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Healthcare Consulting

Many healthcare plans and providers are seeking innovative strategies to transform the delivery of care and payment models of healthcare. As new technologies are launched to the marketplace, our clients grasp to understand how to incorporate unique services into their existing protocols, networks, and benefit programs.

Looking to understand and adopt new healthcare services, build a new provider network, or develop new medical policies, but not sure where to begin? Need help planning or executing these projects? Let Senergene guide you. Senergene’s expert clinical and business staff  assist you with understanding how the evolving healthcare services improve the delivery of patient care and the impact on your bottom line. Any organization can develop with small incremental changes, but building for the future in today’s rapidly changing healthcare environment means understanding the nuances and making insightful decisions.

Our team provides direction in all areas of healthcare including ancillary services such as laboratory, diagnostics, genetics, molecular diagnostics, therapeutics, DME, dialysis, and other ancillary services.

Our Key Advisory Services:

  • Auditing and Compliance Services
  • Analytical Tools
  • Clinical Review
  • Coding Analytics
  • Contract Modeling
  • Fee Schedule Analysis and Development
  • Medical Coding
  • Medical Policy Review and Development
  • Network Development
  • Network Spend Analytics
  • Overpayment Recovery
  • Spend and Utilization Analysis
  • Value based delivery and pricing development
  • Reimbursement Operational Analysis

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