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Health Care

Reduce operating costs and increase collections with an experienced team of advisors on your side.

Gain Business Transparency to Provide the Best Patient Care

Today’s health care is a balancing act. Our comprehensive view of the health care industry recognizes how everything you do impacts your bottom line. Whether you’re a physician, CFO or facility administrator, you’ll have direct access to our team of advisors with over 20 years of health care experience. Anders will help you make sense of your finances and operations, freeing you to focus on your patients.

Credentialing and Provider Enrollment

Anders Health Care uses our unique payor matrix to manage each step of the provider onboarding and enrollment process. We offer a seamless provider onboarding solution, meaning new medical provider hires can quickly get to work and accept payments. Our provider enrollment services are tailored to meet your needs to ensure that your health plan or government payer enrollments are completed, renewed or revalidated, and maintained in a timely and efficient manner. Our advisors can complete the following processes to alleviate the burden on organizations who lack the resources to complete them in-house:

  • Data and document gathering
  • PECOS and NPPES accuracy
  • CAQH profile (initial or re-attestation)
  • State Medicaid
  • Managed Care Organization (MCO) universal rosters
  • Provider directory, attestations (i.e. Availity, LexisNexis, etc.)
  • Roster reconciliations
  • ACH/EFT setup
  • EDI setup
  • Direct Data Entry (DDE)
  • Completion and submission of applications
  • Follow-up and follow-through until provider participation are received
  • Provide our clients with continuous communication via emails and standing meetings

Maintenance

Overlooked expiration dates on important documents like certifications, CME, malpractice insurance and others can create costly delays in the provider enrollment and credentialing process. Anders advisors can help prevent negative impacts to the revenue cycle through managing expiring data and documents. Using automated alerts, Anders ensures providers remain compliant with payer regulations and never become inactive..

  • CAQH profile re-attestations
  • Change of information and updates
  • Electronic Data Interchange (EDI) updates
  • Managed Care Organization (MCO) universal rosters
  • Medicare and Medicaid revalidations
  • Out-of-state Medicaid revalidations
  • Commercial payer renewals
  • Direct Data Entry (DDE) updates
  • Denials management (related to enrollment issues)
  • Provider directory, attestations (i.e., Availity, LexisNexis, etc.)
  • Provider data management
  • Term facility/provider with payers
  • Third-party liability forms
  • Acting as a liaison between client, providers, payers and hospital credentialing entities
  • Roster reconciliations
Physician Practice Consulting

From performing revenue cycle analyses, operational assessments and physician compensation models, our health care group offers custom value added services and advice to meet the operational needs of physician groups.

  • Compliance and Corporate Integrity
  • Interim Staffing
  • Operational Assessments
  • Managed Care Contracting
  • Physician Compensation Models
  • Revenue Cycle Analyses
Tax Planning and Compliance

Ensuring you’re not overpaying in local, state and federal taxes takes a proactive approach. Our advisors work with health care organizations to create custom tax planning strategies.

  • Estate Planning
  • Financial Benchmarking
  • Form 990 Preparation
  • Monthly and Quarterly Accounting
  • State and Local Income Tax, Sales Tax and Economic Incentives
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Audit and Assurance

Through financial statement audits, our advisors help Community Health Centers (CHCs), including Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHC), strengthen internal controls and identify areas to improve operations.

  • Community Health Center Financial Statement Audits
  • Cost Report Preparation
  • Employee Benefit Plan Audits
  • Federally Qualified Health Centers Financial Statement Audits
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Technology

We recognize that a one-size-fits-all technology strategy doesn’t work for every business. At Anders, our technology advisors can work directly with your IT team to supplement expertise and save overhead costs, or act as your entire outsourced IT department and helpdesk. We can fill in the gaps your company has in network and server monitoring and maintenance, Microsoft licensing, fractional CIO and staff augmentation, helpdesk outsourcing and other IT advisory services as needed.

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Forensic, Valuation and Litigation

Understanding the value of your organization is vital when it comes time to sell or add partners. Our forensic and litigation advisors work with health care organizations on valuations and various litigation, fraud and forensics situations as needed.

  • Fraud and Forensics
  • Litigation and Dispute
  • Valuation
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Anders + Fifth Avenue

Anders and Fifth Avenue Healthcare Services partner to provide streamlined outsourced credentialing and provider enrollment services to minimize the workload of your staff and increase efficiency, leading to reduced turnaround times. Our full-service solution speaks to one of the health care industry’s biggest, yet most essential, responsibilities through: 

  • Simplifying the application process by reducing a 52-step process down to six simple steps 
  • Completing license application renewals efficiently and correctly to save valuable time for providers 
  • Streamlining the application process by allowing providers to apply for over 25 delegated health plans and networks via a single application
  • Gold standard NCQA accreditation through Fifth Avenue Healthcare Services 

Memberships

We are proud to be members of the following health care-related organizations:

  • American College of Healthcare Executives (ACHE)
  • Healthcare Financial Management Association (HFMA)
  • Illinois Critical Access Hospital Network (ICAHN)
  • League of Healthcare Experts (LHE)
  • Medical Group Management Association (MGMA)
  • Missouri Association of Medical Staff Services (MoAMSS)
  • National Association Medical Staff Services (NAMSS)
  • Professional Association of Health Care Office Management (PAHCOM)

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