Dialysis Centers

Do the quality benchmarks (QIP) that regulators and insurance companies use to determine your reimbursement adequately represent your dialysis center?

With value-driven care, you are likely to get impacted adversely and prevented from realizing your full reimbursement. It is imperative to improve your practice’s quality benchmarks if you desire to be sustainable and profitable. All health care professionals are empowered to play an active role in improving their quality care performance:

Do you know the quality criteria? Do you understand how each criterion is measured? Why did certain metrics go up or down? Does it adequately represent your practice?

This can include: Changes in hemoglobin, KT/V and hypercalcemia metrics. Changes to patient hospitalization and mortality rates. PD versus HD performance Performance against comparable dialysis centers in the state and U.S. Identity if any issues are staff, operational and/or reporting based.

This client owns multiple dialysis centers and could not understand why one was significantly more profitable and provided higher quality care, even though it was administered by the same staff. The client approached us because of our specialization in dialysis center management. After understanding his points of concern, we created a game plan and performed due diligence with performance benchmarks against each center, other independent centers in the state and U.S. Per our analysis, we found significant issues related to reporting and staff operations. With this additional cash flow, the client is currently working with us to acquire additional dialysis centers.

We were able to fix these issues for our client which resulted in higher reimbursement from Medicare and insurance companies and a 30% gain in cash flow.

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