Recent Projects

Recession Information Technology

We have been working with local companies to optimize their Information Technology posture and expenses in light of the current recession.  Our services include:

  • Reviewing Information Technology budgets to optimize for reduced business revenues

  • Assisting with the capture of intellectual property that could be lost in downsizing.  Examples include capturing email, spreadsheets and documents from computers of laid off employees.

  • Evaluating third party agreements and vendors to optimize services rendered in light of the economy.

Medicare Advantage & Medicare Part "D" Implementation

We recently assisted a managed healthcare organization launch their new Medicare Advantage and Medicare Part "D" (prescription drug) business line.  Our activities include:

  • Being a key member of the Medicare application and bidding process with the Centers for Medicare and Medicaid (CMS) of the Department of Health and Human Services, resulting in the successful launch of a Medicare Special Needs Plan  with Part "D" Prescription Drug Coverage for the seven county area in and around Milwaukee, WI.

  • Negotiating the professional and hospital claims processing service agreement with a third party claims administrator,

  • Working with their Pharmacy Benefit Manager to implement the Part "D" claims processing system,

  • Identifying necessary changes to the internal systems and procedures to support the new business line,

  • Providing project leadership in key implementation areas.

Claims Processing Methodology Review

We recently helped a Medicaid provider review their claims processing methodology.  The project included:

  • Documentation of current services

  • Gap analysis of desired services

  • Identification and evaluation of alternative TPA's (third party providers) and in-house options.

  • Assurance of compliance with HIPAA and Sarbanes-Oxley.

  • Implementation assistance.

IT Network Problem Resolution

We spent some time helping a small dental practice work out the kinks in their office network. This included getting their DSL line correctly configured, implementing a gateway/router and firewall, provisioning for virtual private networking (VPN) so that the system could be accessed from home, and reconfiguring all of the office workstations to work, and be protected from viruses and spyware, in the new environment.