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Putting the Pieces Together

In many years of working with hospitals, health systems, medical practices and even as compliance officers, our consultants experienced less than satisfactory results and efforts by consulting companies—large and small. Thus, KHC was created to fill that expectation gap. As one of our clients said, "we bring the pieces together"—we understand the diversity of the regulatory and operational issues, with eyes on patient care and the finances to help our clients reach their goals.


We focus our energy on what we do best—capturing the momentum created when there is improved knowledge, process and understanding. We are looking for relationships rather than high volume. We provide a wide array of services. See our Sample of Engagements.


It’s easy to say “we’re consultants” but that tells only part of the story. We have chosen this profession after working in the health care industry as Nurses, Financial and Regulatory positions, Managers, Administrators, Coders, HIM Directors, Patient Financial Services Directors and Compliance Officers.


Because of this background we work  collaboratively to get solutions and answers that work for you and your health care organization.


Often the problems facing the client includes some lack of knowledge, but is mostly caused by the lack of the same language and understanding between the stakeholders—medical providers, finance, coders, billers, regulators, nursing—we use what sounds like the same words, but the nuances and meanings are different.

We bring the pieces together.

• Regulatory Compliance

• Operational Improvement

• Revenue Cycle Improvement

• Education and Training

• Due Diligence



• 08/30/2017 at noon

Recoupments Caused by CMS Transmittal 721

Presented by Deanna Turner. In 2014 Medicare sent out Transmittal 541 indicating that when a hospital was denied payment for a service for lack of medical necessity, the physician would face recoupment for the related services. Then, almost nothing happened. With Transmittal 721, Medicare added teeth to the recoupment by MACs, under CERT, by RACs, SMRC, and ZPIC/UPIC. CMS also changed the names of the types of review performed by these auditors. Although from CMS' perspective it "levels the playing field", many physicians and surgeons will be surprised by the recoupments.


In this 30-minutes Kohler Connection Seminar you will learn about who and how these recoupments are determined. You will also learn how the types of reviews will be changing. In addition, you will learn about how to make sure that the reviewers are meeting their requirements.


• 09/13/2017 at noon

In-Patient Rehabilitation Facility (IRF) Denials: Are You Meeting Basic Medicare Coverage Criteria?

The Presentation will include the Importance of Understanding IRF Admission Guidelines, Coverage Guidelines for IRF Admissions, and Preventing Errors and Avoiding Denials.

Presented by Daria Malan.


• 09/27/2017

Provider-Based (Regulated) space, regulations, and billing.

Presented by Charlotte Kohler covering the many changes that are now in place and the upcoming changes.


10/02/2017 from 5:30 to 7:30 p.m.

How to Incorporate a Strategic Business Model to Ensure a Viable Urgent Care Center

Charlotte Kohler will be leading a workshop at the 2017 Urgent Care Centers Congress at the Loews Royal Pacific Resort in Orlando, FL.



12/09/2017 from noon to 4 p.m.

The 3rd Annual HFMA CDM Forum

KHC will be sponsoring this event and we hope to see all of you there. This event is an informal and interactive walk through of the January 2018 updates impacting hospital charge masters.


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Maryland Hospital Association


Collaboration + Knowledge = Sustainable Results

Web pages available as PDF flyer. Contact us for details.