Service Line Planning & Development

Evaluate how your service lines perform compared to peers and potential:

• Volume and reimbursement trends: Identify procedure and DRG performance by payor, provider, or location
• Provider productivity: Analyze current procedural terminology (CPT) and work relative value unit (wRVU) productivity, collections, and compensation benchmarks
• Compensation design: Compare compensation-to-productivity ratios and realign structures for fairness and motivation
• Coding and documentation reviews: Assess accuracy and compliance through evaluation and management (E&M) distribution and chart sampling

Understand where to focus resources and where growth is possible:

• Validate service area demand for growth of existing programs, development of new programs, or physician recruitment initiatives
• Project bed and provider needs by service line to inform long-term strategy
• Determine provider need by specialty using population-based analytics
• Review advanced practice provider (APP) and physician assistant (PA) utilization to ensure top-of-license performance

Support long-term alignment between providers and leadership:

• Develop joint councils or management cabinets to involve and align providers in service line activities
• Evaluate opportunities for co-management models, clinically integrated network (CIN), or management services organization (MSO) structures
• Strengthen onboarding and integration processes for new or acquired providers

Drive consistent improvement in both performance and compliance:

• Conduct outpatient revenue cycle reviews to assess denial rates, charge entry, and coding accuracy
• Improve clinical documentation processes to enhance billing accuracy and compliance
• Evaluate and improve clinic throughput and patient flow
• Improve access through schedule modifications and accountability metrics
• Create multi-year strategic plans that balance growth and sustainability