Market Overview

The Wilshire Group Expands its Offering with "Quick HITs"

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LOS ANGELES, April 9, 2019 /PRNewswire-PRWeb/ -- "I've seen too many projects that go sideways for months or years, costing clients hundreds of thousands of dollars with questionable results" said Hank Smither, Founder and Managing Partner of The Wilshire Group. "We have some of the brightest minds in the industry at The Wilshire Group, and I knew if we put our heads together, we could develop targeted, cost effective projects that would drive true long-term value to our clients".

The Wilshire Group's initial emphasis was on its new Clinical Integration Service Line, led by its Director, Ryan Sommers. Ryan and his team have developed multiple Quick HITs to improve charge capture, reduce revenue leakage and improve clinical efficiency. The team is focused on high-impact clinical areas where hospitals and health systems are finding they could really use some support. The revenue opportunities for most organizations in the clinical domain stem from:

  • Leakage due to charge capture errors, omissions, and documentation gaps
  • Inefficiencies in the accuracy of front-end charge capture due to timeliness and administrative burdens
  • Too many touchpoints and edits necessary for billing and reimbursement on the back end

"One of our first Quick HIT project was designed to improve front-end clinical charge capture," Director Ryan M. Sommers, states. "By working with clinicians, improving automation, and facilitating better integration, we help clients find and recover significant amounts of money they've been leaving on the table. Our other big focus is helping to address physician burnout, by offering projects that result in significant improvements to provider efficiency and EHR documentation time, all backed by real system data."

But The Wilshire Group didn't stop with Clinical projects. They have also developed
Quick HITs in Health Information Management, Patient Access and Revenue Integrity.

Health Information Management

Outpatient CDI (Outpatient Hospital Focus)

  • Reducing coding claim edits by 10-15%
  • Recovering Revenue Leakage
  • Improve documentation quality

Simple Visit Coding (SVC)- Review and revise your outdated SVC build

  • Free up your coders for work they "need" to do
  • Improve SVC acceptance rate
  • Target service lines for inclusion not previously considered

Patient Access

Registration and Authorization Quality

  • Reduction in registration, eligibility and authorization denials and CFB
  • Increased staff productivity and efficacy
  • Sustainable feedback loops to turn denials into front end process improvement

Point of Service Collections

  • Increased revenue through strategic initiatives
  • EMR Optimization to assist front-end staff in collecting appropriate fees
  • Operational education, training and scripting to help staff increase collections

By providing high-value, low-cost projects and assessments, and by bridging the disconnect frequently present between operations and IT, The Wilshire Group offers a unique and refreshing consulting experience. Their focus on Epic/EMR/Revenue Cycle best practice integration brings resources together to maximize revenue and process improvement in a short period of time.

Look for further news from The Wilshire Group, as they continue to highlight their outcomes and financial results from pushing boundaries with their new Quick HITs offerings.

ABOUT THE WILSHIRE GROUP

The Wilshire Group is a healthcare consulting company that helps hospitals and health systems transform their Clinical, Patient Access, Health Information and Financial Operations, with an overriding focus on the Patient Experience and Revenue Management & Integrity.
The Wilshire Group's consulting services and operational solutions cover the full spectrum of the revenue cycle from Revenue Integrity to claim denials, as well as all aspects of health information management and clinical documentation integrity.
The Wilshire Group's team members average over 20 years of healthcare experience and over 10 years with Epic build and design. The company provides best practice strategic design, project management, training, mentoring, application and workflow optimization, claim audits and clinical program management.

 

SOURCE The Wilshire Group

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