Management Consultancy

Management Consultancy
  • Strategic & Operational planning.
  • To provide Tools which will help business entities to decide in the subject that are financial in nature.
  • To achieve marketing objectives and policies.
  • Human Resources policies.
  • Production scheduling, controls, loss minimization and planning.
Computer Programming Activities
  • To provide ready to use software
  • Customization of existing / new software
  • To Provide Gap analysis in the core system compare to market standard
  • API with payer / service provider.
  • End to end support in the process design.
  • Business Operation Process Automation.
Medical Tourism
  • Service provider where treatment is available
  • Identifying specialist doctor who has good reputation in the market
  • Estimated Cost of treatment
  • Arranging appointment with the doctor
  • Travel assistance.

Management consulting is a valuable tool for organizations looking to improve their performance. This practice involves working closely with a team of experts to identify areas for improvement and develop strategies to achieve organizational goals. The process typically begins with an assessment of the organization’s current state, including an analysis of its strengths, weaknesses, opportunities, and threats.

At Med Core Consultancy, we offer a comprehensive range of management consultancy services to empower healthcare organizations to thrive in a rapidly evolving industry. With our deep industry knowledge and a team of seasoned experts, we are dedicated to assisting our clients in overcoming challenges, optimizing operations, and achieving sustainable growth.

Our strategic planning services are designed to help healthcare organizations develop a clear vision and chart a path to success. We work closely with our clients to understand their unique goals and market dynamics, enabling us to create tailored strategies that align with their vision and drive positive outcomes. Whether it’s expanding into new markets, enhancing service offerings, or streamlining operations, our strategic planning expertise will help you make informed decisions and stay ahead of the competition.

In an industry as complex as healthcare, operational efficiency is paramount. Our team of consultants brings a wealth of experience in optimizing processes and workflows to ensure smooth operations. We conduct comprehensive assessments, identify bottlenecks, and implement best practices to enhance efficiency and productivity across all aspects of your organization. From revenue cycle optimization to quality improvement initiatives, we collaborate with you to streamline operations and drive cost-effective outcomes.

As technology continues to reshape the healthcare landscape, organizations must leverage digital solutions effectively. Our technology integration services help you harness the power of innovative tools and systems to drive efficiency and improve patient outcomes. Whether it’s implementing electronic health records (EHRs), Seamless integration with Payer System or regulatory portal such as NPHIES, optimizing telemedicine platforms, or adopting data analytics solutions, we provide guidance and support throughout the entire integration process, ensuring that technology aligns with your strategic objectives.

At Med Core Consultancy, we are committed to delivering exceptional management consultancy services tailored to the unique needs of healthcare organizations. Our experienced consultants will work closely with you to develop practical solutions, implement effective strategies, and drive sustainable growth. With our expertise by your side, you can navigate the complexities of the healthcare landscape and achieve long-term success. Contact us today to discuss how we can assist you in transforming your organization and thriving in a dynamic industry

Our Expertise

 

Revenue Cycle Management (RCM) Gap Analysis with or without implementation

·        Pricing & Contracting (Corporate & Insurance Companies)

·         Patient Arrival & Registration (Reception)

·         Pre –Approval Administration

·         Medical Coding of service price list (NPHIES-SBS, ACHI, CPT)

·         Billing Administration

·         Denial Management (Insurance Payer / NPHIES)

·         Payment & Reconciliation

·         Continuous Improvement Program (Training and Monitoring)

            In House Insurance TPA Formation & Implementation (Consultancy)

·        Provider Network Management (Clinic & Hospital service agreement with Payer)

·         Pre Authorization Management

·         Claims Management

·         Provider Claim Reconciliation

·         Fraud & Abuse Prevention (Track & Trace Fraudulent / Abuse)

·         MIS & Reporting

·         Customer Service / Complaint Management

 
            Policy, Procedures and Reporting
·         Regulatory Reporting (SAMA/CHI) & Dashboard Report (Power Bi).
·         Strategic & Operational planning.
·         Loss minimization, controls and planning.
·         Assisting in preparing marketing objectives and policies.
·         Resources Utilization policies.