Case Study: Public Hospital Consulting

The Client:
Lemuel Shattuck Hospital Commonwealth of Massachusetts Department of Public Health

The Project:
Public hospital compliance services, July 1995 to present.

The Opportunity:
To assess and improve compliance and coding management for this large, state-funded teaching hospital.

The PCG Approach:
Public Consulting Group (PCG) performed extensive reviews of the hospital’s compliance, service reporting, medical records procedures, and internal policies. PCG determined ways in which the public facility could optimize compliance through more effective coding management, policies and timely reporting. By implementing internal controls to provide accurate, consistent, and sustainable operational improvement, PCG was able to create a highly responsive infrastructure that emphasized compliance and audit protection.

The Result:
Some of the key results PCG has helped Shattuck Hospital to realize:

• Increased revenue 400 percent in six years;
• Improved quality of consultation documentation from 11% compliant to 73% compliant;
• Improved frequency of billing for inpatient professional services in 82% of clinicians trained;
• Raised general compliance awareness at executive and staff level.

"PCG’s employees and management group readily integrated with hospital staff to become very much part of the team, which continues to this day. PCG not only competently performed functions by increasing revenue 400 percent in six years, but did so with a strong commitment to the integrity of the process. PCG has efficiently maximized revenues while maintaining full compliance with CMS conditions of participation and other third party payer requirements. That is an uncommon combination in a business where many consultants over-promise their capabilities and/or take short cuts that land hospitals in trouble with OIG."

Paul Romary
CEO
Lemuel Shattuck Hospital