We are excited to welcome Veronica Molares to the growing Pinnacle Healthcare Advisors consulting team. Veronica has over 15 years of experience working with healthcare organizations to develop strategic solutions to improve overall revenue cycle performance. She has managed multiple Epic revenue cycle installations from a build perspective to produce efficient and enhanced workflows. Veronica bridges the gap between operations and IT by working on both teams to ensure quality outcomes. For [...]
About PinnacleOur primary objective at Pinnacle Healthcare Advisors is to design and implement sustainable improvements that will result in a return on investment (ROI) for our clients. We founded Pinnacle with the belief that your people are at the core of everything you do and that developing them is the most important aspect of driving sustainable improvements in financial performance.
It is with great pleasure that we share Leon Chang has joined the Pinnacle Healthcare Advisors team. Leon has approximately 16 years of experience in healthcare consulting and management with an emphasis on margin improvement. Leon is an expert in all revenue cycle areas and has led initiatives ranging from uncompensated care and avoidable losses to charge integrity and reimbursement optimization. For clients undergoing system implementations, Leon has advised on outsourcing and [...]
We are happy to announce Vickie Bridge, MBA, RHIA, CPHQ, has joined the Pinnacle Healthcare Advisors consulting team. Vickie comes to us with over 20 years of experience working for and consulting with hospitals and physician practices to drive sustained improvements in net revenue and quality. She is skilled in overall revenue cycle management with particular expertise in clinical documentation and revenue integrity. Vickie will be responsible for collaborating with our clients to develop revenue integrity [...]
We are pleased to announce Kevin Blanchard has joined the Pinnacle Healthcare Advisors team. Kevin has extensive experience leading revenue cycle transformation engagements with large multi-system hospitals, pediatric hospitals and single-facility hospitals. Kevin’s areas of expertise include Epic Resolute Hospital Billing optimization, workflow and work driver management, DNFB/CFB management, denials management, system automation, customer service/scripting and pre/point of service cash collections. Kevin is actively involved in the ongoing development of our Epic [...]
As the mix within Medicare continues to shift from traditional to managed plans, hospitals that don’t take steps to address the differences in administrative expectations and claims processing between plan types run the risk of increased denials and mounting accounts receivable (AR). Does your mix look like this? The Kaiser Family Foundation, in its 2017 Medicare Advantage Spotlight Report, states that: “Both the Congressional Budget Office and the Health and [...]
Using metrics to drive actions that improve financial results Managing your revenue cycle in a world of shifting populations, increasing patient financial responsibility, and competitive pressure on volumes can be challenging, to say the least! There are so many variables and changes in core processes that it can seem like an impossible task to keep track of it all. The concept of using a scorecard is not new. But when environmental factors [...]
Don’t Buy More Software! - Four questions to help determine if your current EHR platform can solve your revenue cycle challenges When hospitals determine that they have a challenge to be solved within their revenue cycle, it is extremely common for them to buy “bolt-on” software to fill perceived gaps in their electronic health record (EHR) capabilities. But what we have found is that this is often unnecessary and can add cost [...]