Operations / Administrative
We develop tailored, site-specific policies to ensure ongoing program efficiency. Our team utilizes a tried-and-true, strategic approach to provide consulting services ranging from individual issues to full-scope management. By employing a proactive approach, we enable you to thrive in today’s environment, while simultaneously preparing your organization for future success.

Clinical Oversight

Our Corporate Clinical Team is designed to target high-risk areas in the ESRD setting and provide proactive mitigation of those risks. In addition, it offers reporting, value-added services, and much more. Renalliance Group can be however involved you need it to be, as it is customizable to your facility’s needs. We provide recommendations for improvement and assist you with implementation of new tools and/or processes.

What we can do:

• Develop and revise policy and procedures
• Governmental reporting oversight
• Targeted mock surveys
• Workflow design/redesign
• Monthly staff and patient education program
• Center operations improvement

Revenue Management

In an ever-tightening reimbursement world, our claims-processing service has proven, time and again, to deliver healthy cash flow, allowing you to focus on optimal patient care. We maintain a deep understanding of your health plans and your market, staying on top of changing payer guidelines, denial and payment trends, as well as client-specific issues, to ensure optimized reimbursement. Our revenue cycle specialists possess extensive knowledge of reimbursement and healthcare operations, handling every financial aspect of the patient encounter, from pre-admission through the progression of charge, payment, and adjustment posting, and every step in between.

By establishing a synchronized billing and management process, our services outperform industry benchmarks, consistently achieving a collection rate of 96% in 34 days!

What we can do:

• Complete revenue cycle management
• Claim submission
• Pre-admission verifications
• Transparent reporting
• Payment posting 
• Patient billing 
• Payer follow up 
• Collections
• Dedicated account manager
• Predictive analytics
• Transparent reporting
• Expert dialysis billers
• ERA/EOB posting
• Communicate, educate and implement regulatory or billing changes

Development & Startup Services

Ready to take the next step and create a center of excellence? Renalliance Group can support you through every stage of the process. Our comprehensive turnkey startup services help take your program vision and bring it to fruition and beyond. From construction to completion, we apply our firsthand knowledge and experience to map out a plan that ensures your facility can hit the ground running from Day One.

What we can do:

• Space identification and feasibility
• Governance, organizational, and management structures
• Volume and financial projections
• Operational and infrastructure planning and implementation
• Financial feasibility analysis and planning
• Coordinate and review architectural design and engineering
• Construction project management
• Equipment and furnishing selection
• Control of facility and build out costs

Quality Assurance

Ensuring clinical safety and quality governance across all your facility activities is of paramount importance. We help you develop, implement, and maintain a quality assurance and quality improvement program, using robust internal and external audits to assure high-quality service in a safe environment.

What we can do:

• Develop and maintain Quality Assurance Performance Improvement (QAPI) program
• Attend monthly QAPI meetings, review outliers, plans of action and make recommendations to achieve goals
• Perform audits and analysis of medical records to identify organizational vulnerabilities and establish targets

• Create productivity initiatives and improve facility efficiency
• Comparatively Monthly, quarterly and annual complete facility benchmarking
• Establish root causes and best practice processes to meet benchmarks in efficiency
• Integration with other key functions (Education, Risk, etc.)

Mock Survey & Survey Preparedness

In an ever-changing regulatory landscape, we provide your staff with the policies, trainings and resources to ensure your preparedness for unannounced visits. As an objective observer, we can help you more accurately pinpoint potential deficiencies and issues

Through the preparedness process our team will:

• Rapidly identify vulnerable areas
• Assist in mitigating risk immediately
• Educate while surveying by incorporating your staff and leaders every step of the way
• Hold daily stand-up meetings to maximize effectiveness on each survey day
• Provide daily debriefs with clear reporting on findings and recommendations

Consulting

How we can help:

• Develop and revise policy and procedures
• Communicate, educate and implement regulatory or billing changes
• Communicate regulatory reporting requirements and monitor timely and accurate submissions
• Medical record audits
• Identify opportunities for cost reduction and revenue enhancement
• Develop strategies related to new or redesigned processes
• Site-specific emergency and disaster preparedness policy development
• Staff and patient training program, including tabletop exercises ensuring compliance with State and Federal guidelines
• Operational assessment to identify opportunities for operational, financial and clinical improvement
• Data audits and analysis to identify organizational vulnerabilities and establish goals, creating productivity initiatives and improving facility efficiency
• Nurse Manager training program
• Statement of Deficiency /POC assistance and implementation
• Biomed audits and consultations
• Revenue/billing audits