the company offers tailored solutions to improve operational efficiency, ensure compliance, and maximize revenue in the rapidly evolving healthcare industry.
Industries
Nr. of Employees
small (1-50)
Healthcare Management Solutions
Jacksonville, Florida, United States, North America
Services
Development and maintenance of compliance programs, policies, and documentation practices to meet payer and regulatory requirements.
Comprehensive chart reviews for documentation accuracy, coding validation, identification of revenue or compliance gaps, and actionable audit reporting.
Preparation and response services for Recovery Audit Contractor and other payer reviews, including documentation and corrective action support and guidance on self-audit reporting.
Provision and review of coding services across specialties to support accurate claims submission and reimbursement; available as outsourced coding and auditing engagements.
Services to identify denial root causes, manage appeals, and implement process and documentation changes to lower denial rates and improve collections.
Custom consulting engagements for practice optimization, revenue cycle workflow redesign, interim management, and staff training; includes on-site and remote education programs.
Development and maintenance of compliance programs, policies, and documentation practices to meet payer and regulatory requirements.
Comprehensive chart reviews for documentation accuracy, coding validation, identification of revenue or compliance gaps, and actionable audit reporting.
Preparation and response services for Recovery Audit Contractor and other payer reviews, including documentation and corrective action support and guidance on self-audit reporting.
Provision and review of coding services across specialties to support accurate claims submission and reimbursement; available as outsourced coding and auditing engagements.
Services to identify denial root causes, manage appeals, and implement process and documentation changes to lower denial rates and improve collections.
Custom consulting engagements for practice optimization, revenue cycle workflow redesign, interim management, and staff training; includes on-site and remote education programs.
Expertise Areas
- Medical chart auditing and documentation compliance
- Medical coding across clinical specialties
- Revenue cycle management and optimization
- Denials management and appeals
Key Technologies
- Natural language processing (NLP)
- Computer-assisted coding (CAC)
- Rule-based coding engines
- Revenue cycle management (RCM) platforms
News & Updates
Medicare paid just 82 cents for every dollar spent by hospitals in 2022, with projections of continued low margins into 2025.
Medicare paid just 82 cents for every dollar spent by hospitals in 2022, with projections of continued low margins into 2025.