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Services

Revenue Cycle Management

While most Revenue Cycle Management (RCM) service providers attempt to provide a wide range of RCM and ERP services, DIVURGENT is focused on what we believe are the most impacting and virtual areas of the Revenue Cycle and ERP arenas. We dedicate our attention to the most critical niche areas. We provide industry knowledge and expertise within the following services:

Revenue Cycle Management and ERP Transformation

ICD-9 to ICD-10 Strategy, Assessment, Planning, and Implementation

CDM Reviews & Optimization

Chart Review and Charge Process Assessment

Facility and Departmental Baseline Pricing Analysis
Coding Compliance Assessment and Education
Billing Process and Workflow Improvements
Facility Support & Education
Litigation Expertise and Consulting
Application Systems Review, Selection, Implementation, and Optimization
Revenue and Cost Assessment, Analysis, and Realization

We feel these services impart the most benefits and solutions to trouble spots for healthcare providers. As such, DIVURGENT provides services designed to:

Provide ICD9 and ICD10 Strategy, Planning, and Mitigation Implementation

Identify Coding Compliance Deficiencies and Issues

Improve Cash Collections

Reduce A/R Days

Reduce Deductions From Revenue

Reduce Filing Denials

Drive Cost Out of the Organization

Improve Information Management

Improve Data Integriy/Quality

Optimize Facility CDMs for Correct Coding and Consistent Pricing

Decrease Rework from Data Errors/Inconsistencies

Align System Applications and Technology with Business Processes

Provide Recommendations on Measurement Monitoring Key Metrics





Methodology

We bring a proven, structured approach that incorporates lessons learned and best practices from all previous engagements as well as from relevant industry literature. Some of our proprietary methodologies are powered by Fulcrum Methods and include:

Revenue Cycle and ERP Transformation

Our revenue cycle and ERP transformation methodology is centered around our client's organizational mission, vision and values. Understanding transformational projects and the importance of a structured methodology that ensures planned outcomes are achieved is the focus of our 5-phased approach that includes: organizational planning and assessment, defining and quantifying benefits realization opportunities, designing transformational processes and technologies, deploying transformational processes and technologies, and measuring benefits and applying business intelligence. Our transformational approach can be applied to revenue cycle and financial driven transformation projects.

ICD-10

Change is approaching quickly and your organization must prepare for the massive changes that are about to affect not only facility coding but the entire healthcare IT industry. DIVURGENT has proven methodology, experience and tool sets to assist your organization in meeting 5010 and ICD-10. Here is a link to our most recent ICD-10 white paper providing you with additional ICD-10 planning information:

ICD-10 Planning: Developing a Roadmap for the Journey from ICD-9 to ICD-10.

Vendor Selection

Our Vendor Selection Methodology provides both an approach and tools to analyze, plan, evaluate and select information systems that deliver maximum value with minimum costs and risks.

Systems Implementation

Our Systems Implementation Methodology is a structured approach to implementing health care information systems. The methodology is designed to cover the complete implementation process from readiness review, system design, testing and data conversion to system activation and transition to production line support. Through a combination of detailed work plans, forms, documents, action oriented guidelines and application specific considerations, a roadmap and associated toolsets are developed l for implementing an organization's technologies and workflows.

Change Management

The ultimate success of organizational change initiatives depends heavily on the way the organization approaches that change. A well-positioned organization has clearly defined related goals and initiatives; understands the dependencies and success enablers of the change; is organized and resourced to achieve objectives; and is confident in its ability to successfully transform. Our Organizational Change Management methodology is a recognized toolset for building the management process and discipline around transformational change.

Related White Papers and Case Studies

ICD-10 Planning: Developing a Roadmap for the Journey from ICD-9 to ICD-10 - Frietze

Developing a Project Management Office: 10 Lessons Learned in the Trenches - Felt and Konschak

System Selection: Aligning Vision and Technology - Konschak and Shiple

Cath Lab Case Study

Cerner Charging Implementation Case Study

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