Internal Audit, Risk, Business & Technology Consulting

Our Key Solutions

Healthcare is a strategic industry at Protiviti. We have dedicated professionals

and a Healthcare Center of Excellence organized to gather insights for knowledge

sharing and to develop industry-specific best practices. Whether your healthcare

organization’s top concern is payment reform, regulatory compliance, improving

revenue, managing costs, safeguarding protected health information or enhancing

the utilization of technology, Protiviti brings deep industry knowledge and skills to

help organizations manage risks and maintain financial health.

Providers operate in the most regulated industry in the U.S. and Protiviti can help ensure they have robust, effective compliance programs to prevent and detect instances of legal and regulatory violations.

Regulatory Compliance

With the increased reliance on new technologies, innovation continues to push the boundaries of how care is provided. Protiviti helps organizations strategically align technology with the business and proactively mitigate security risk.

Information Technology & Security

Protiviti helps organizations enhance revenues and margins by improving strategy, processes and system controls. Improvements include charge master accuracy, enhanced charge capture, cash acceleration, reduced denials and more.

Revenue Cycle

Protiviti helps organizations drive profitable growth in areas like finance improvement road map development, merger integration, focused process improvement and assistance in shared services design.

Finance & Performance Management

Healthcare Solutions

Healthcare Solutions · 2protiviti.com

Health Information Management

Protiviti partners with business leaders and process owners to recommend and implement resource-efficient and industry-leading solutions, utilizing coding, documentation, and compliance risk assessments and tools.

Our data extraction/governance, predictive analytics and dashboarding solutions help organizations better respond to increased demand for cost-effective, innovative forms of information processing and governance to enable insight and decision-making.

Data & Analytics

Protiviti’s internal audit outsourcing and co-sourcing services help companies accomplish their business objectives by identifying risks, controls and performance gaps, and recommending cost-effective solutions designed to manage risk, add value and improve the organization’s operations.

Internal Audit

Protiviti can offer assistance throughout the continuum of M&A activities, such as due diligence, integration planning, work stream management, integration execution and transaction stabilization.

Mergers & Acquisitions

Protiviti can assist companies in organizational readiness to prepare for payment reform as well as with past survey review and remediation, patient safety assessments, and systems review and selection.

Quality, Value-Based Care & Patient Safety

Protiviti provides innovative supply chain solutions focused on results to increase value, enhance effectiveness and optimize working capital, and to help reduce inefficiencies in supply chains.

Supply Chain & Third-Party Risk

Protiviti’s experience with enterprise-wide risk management — including a focus on strategic execution risk — is unparalleled, with field-tested methodologies for building ERM programs that address a wide variety of risks.

Enterprise Risk Management (ERM)

Protiviti works closely with a variety of healthcare providers to implement key construction and capital project solutions, including program and project management, assurance and specialty services.

Capital Project Management

Protiviti and Robert Half Staffing offer a combined solution that provides both consulting (improvements) and staffing (operations) services. We do this through a unique arrangement, using results-oriented professionals with experienced, specialized skills to address performance or project issues in key business functions while also filling operational roles.

Managed Business Services

Healthcare Solutions · 3protiviti.com

Healthcare Project Examples

Revenue Cycle Transformation

• Our client, with hospitals across 10 states

and growing rapidly through acquisition,

was experiencing challenges with technology

integration, unbilled receivables, cash

collections, days in accounts receivable, bad

debt and denials management.

• Faced with increased regulatory and business

requirements, the hospital’s leadership team

engaged Protiviti to assess its back-end revenue

cycle operations to identify areas for improvement

and to rapidly implement a strategic plan to achieve

ongoing, scalable and sustained performance goals.

• Within four months, our client achieved record

cash collections per month. Over the 7-8 month

project, cash to trailing net revenue increased

3.4 percent, or approximately $8 million, year over

year. Days in accounts receivable were reduced

by 10. Staff morale and productivity increased, and

billing errors decreased by more than 50 percent.

Revenue cycle operations were optimized and made

scalable to grow with the expanding organization.

A/P Shared Services Implementation

• Protiviti was selected as the implementation partner

to lead a reorganization effort of the finance and

accounting departments into a centralized shared

services environment. Protiviti’s A/P process

expertise provided numerous benefits to the client.

• The client was able to communicate clear respon-

sibilities and hold their staff members accountable

to their assigned roles, in turn reducing ambiguity.

• By collaborating with a third-party partner to

implement and configure a paperless invoice

imaging and workflow solution, Protiviti was able

to reduce the manual effort to prepare, ingest and

route invoices for approval and processing. The

centralization of a non-core business function

optimized headcount, resulting in annualized

savings across the enterprise.

• Finally, the department was able to significantly

reduce the number of invoices that were past

due and causing credit holds on crucial vendor-

provided goods and services

Cost Containment Benefits Validation

• Our client, a large nonprofit hospital system,

identified a future financial gap of $500 million

and implemented a new department and a five-year

strategic initiative to cut costs. Their first priority

was to quickly pursue savings opportunities, even

before they had developed a communication plan

and an effective way to quantify the benefits of the

program and confirm the realization of value

to close the identified financial gap.

• Within eight weeks, Protiviti was able to not only

design and implement a savings methodology

and tracking process that addressed a backlog of

26 projects with benefits valued at $26 million,

but also significantly eliminate inefficiencies

in the process used to quantify the benefit of

future projects.

• Additional improvements included a redesign

of the benefit measurement process to be more

efficient and involve finance up front; a governance

plan to manage the process; and a robust and

customized reporting database, as well as

forecasting tools and savings guidelines

HIPAA Assessment and Remediation

• Our client, operating stand-alone emergency

rooms across four states and growing rapidly,

wanted to better understand their HIPAA

compliance and information security posture

to identify any areas that required further risk

management and remediation.

• Protiviti performed a HIPAA Security Risk

Analysis and a HIPAA Gap Evaluation across

the Privacy, Security and Breach Notification

requirements. Through the performance of the

HIPAA Security Risk Analysis, Protiviti helped

to identify the repositories of electronic

protected health information (ePHI) within

the client’s environment, assessed controls,

identified key risks to this data, and worked

with client management to recommend and

develop risk management strategies.

• We also helped the client understand any areas

that needed to be bolstered to better meet the

requirements of the HIPAA regulations. As part

Protiviti is a global consulting firm that delivers deep expertise, objective insights, a tailored approach and unparalleled collaboration to help

leaders confidently face the future. Protiviti and our independently owned Member Firms provide consulting solutions in finance, technology,

operations, data, analytics, governance, risk and internal audit to our clients through our network of more than 70 offices in over 20 countries. 

We have served more than 60 percent of Fortune 1000® and 35 percent of Fortune Global 500® companies. We also work with smaller,

growing companies, including those looking to go public, as well as with government agencies. Protiviti is a wholly owned subsidiary of

Robert Half (NYSE: RHI). Founded in 1948, Robert Half is a member of the S&P 500 index.

© 2017 Protiviti Inc. An Equal Opportunity Employer M/F/Disability/Veterans. PRO-0817-104263 Protiviti is not licensed or registered as a public accounting firm and does not issue opinions on financial statements or offer attestation services.

Contacts

Richard Williams Global Healthcare Lead +1.214.395.1662 richard.williams@protiviti.com

Kyle Furtis Northeast Region Lead +1.908.343.8962 kyle.furtis@protiviti.com

Vickie Patterson Compliance Lead +1.813.348.3407 vickie.patterson@protiviti.com

Alex Robison West Region Lead +1.602.273.8022 alex.robison@protiviti.com

William Thomas Southeast Region Lead +1.813.348.3373 william.thomas@protiviti.com

Don Billingsley Revenue Cycle and IA Lead +1.214.476.2933 don.billingsley@protiviti.com

David Kupinski Central Region Lead +1.513.362.1734 david.kupinski@protiviti.com

Matthew Jackson Information Technology Lead +1.214.284.3588 matthew.jackson@protiviti.com

Nicolet Araujo Quality of Care and HIM Lead +1.213.327.1336 nicolet.araujo@protiviti.com

of the remediation efforts, Protiviti helped the

client to develop key policies and procedures to

specify management’s expectations for those areas.

Third-Party Vendor Risk Management

• Our client, one of the largest nonprofit healthcare

delivery systems in the U.S., was seeking assistance

in designing and implementing an effective vendor

management framework that would allow them

to better identify and control risk associated with

third-party vendor relationships.

• Protiviti assessed processes, policies and

technologies to gain a better understanding

of current practices. That included attending

workshops to understand stakeholder roles and

responsibilities; identifying the client’s third-

party vendor services portfolio; and evaluating

existing procedures for managing contracts and

assessing risk criteria for various vendor types,

including those with offshoring sub-delegates.

• Protiviti provided real-time improvement

recommendations based on industry-leading

practices and regulatory requirements that would

allow the client to be better positioned to identify,

minimize and manage vendor risk on an ongoing

basis. Deliverables also included third-party

vendor oversight policies and an enhanced vendor

management methodology and framework.