Health Care Excel

Health Care Excel has been a state and federal government contractor in the Medicare and Medicaid arenas for more than 25 years. We work with health care providers and systems to enhance the flow of work and information, the quality of care and the integration of processes and systems. We objectively evaluate health-care quality, clinical appropriateness and outcome assessments.

In addition to our government contracting, we offer a full range of private-sector products and consulting services, including:

• Implementation of electronic health records, particularly in physicians’ practices

• Recovery Audit Contractor preparedness 
  • Initial claims analysis (in partnership with BMI) against RAC-identified high-risk areas 
  • Feedback based on claims analysis 
  • Sample record audit for appropriateness of utilization, coding and billing 
  • Assistance with reviewing internal processes to ensure appropriateness in preparation for RAC audits

• Consultation regarding scores from Hospital Consumer Assessment of Healthcare Providers and Systems 
  • Initial assessment of provider or health system’s HCAHPS scores 
  • One-on-one consultation with health care provider or system about ways to improve 
  • Development of a toolkit, both hard copy and electronic, to assist providers in making needed changes 
  • Development of a personalized training (two-three days) for providers and health systems 
  • Speakers’ bureau

• Medical Peer review 
  • Supplemental peer review for hospitals that need outside expertise
  • Panel of expert physicians from multiple specialties and geographic areas available for reviews 
  • Feedback report and recommendations to hospital

• Quality/process improvement 
  • Individual assessment of provider’s procedures and processes;
  • Feedback regarding gaps in procedures and areas for increasing efficiencies and effectiveness
  • One-on-one assistance in revising procedures 
  • Root-cause analyses and follow-up consultation about identified issues
  • Assistance with strategically planning a quality-improvement program and identifying appropriate quality-improvement projects

Please contact us at 1-888-364-5560 for further information.