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Healthcare Provider Solutions

Healthcare providers operate in an extremely complex environment, with unique demands and challenges for achieving optimal performance.

At The Claro Group, we understand these challenges. Our professionals have worked with more than 300 hospitals and health systems to drive tangible, sustainable results: $450 million in additional net revenue, 10-50 percent improvements in risk of mortality and severity of illness quality measures, improved operational performance, and reduced compliance risk.

Our Healthcare Provider Solutions are proven, focused and designed to help healthcare organizations tackle some of their biggest challenges:

  • Maximizing revenue cycle performance
  • Accelerating cash collection and reducing AR Days
  • Increasing Self-Pay recovery rates and reducing bad debt
  • Achieving accurate reimbursement, improved quality ratings, and compliance with CMS rules and regulations
  • Effectively capturing outpatient reimbursement, reducing back-end rework, and monitoring performance
  • Reducing non-payroll costs
A proven approach, tailored to the needs of healthcare providers.

Our approach utilizes a proven framework to assess opportunities, implement solutions, and closely monitor results across the revenue cycle, from front-end scheduling and patient care to back-end billing and collection.

Healthcare Solutions Diagram

This approach is grounded in three critical factors:

Experience. Our professionals average more than 12 years of experience delivering healthcare performance improvement solutions for more than 300 hospitals nationwide, ranging from small rural hospitals to large academic medical centers to multi-hospital health systems.

Client focus. Our focus is on delivering exceptional value to our clients. We listen to determine needs, then we develop and deliver solutions that are tailored specifically for those needs.

Results orientation. We are in business to help our clients achieve tangible, measurable and meaningful results. Results that directly impact the bottom line.

Learn more about The Claro Group's Healthcare Provider Solutions:
Revenue Cycle Management
DRG/Clinical Documentation
APC Integrity
Pricing Clarity
340B Drug Discount Program
Self-Pay Management
Sourcing and Procurement

Case Studies
Third Party Insurance Recovery
image Environmental insurance recovery and settlement 
image Asbestos coverage-in-place settlement
First Party Insurance Recovery
image Delay in start-up claim
image Hurricane-related deepwater rig loss
Sourcing and Procurement
image Healthcare Group Purchasing Organization
image State-centralized Procurement Agency
Healthcare Provider Solutions
image Academic Medical Center (Northeast)
image Community Hospital
More Case Studies image Case Study
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