As your clinic, health center or rural health clinic grows, you continue to face the implications of the changing health care environment.

Your focus should be on providing quality care for your community in an efficient and cost-effect manner. Our advisors bring a strong combination of financial, operational, and strategic expertise to help you succeed for the long term. We are active and collaborate with regional and state associations that help health centers like yours.

Anders solutions for Clinics and Health Centers include:

Operations and Clinical Consulting

  • Coding and Billing Reviews
  • Credentialing
  • Business Office Operations Reviews
  • Departmental Performance Improvement
  • Staffing Assessments
  • Revenue Cycle and Denial Management Assessments
  • Pricing Transparency/Front End Collections
  • Outsourced CFO

Credentialing and Provider Enrollment

  • Provider Onboarding
  • Primary Source Verification
  • Create and Maintain CAQH/PECOS/NPPES
  • Reconcile Payers with Providers
  • Process Improvement
  • Staff Training
  • Process Automation
  • Complete Medicare Applications
  • Identify Revenue Leakage
  • Automate Licensure Renewal Processes
  • Provider Portal to Easily Update Information
  • New Provider Enrollment
  • Insurance Revalidations
  • Managed Care Contracting

Rural Health Clinics

  • Feasibility Study
  • Certification with Enrollment/Applications
  • Annual Evaluation
  • Mock Survey
  • Operational and Workflow Assessments
  • Managed Care Contracting
  • Provider Compensation and Productivity Benchmarking
  • Interim Management
  • Financial Analysis: Payer, Provider, Reimbursement Changes

Compliance and Corporate Integrity

  • Program Review and Design
  • Medicare/Medicaid
  • Risk Assessments
  • Corporate Integrity Agreement
  • Board Compliance Training and Education
  • Grant Compliance Review

Audit, Tax and Cost Reports

Information Technology

  • Outsourced CIO
  • Managed Services
  • Business Intelligence
  • Network Support
  • Security Risk Assessments (HIPAA)
  • Application Development

Events and Appearances

Anders speaks and attends industry events regularly, for more information on where we’ll be, visit our events page.

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Health Care Success Stories

Recovered $200,000 in Provider Enrollment Lost Dollars for Growing Missouri Health Network

Our client, a medium-sized health network, wanted to add locations and have their providers enrolled across all locations. After coming in and reviewing past provider enrollment processes, the Anders Health Care Group identified that claims were being denied for multiple payers, adding up to lost dollars of over $200,000. Our provider enrollment team worked with the client and payers on prior enrollment paperwork and was able to resubmit claims to be paid. We established a streamlined process going forward so the network would have their claims being paid accurately and on time for each provider, payer and location.

Spurred $90,000 in 42 Days

A struggling new medical practice brought in only $25,000 in 90 days.  The Anders revenue cycle team then came into the picture, we diagnosed the problems, set the corrective action plan, trained the staff, and spurred $90,000 in 42 days!

Renegotiated contracts and generated $320,000 in new revenue

Detailed financial analytics and our in-depth knowledge of third-party payers helped us renegotiate complex managed care contracts for our client. The new contracts brought in $320,000 in additional recurring revenue.

Ensured uninterrupted payments through lockbox transition

Our client’s bank gave him only 30 days’ notice that their lockbox service was changing. Using our streamlined process, we notified all payers well before the deadline, so there was no slowdown in cash flow.

Saved medical group partnership with creative compensation

Working with four equal partners in a specialty group, we revised their compensation model to allow for part-time partners, saving the group’s partnership and positioning them for future growth.

Cut Medicare red tape to improve cash flow

Typically, it takes Medicare a minimum of 60 days to process a new provider number. Our team obtained new provider numbers in less than three weeks for our client, significantly increasing their Medicare cash flow.

Eased physician-hospital integration and kept claims on track

During an already-intense physician-hospital integration process, our client lost their physician business office manager. Even in the midst of a new system implementation, we helped them process claims successfully for the first time in three months.

Captured $145,000 in revenue for specialty group

Through a revenue charge capture analysis, we uncovered $145,000 in lost revenue at a five-physician specialty group. We worked with our client to identify the root causes and created systems to prevent future leakage.