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Our Capabilities for Driving Results in Home Care and Hospice
2 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
Key Expertise & Services:
Simione Healthcare Consultants
COMPANY PROFILE
• Founded in 1966
• Provides accessible, cost-effective business solutions
for home health and hospice
• Supports performance improvement in pre- and post-
acute care for more effective results across the
healthcare continuum
• Used by more than 1,500 organizations to improve
quality, reduce cost, and minimize risk to enhance
business performance
COMPLIANCE & RISKOPERATIONS
FINANCE SALES & MARKETING
COST REPORTING MERGERS & ACQUISITIONS
INFORMATION
TECHNOLOGY
INTERIM MANAGEMENT
BENCHMARKING
OUTSOURCED SERVICES - BILLING, CODING & OASIS REVIEW NOE TRACKER FOR HOSPICE
3 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
Our expert teams in clinical and financial
management will assess your organizational
structure, service delivery models and
information systems. From assessment and
strategic planning to compliance and process
engineering, we’re ready to help tackle your
operational challenges from the ground up.
OPERATIONS
OPERATIONAL
ASSESSMENT
STRATEGIC
PLANNING
COMPLIANCE,
RISK & ETHICS
PROCESS
ENGINEERING
INFORMATION
TECHNOLOGY
CLINICAL
OPERATIONS
EXECUTIVE
SUPPORT &
INTERIM
MANAGEMENT
REDUCE COST, IMPROVE
OUTCOMES, STREAMLINE
PROCESSES, MAXIMIZE SYSTEMS
4 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
COMPLIANCE & RISKCOMPLIANCE AND RISKCOMPLIANCE & RISK
Our goal is to help you develop and maintain a dynamic
compliance and ethics program that will minimize your
risk and preserve and protect your organization’s
valuable assets. We offer:
Services include:
• Risk Assessment
• Audit & Analysis of Clinical Records,
Cost Reports, Billing and Claims
• Focused Compliance System Reviews
• Education & Training
• Ethics Committee Development
and Mediation
• Mock Surveys and Survey Corrective
Action Plans
• Oversight as an Independent Review
Organization (IRO) pursuant to a
Corporate Integrity Agreement (CIA)
• Additional Document Requests (ADRs)
and Focused Medical Review
• Assessment for HIPAA Privacy and
Professional/General Liability
Comprehensive expertise to assess, develop, enhance and
audit corporate compliance, risk and ethics programs
Dedicated home care and hospice experience
A long track record of successful collaboration with health
care attorneys, corporate compliance and audit
professionals, government agencies and contractors
5 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
Our financial experts, including CPAs and Certified Valuation Analysts, have built a solid reputation for helping
home care and hospice agencies maximize resources and improve their financial performance. Our team
specializes in financial analysis, management and executive leadership to support improvements in budget,
business office, cost reporting, benchmarking, revenue cycle, and business planning.
Areas of Focus Include:
FINANCEFINANCE
BUSINESS OFFICE ENGINEERING STRATEGIC PLANNING
COST REPORTING REVENUE CYCLE
EXECUTIVE SUPPORT &
INTERIM MANAGEMENT
SIMIONE FINANCIAL MONITOR
6 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
COST REPORTING
While many consulting and financial firms offer cost report
preparation services, Simione Healthcare Consultants has long
been the leader in Medicare cost report preparation assistance
for home care and hospice organizations. Our clients recognize
the benefits of having our experienced team prepare their cost
reports with timely completion and a commitment to accuracy.
We recognize that cost reporting is more than a federal
mandate. It is a valuable resource for your management team
and your entire organization to support benchmarking, cost
reduction and efficiency in your daily operations.
Let us assist you with your:
• Home Health Cost Report
• Hospice Cost Report
• CAP Analysis
• Other Government Reporting
7 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
Our highly skilled team of sales and
marketing consultants provide
assessment, strategy and training to
help agencies boost admissions and
revenue. Our proven methods for
referral management will help you
improve and protect market share.
Let us supercharge your referrals
and increase revenue through our
sales, marketing and referral
management solutions tailored to
your specific needs.
SALES & MARKETINGSALES & MARKETING
ASSESSMENT & ANALYSIS
STRATEGIC PLANNING
SALES TRAINING
REFERRAL MANAGEMENT
TRAINING RESOURCES
EXECUTIVE SUPPORT &
INTERIM MANAGEMENT
8 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
MERGERS & ACQUISITIONSMERGERS & ACQUISITIONS
Our mergers and acquisitions team provides industry-
specific expertise in finance and clinical operations to
support organizational transitions and all levels of
integration. We help manage strategic alliances,
mergers, acquisitions and divestures, and offer
comprehensive post-acquisition services.
• Due diligence expertise in both
clinical and financial operations
• Business valuation from CPA/CVA
professionals
• Knowledge and application of the
latest regulations and trends
• Assistance in deal structuring
• Real-time benchmarking of home
care and hospice operations
• Personal attention and timely
support for cost-effective
transitions
• Support for short- and long-term
strategic planning
9 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
OTHER SPECIALTY SERVICESOTHER SPECIALITY SERVICES
• The industry’s leading analytic
tool and only resource with real-
time, automated benchmarks
• Compares home care and
hospice agency performance
with others across the nation
• Quarterly cost analysis guides
decision-making and helps
increase profitability
• A joint revenue cycle solution for
home health and hospice
agencies provided by Simione
Healthcare Consultants and
HEALTHCAREfirst
• Expertise and outsourcing for
billing, coding and OASIS review
• Relieves pressure in revenue
cycle management to help
agencies focus on patient care
• A first-of-its-kind software that
helps avoid penalties and
maximize monthly hospice
revenue
• Validates data to eliminate
excessive hours of data
entry/re-entry, follow-up and
appeals diligence
• Clarifies status for a faster,
easier process and elimination
of redundant work
Leading Benchmarks Billing, Coding, OASIS Review Resources to Preserve Revenue
10 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES
800.949.0388 | simione.com
Corporate Headquarters
4130 Whitney Avenue
Hamden, CT 06518
Massachusetts Office
1700 West Park Drive, Suite 190
Westborough, MA 01581
California Office
50 Professional Center Drive, Suite 200
Rohnert Park, CA 94928
CONTACT US

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Powerpoint_simione_company_Nov2016

  • 1. Our Capabilities for Driving Results in Home Care and Hospice
  • 2. 2 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES Key Expertise & Services: Simione Healthcare Consultants COMPANY PROFILE • Founded in 1966 • Provides accessible, cost-effective business solutions for home health and hospice • Supports performance improvement in pre- and post- acute care for more effective results across the healthcare continuum • Used by more than 1,500 organizations to improve quality, reduce cost, and minimize risk to enhance business performance COMPLIANCE & RISKOPERATIONS FINANCE SALES & MARKETING COST REPORTING MERGERS & ACQUISITIONS INFORMATION TECHNOLOGY INTERIM MANAGEMENT BENCHMARKING OUTSOURCED SERVICES - BILLING, CODING & OASIS REVIEW NOE TRACKER FOR HOSPICE
  • 3. 3 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES Our expert teams in clinical and financial management will assess your organizational structure, service delivery models and information systems. From assessment and strategic planning to compliance and process engineering, we’re ready to help tackle your operational challenges from the ground up. OPERATIONS OPERATIONAL ASSESSMENT STRATEGIC PLANNING COMPLIANCE, RISK & ETHICS PROCESS ENGINEERING INFORMATION TECHNOLOGY CLINICAL OPERATIONS EXECUTIVE SUPPORT & INTERIM MANAGEMENT REDUCE COST, IMPROVE OUTCOMES, STREAMLINE PROCESSES, MAXIMIZE SYSTEMS
  • 4. 4 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES COMPLIANCE & RISKCOMPLIANCE AND RISKCOMPLIANCE & RISK Our goal is to help you develop and maintain a dynamic compliance and ethics program that will minimize your risk and preserve and protect your organization’s valuable assets. We offer: Services include: • Risk Assessment • Audit & Analysis of Clinical Records, Cost Reports, Billing and Claims • Focused Compliance System Reviews • Education & Training • Ethics Committee Development and Mediation • Mock Surveys and Survey Corrective Action Plans • Oversight as an Independent Review Organization (IRO) pursuant to a Corporate Integrity Agreement (CIA) • Additional Document Requests (ADRs) and Focused Medical Review • Assessment for HIPAA Privacy and Professional/General Liability Comprehensive expertise to assess, develop, enhance and audit corporate compliance, risk and ethics programs Dedicated home care and hospice experience A long track record of successful collaboration with health care attorneys, corporate compliance and audit professionals, government agencies and contractors
  • 5. 5 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES Our financial experts, including CPAs and Certified Valuation Analysts, have built a solid reputation for helping home care and hospice agencies maximize resources and improve their financial performance. Our team specializes in financial analysis, management and executive leadership to support improvements in budget, business office, cost reporting, benchmarking, revenue cycle, and business planning. Areas of Focus Include: FINANCEFINANCE BUSINESS OFFICE ENGINEERING STRATEGIC PLANNING COST REPORTING REVENUE CYCLE EXECUTIVE SUPPORT & INTERIM MANAGEMENT SIMIONE FINANCIAL MONITOR
  • 6. 6 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES COST REPORTING While many consulting and financial firms offer cost report preparation services, Simione Healthcare Consultants has long been the leader in Medicare cost report preparation assistance for home care and hospice organizations. Our clients recognize the benefits of having our experienced team prepare their cost reports with timely completion and a commitment to accuracy. We recognize that cost reporting is more than a federal mandate. It is a valuable resource for your management team and your entire organization to support benchmarking, cost reduction and efficiency in your daily operations. Let us assist you with your: • Home Health Cost Report • Hospice Cost Report • CAP Analysis • Other Government Reporting
  • 7. 7 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES Our highly skilled team of sales and marketing consultants provide assessment, strategy and training to help agencies boost admissions and revenue. Our proven methods for referral management will help you improve and protect market share. Let us supercharge your referrals and increase revenue through our sales, marketing and referral management solutions tailored to your specific needs. SALES & MARKETINGSALES & MARKETING ASSESSMENT & ANALYSIS STRATEGIC PLANNING SALES TRAINING REFERRAL MANAGEMENT TRAINING RESOURCES EXECUTIVE SUPPORT & INTERIM MANAGEMENT
  • 8. 8 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES MERGERS & ACQUISITIONSMERGERS & ACQUISITIONS Our mergers and acquisitions team provides industry- specific expertise in finance and clinical operations to support organizational transitions and all levels of integration. We help manage strategic alliances, mergers, acquisitions and divestures, and offer comprehensive post-acquisition services. • Due diligence expertise in both clinical and financial operations • Business valuation from CPA/CVA professionals • Knowledge and application of the latest regulations and trends • Assistance in deal structuring • Real-time benchmarking of home care and hospice operations • Personal attention and timely support for cost-effective transitions • Support for short- and long-term strategic planning
  • 9. 9 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES OTHER SPECIALTY SERVICESOTHER SPECIALITY SERVICES • The industry’s leading analytic tool and only resource with real- time, automated benchmarks • Compares home care and hospice agency performance with others across the nation • Quarterly cost analysis guides decision-making and helps increase profitability • A joint revenue cycle solution for home health and hospice agencies provided by Simione Healthcare Consultants and HEALTHCAREfirst • Expertise and outsourcing for billing, coding and OASIS review • Relieves pressure in revenue cycle management to help agencies focus on patient care • A first-of-its-kind software that helps avoid penalties and maximize monthly hospice revenue • Validates data to eliminate excessive hours of data entry/re-entry, follow-up and appeals diligence • Clarifies status for a faster, easier process and elimination of redundant work Leading Benchmarks Billing, Coding, OASIS Review Resources to Preserve Revenue
  • 10. 10 | SOLVING YOUR CORE HOME CARE AND HOSPICE CHALLENGES 800.949.0388 | simione.com Corporate Headquarters 4130 Whitney Avenue Hamden, CT 06518 Massachusetts Office 1700 West Park Drive, Suite 190 Westborough, MA 01581 California Office 50 Professional Center Drive, Suite 200 Rohnert Park, CA 94928 CONTACT US