Welcome to G2N honest & healthy bottom lines

WHAT SETS US APART:

• G2N tailors its services to fit each client’s circumstance by offering a range of services from assessments to comprehensive implementation.
• The G2N pre-project assessment reveals significant net revenue potential and compliance risks for a minimal investment. Clients provide key data elements and G2N performs analytical reviews and client interviews, presenting findings on site. G2N’s assessment process provides a conservative value for opportunities so that the return on investment for a full project is certain.
• Implementation plans are customized, thorough and multi-disciplinary. G2N recognizes that hospitals are continuously changing and possess a variety of systems, processes and skill sets. G2N’s implementation plans dovetail with the resources of each hospital to set forth new processes that will foster proper payment and are easy for staff to maintain.
• G2N’s validation process tests to be sure that net revenue and compliance gains are functioning as designed. This important quality step is performed post-live and confirms that key changes remain operational.

GROSS TO NET CHARGE CAPTURE REVIEWS

Hospitals typically miss net revenue opportunity in their busiest departments. Considering the many handoffs and steps to admit, treat, document, code, and bill each patient, oversights can be frequent. Using our unique process, G2N can help. Most of our engagements identify opportunity and develop an action plan delivering net revenue improvement ranging from $150,000 to $950,000.

ASSESSMENT SCOPE: G2N's assessments quantify the opportunity available for each clinical area reviewed.Through chart-to-claim reviews, data analysis and interviews, G2N quantifies the magnitude of over/under payments and compliance risk. G2N also assembles a customized action plan to close each gap. Service areas offering the greatest potential for improvement include emergency services, surgery and radiology.

COMPREHENSIVE REVIEW SCOPE: If the assessment merits a full project, G2N will expand its audit sample, interviews and data analysis to confirm exact dollar opportunity. G2N further prepares a detailed implementation plan with specific corrective actions, accountabilities and dates. Completion of the implementation plan is usually accomplished within six weeks of presentation. G2N also validates the success of each implementation plan by re-auditing post-live accounts.

MARKET PRICE ANALYSIS

Significant net revenue yields can be obtained by strategic pricing. G2N's ability to compare line item pricing to like market entities often results in a meaningful increase of the hospital's profit margin, while ensuring fair prices.

SCOPE: G2N performs a strategic market price analysis of the provider's charge description master by assembling comparable charges for like entities in their market. G2N clients define the market compare group, set limits on price changes and control the pricing decisions. As an independent consulting group, G2N can offer these services to providers while maintaining the confidentiality key to pricing decisions. G2N can also link pricing decisions to charity and self-pay policies which are increasingly important.

CHARGEMASTER REVIEW AND MAINTENANCE

Compliance risk reduction and a solid foundation for charge capture are accomplished by G2N's experienced consultants. Given our solitary focus on hospital revenue cycle improvement and thorough understanding of current healthcare regulations and pricing trends, we are able to offer unique analytical insight for the optimum use of the charge description master (CDM).

SCOPE: G2N thoroughly examines all of the descriptions, HCPCS/CPT, revenue codes, and pricing for every charge item. Department manager education regarding any key changes is included in each CDM review. In addition,G2N also offers a unique CDM maintenance program that can be customized for each client to promote ongoing CDM integrity.

Physician Practice Solutions

Solid revenue cycle management solutions are critical in physician practices. Regulatory and carrier interactions need solid documentation. The demands placed on a practice are getting greater, and time to problem-solve and implement changes can be non-existent.

SCOPE: Medical group administrators, clinics, nursing and support staff all require expertise in reaching goals and staying compliant. G2N physician practice-focused consultants are adept at minimizing clients’ risk exposure, as well as digging deep for operational process solutions and additional revenue.

G2N can help with:

• Coding
• Charge Capture Assessments
• Coding Audits
• Physician Education
• RAC Support
• Practice Acquisition/Due Diligence

Recovery Audit Contractors (RAC)

Reduce Your Risk While Capturing More Of The Income You’ve Earned!

Putting your head in the sand won’t keep Recovery Audit Contractors (RAC) away. Both small and large hospitals face exposure — and now is the time for preemptive action.

G2N not only examines your records to identify areas of risk; we also make recommendations to ensure future compliance and maximize revenue.

G2N Will Prepare Your Hospital For All Of The Prominent RAC Targets:

• Inpatient/Outpatient Classification — Short stays and observations are thoroughly examined to determine whether hospital services are being provided in the appropriate setting.
• Medical Necessity — Monitoring of existing Medicare denials often exposes service patterns that may warrant procedural adjustments.
• Coding Errors — An external review performed by credentialed coders can eliminate the mistakes that account for 36% of all reporting errors.
• Inaccuracy — RAC demands precision. Reduce overpayment risk, and capture underpayments too, by ensuring that you bill for all services rendered — and invoice them appropriately.
• Pharmacy Charges — Verify that your process matches units dispensed to services invoiced.

Don’t just cross your fingers and hope for the best. Make your own luck.

CONTINUATION SERVICES

G2N's Continuation Services allows hospitals to have access to revenue cycle experts on an ongoing basis. We work with the hospital to retain the gains from G2N projects and to stay current with regulatory changes.

SCOPE: Consistent with G2N's commitment to equip hospitals for ongoing changes in the revenue cycle, we offer providers access for recurring needs. Pre- and post-bill charge capture audits, chargemaster maintenance, help desk, and preferred pricing for consulting are offered. G2N can tailor a continuation service package to address your organization's unique needs for revenue cycle support.

SPECIAL PROJECTS

G2N's consultants have significant, practical hospital experience. Our clients often need to access our expertise for specific special projects. Operational improvement, net revenue increase, and compliance readiness programs are among the services that our customers most frequently request.

SCOPE: Hospital revenue cycle assessments, Independent Review Organization (IRO) auditor, cash up-front projects, HIM operational assessments, charity policy revisions, and interim CFO support comprise just some of G2N’s special project capabilities.