HES performance improvement services consist of process redesign to reduce administrative costs, improve clinical and financial performance, engage and retain patients/members, and improve accountability and reporting.  We believe that information management is a critical component of nearly all process change initiatives and that HES’s combination of business strategy, operations, processes, and information technology expertise uniquely qualifies us for these types of engagements. 

HES assists hospitals and other provider organizations, payers, and healthcare systems in creating and managing change in positive and meaningful ways.  Our professional teams analyze existing opportunities and develop specific realistic recommendations to improve operational efficiency, financial performance and market position.  We then provide tools, training and customized educational programs that enable clients to sustain improvements.

Managing Administrative Costs and Revenues

• Revenue Cycle Management
• Supply Chain Management
• Member/Patient Management (scheduling, registration, referrals, inquiries)
• Claims/Encounter Management
• Electronic Commerce and EDI Strategies
• Staffing Efficiencies

 Clinical Performance Improvement

• Patient Safety
• Physician Integration/Computerized Physician Order Entry
• Care and Disease Management
• Clinical Performance Measurement/Management Strategies and Implementation

 Financial Performance Improvement

• Revenue Cycle Management – Full Cycle from Access to Patient Account Resolution
• Cash Flow Improvement
• Reimbursement Compliance, including Ambulatory Payment Classification Management
• Consolidated Business Office Planning and Implementation
• Provider-Based Managed Care Planning, Contracting, Compliance and Implementation
• System Optimization and Interim Department Management

 Engaging and Retaining Members/Patients

• Customer Relationship Management
• Enrollment, Eligibility and Referral Management
• Customer Care Call Centers
• Information for Patient Education and Personal Health Management
• Broker/Agent Support Systems

 Accountability and Reporting

• Health Insurance Portability and Accountability Act (HIPAA) Compliance
• Billing and Reporting
• Key Indicator Management Reporting