Elevate your Healthcare Data
Health Information Management Advisor (HIMA) specializes in providing Analytics & Consultation Services to small and midsize Healthcare organizations including Plans, MSOs and IPAs.
We have a team of Advisors who are veterans in the US healthcare industry, from Coders, Clinical Documentation Specialists (CDS), to Data Analysts & Engineers, to Executive Leaders in major healthcare organizations such as OPTUM, BCBS, Humana...
What we do:
Review and consult on Revenue Cycle Management (RCM) & Payment Integrity best practice
Review Value Based Care (VBC) Coding and Quality SOPs, and advise on improving program performance
Analyze Claims & Membership & Provider data
Identify Cost containement opportunities
Calculate & Validate performance ratings (STAR ratings, Build-up & Funding RAF scores, Capitation & Reimbursements…)
Pre-Project Analysis (identify campaign target population) and Post-Project Analysis (ROI calculation)
And more…
At HIMA, our goal is to level the playing field for smaller organizations. We offer our expertise through consultation sessions, and robust Analytics services. Our HIPAA-compliant data platform provides quick ramp-up, totally customizable data solutions, including Dashboards, Reports and Datasets, that Leadership team can consume directly or pass over to in-house Data Analyst(s).
We strive to provide Affordable, Agile, and Accurate Healthcare Analytics & Consultation Services.
How we are different?
Member Tracing Algorithm - Connect member data even after their changings of name, healthplan IDs, or even Medicare ID. This is critically important for year-over-year gap identifying and closing.
Quality and Risk Gaps Tracing Algorithm - Find out the source and attribute credits for gaps closure, either Quality or Risk. This is vital to calculate the ROI of projects and define strategies accordingly.
Truly affordable pricing - With the goal of serving small to midsize organizations, we implemented “lean” approaches while building our team and services, so that we can save cost, and pass that savings to you.
Our Services & Plans
30min Intro Session
No Cost
This no-cost session is for you to…
Present your challenges
Ask us anything Healthcare
Explore our offerred Services & Plans
Consultation Session
Bill per Consultant Hour - $150/hr
In this session, we can help you with…
Review and consult on Revenue Cycle Management (RCM) best practice
Review Value Based Care (VBC) Coding and Quality SOPs, and advise on improving program performance
Answer any question that may arise
Analytics - Ad-hoc
Bill per Analyst Hour - $120/hr
Analyze your data to answer questions…
Was the Quality ratings (i.e., STAR) that I got correct?
Was my RAF score accurately calculated?
What are my Cost containement opportunities?
Identify coding target population for best ROI?
Other…
Analytics - Subscription
Subscription ($0.5-$1 PMPM)
With a Subscription Plan in place, a continuous data analyzing process would be established and allow in-depth Data Analytics, including…
All Prebuilt Dashboards included
Member Identification tracking
Time-series Analytics
Predictive Analytics
Trigger & Alert Services
20% discount on Consultation & Ad-hoc Analytics Service
Let’s work together!
Please connect with me if…
You are interested in working with us and accelerate your Revenue Cycle Management performance
You would like to get updated on new CMS regulations & policies that may affect our organization.
You can also ask me anything Healthcare, and get your answers through email at absolutely no cost.
Yes, that’s true. I just love to connect & exchange knowledge with other thought-leaders in the same industry, who share passions in Healthcare Policies and Data Analytics.