Consulting
Consulting alone in today's healthcare environment is not effective and will not deliver on your expectations. The team at Oncospark prefers collaboration and partnership and sharing aspects of the risk in the process. We understand and have experience with all administrative/clinical aspects, challenges, and opportunities for Oncology. Using data and expertise we can assist in developing strategies that can be articulated and are supported by clinical and operational evidence. The diverse team that ensures an internal level of checks and balances and provides you and deserved level of confidence.
Vendor Negotiations
We can assist in the planning, expansion, developing and purchasing of new equipment, centers, drugs etc. Understanding regional and national data allows you to leverage what is optimal for you and your facility. From service contracts to capital purchases. Ensure you have a partner that understands all aspects.
Data Review and Strategy Build
Providers, practices, and physicians often want to know where they stand and how they compare with regards to:
Financials
Salaries
Costs
Spending
Volumes
Staffing
We use your data from the various systems to create a relational roadmap for what you are looking for. This data is then applied to variable adjusted models to test impacts and outcomes based on your predictions and specified parameters.
We use your data from the various systems to create a relational roadmap for what you are looking for. This data is then applied to variable adjusted models to test impacts and outcomes based on your predictions and specified parameters.
Specialty Pharmacy Set up
It sounds like a great revenue stream. Much more is needed, both experience and expertise. There are many requirements that must be taken into consideration before moving forward. Our team can assist in this process. Others are looking at infusion center start ups and infusions specialty pharmacies. Consideration for:
503B
USP 797 Guidelines
And ASHP rules must be thoroughly understood
Revenue Integrity & Optimization
Our expert technology enabled team will work with you and your existing RI program or assist you in developing one.
Areas of focus:
Point of service collections
Workflow analysis
Compliance
Narrow gap between clinical coding and revenue cycle / CBO Coding productive performance- not just adding FTEs
There are numerous indicators that should be reviewed from the data and actionable/relational items created from:
DNFB- track, prioritize, and clear queue
Denials
Avoidable write offs
Underpayment recovery
Patient volume leakage
Halo revenue streams
Areas of focus:
Point of service collections
Workflow analysis
Compliance
Narrow gap between clinical coding and revenue cycle / CBO Coding productive performance- not just adding FTEs
There are numerous indicators that should be reviewed from the data and actionable/relational items created from:
DNFB- track, prioritize, and clear queue
Denials
Avoidable write offs
Underpayment recovery
Patient volume leakage
Halo revenue streams
Operations
Advisory, Accountability, and Strategic Board Development
Financial Responsibility Mapping
Service and Software Contract Negotiation
Market Assessment and Referral Pattern Identification
Financial Operations Monitoring Down to GL Account Oversight
Advance Payer Relations and Contract Negotiations
Technology enabled Authorization Strategies
End to End RCM Management, Oversight, and Operation
Resource Utilization Costing and Reporting
Advance Quality Management and Accreditation Program Assistance
Financial Responsibility Mapping
Service and Software Contract Negotiation
Market Assessment and Referral Pattern Identification
Financial Operations Monitoring Down to GL Account Oversight
Advance Payer Relations and Contract Negotiations
Technology enabled Authorization Strategies
End to End RCM Management, Oversight, and Operation
Resource Utilization Costing and Reporting
Advance Quality Management and Accreditation Program Assistance
Radiation Oncology
Patient Benefits And Financial Navigation
We specialize in creating a lockdown benefits and financial navigation team.
Whether starting from scratch:Hiring
Training
Policies and Procedures
Tracking
Patient Communication Templates
or simply maximizing what staff you have:
Effective Software Utilization Review
Ongoing Education Portal
We ensure that there is standardization in this role and that it is properly defined. We understand the significance of this role and the impact that it has on the patient care path as well as the providers financial viability. Our team members have served in these roles and developed these programs for over 5 years.
We even have the ability to supplement your current staff in this role with ours so they can learn in process with use case scenarios that are unique to them and their patient population.
Whether starting from scratch:
or simply maximizing what staff you have:
We ensure that there is standardization in this role and that it is properly defined. We understand the significance of this role and the impact that it has on the patient care path as well as the providers financial viability. Our team members have served in these roles and developed these programs for over 5 years.
We even have the ability to supplement your current staff in this role with ours so they can learn in process with use case scenarios that are unique to them and their patient population.
Partners
Our team of experts can assist you in effective utilization of these roles. These roles should not be viewed as a cost center but a revenue stream. Understanding the importance and impact these roles have on patient care as well financial viability is something our focus and what we assist you in articulating with stakeholders.
Who we provide services and expertise for:
Vendors, payers, providers, networks, ancillary staff, physicians and more.
Who we provide services and expertise for:
Vendors, payers, providers, networks, ancillary staff, physicians and more.
Specialty Topic Consulting
Remote/Onsite E&M Reviews
Audits based on the 2021 E/M Documentation rules (99202-99215)
Other Outpatient visits and based on the 1995/1997 Documentation Guidelines
ICD-10 Documentation Reviews for Risk (combination and laterality)
Surgical- Professional Coding and Documentation Improvement
Orthopedics- Professional Coding and Documentation Improvement
GI- Professional Coding and Documentation Improvement
ICD-10 Sequencing (Oncology)
Risk Adjustment
HCC Coding
Auditing
Outpatient CDI
Audits based on the 2021 E/M Documentation rules (99202-99215)
Other Outpatient visits and based on the 1995/1997 Documentation Guidelines
ICD-10 Documentation Reviews for Risk (combination and laterality)
Surgical- Professional Coding and Documentation Improvement
Orthopedics- Professional Coding and Documentation Improvement
GI- Professional Coding and Documentation Improvement
ICD-10 Sequencing (Oncology)
Risk Adjustment
HCC Coding
Auditing
Outpatient CDI