Monmouth Partners works extensively across the independent healthcare sector. Our range of expertise combines clinical coding, analyst, clinical, financial and business strategy support to meet the needs of both insurers and healthcare providers.
From the hospital perspective, we have been providing clinical coding services to independent hospitals for over five years and recently completed a successful EPR upgrade programme across multiple hospitals. Meanwhile, for insurers, we continue to deliver a rolling audit programme for one of the UK’s largest private medical insurers and developed the UK’s first standard schedule of prostheses with a leading health insurer.
Examples of our services and recent work across the independent healthcare sector include:
Monmouth’s work with private hospitals and providers focuses on capturing, using and improving clinical and financial information. Our core services include:
Private medical insurers and corporate healthcare trusts
Monmouth support PMIs across the pricing and payment cycle – contracts and negotiation, pricing schedules, claims processing and billing audits. Sophisticated logic, alongside our experienced analysts and clinical team, accurately identify billing errors, even when price screening has already been applied.
NHS Private Patient Units (PPUs)
We work with NHS private patient units to improve operational performance and increase private patient revenues.
As with independent providers, we support PPUs with pricing and packages, commercial agreements with insurers, revenue capture, clinical coding, better utilisation of facilities and market intelligence, demand analysis and business planning.
For more information
Andrew Lawrence, Managing Director at Monmouth Partners, explores three key challenges for the NHS as it transitions tentatively into a recovery phase from Covid-19.
Monmouth Partners supports independent hospitals with SUS data submission during