Health Care

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

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

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

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

Using data and innovative technologies can help move your business forward. Our advisors can work alongside your technology staff or work as your technology department to create efficiencies and optimize processes. As a true technology partner, our Managed Services offer vCIO and vCISO-level expertise that scales with you without the major investment of hiring in-house.

• Virtual CIO
• Cybersecurity Strategy and Training
• Cloud Managed Services and Azure
• Microsoft Consulting
• Business Process Automation
• Data Strategy and Analytics

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