As a leader in healthcare reimbursement and strategic consulting for over thirty years, O'Conco Healthcare combines experience with innovation to provide meaningful products and services to top healthcare executives.
Our Goal: Our goal is to increase your bottom line.
Our Clients: Our clients range from premier acute care hospitals, to major insurers across the nation, to governmental entities. We also support other firms.
Our Approach: Our approach includes routine collection and warehousing of client and public datasets so we can expeditiously address our clients' needs.
Products and Services
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DSH & Subsidies
Special Payments such as DSH, UCC, GME and State Subsidies are often critical to a provider's bottom line. O'Conco obtains significant special payments for our clients. We model the impact of proposed regulations and create new methodologies while mindful of the UPL. We understand the newly revamped Worksheet S-10.
DSRIP
Delivery System Reform Incentive Payment (DSRIP) projects are intense with large dollars "on the line." As a DSRIP expert, O'Conco has worked steadily on DSRIP for over 6 years. We provide both in-depth consulting and metric support via a web-based tool.
Value Based Payments & Population Health
The rules of reimbursement are dramatically changing with public and private payors leaping boldly into value-based payments and population health. O'Conco assists with all aspects of value based payments such as VBP, Readmissions and HAC. We identify hot spots, frequent flyers and assist with strategy and design for true population health.
Charity Care & Bad Debt
As the undisputed Charity Care experts, O'Conco has obtained millions for clients. O'Conco is renowned for modeling proposed subsidy changes and developing client-friendly payment methodologies which affect state payments. We also verify documented charity care and 'scrub' for missed opportunities to properly capture all Charity and Bad Debt on Worksheet S-10 for UCC and State Charity Care Subsidies.
Revenue Cycle
Cash is king. O'Conco supports the revenue cycle with revenue budgets, net revenue determinations and A/R valuations - oftentimes on a monthly or even more frequent basis. We also provide intelligence on denials and other unpaid accounts.
Of course, everything starts with a great charge master to find hidden revenue and mitigate risk.
Strategic Planning
Strategic planning is critical for setting priorities and estimating outcome. O'Conco confidentially assists clients with strategic planning based on sound revenue projections. Our services include due diligence, product line P&L's, strategic alliances , and benchmarking including physician benchmarking, bundled payments and reimbursement modeling.
Primary Analysis
PrimaryAnalysis.com® provides users with immediate access to O'Conco's health care expertise and vast data warehouse - 24 hours a day, 7 days a week. Users have the ability run a wide array of reports from simple demographic statistics to more advanced peer group comparisons using case-mix adjusted benchmarks.
UB Submissions
A UB data submission such as NY-SPARCS, NJ HealthCAP and PHC4 is no big deal, until it is. O'Conco has assisted hospitals with UB Submissions, 835's and 837's for over 20 years. O'Conco provides client hospitals with both routine reviews of their confidential statewide UB submissions and critical submissions when there's a problem. Reports are personalized by our expert staff to identify data errors and reporting concerns specific to each hospital.
Data Warehouse
Data is a world in which O'Conco excels. O'Conco maintains a vast data warehouse of Medicare, Medicaid and All Payer claims, payments, rates and cost combined with demographics and clinical info. We work with Epic, Cerner, MEDITECH and McKesson data among others. We verify the accuracy of a dataset then customize it make it useful data and readily understood for top healthcare management.
Bundled Payments Analytics+
Alternative payment models such as bundled-payments are rapidly expanding from Medicare to Medicaid and commercial payors. Using our expertise gained in BPCI and CJR, O'Conco designed our Bundled Payments Analytics® platform to guide our clients when making strategic care redesign decisions, monitoring program performance, and projecting financial outcomes.
Quality Analytics+
Quality Analytics+® has streamlined the process of tracking your AHRQ, HAC and HRR quality indicators in one easy-to-use solution. Summary reports highlight quality concerns and identify areas in need of additional resources, while patient level drill down allows staff to isolate potential coding errors and review patients' experiences at the most detailed level.
CJR Analytics+
O'Conco developed CJR Analytics+® to simplify the processing and management of the Comprehensive Care for Joint Replacement monthly data so our clients can focus on program oversight. Our software provides the data analytics needed to support your staff in all aspects of the program from care redesign to financial planning.
