Healthcare Analytics & Reporting Services

Aspen Consulting Service specializes in transforming large amounts of healthcare data into analytic and economic insight.  With over 25 years of industry experience, Aspen’s expertise is in making healthcare data relevant & actionable through customized solutions.

A primary capability area for Aspen is in leveraging the Centers for Medicare and Medicaid Services (CMS) Limited Data Sets to conduct extensive research & generate business insights.  CMS offers quarterly and annual claims datasets across multiple places of service (outpatient, inpatient, office, DME, etc.); however, the process of obtaining this data can be tedious.  Furthermore, once businesses obtain these datasets, having the expertise to ingest, analyze, and summarize this data can be challenging.

Our Approach

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Preliminary Discussion

Initially, Aspen consultants will work with the client on understanding the needs of their business to help form the Medicare proposal.  Aspen will make recommendations as to which CMS datasets will be required, as well as the frequency of updates required (quarterly or annual updates).  Furthermore, during this conversation, Aspen will make hardware recommendations to ensure data can be easily processed once received.

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Data Ingest

Once approved, Aspen will then guide the client through the dataset ETL process and apply testing & QA standards to ensure data is ready for analysis.

Data Analysis

Depending on the client’s needs, Aspen consultants will conduct extensive research on the topic of interest, which may include health economic modeling on a specific disease, prevalence rates for a target conditions, product impact on Medicare costs, hospital and provider usage reporting, and competitive insight across the US.

Medicare Application

Aspen will then draft an application for obtaining these Medicare Limited Data Sets, which includes a white paper research proposal designed to benefit the Medicare system (which is a requirement to obtain this data), as well as designate users and custodians of the data during the engagement.

Medicare NPI & 855 Filings

We regularly assist clients with preparing and advising on Medicare provider enrollment forms for Part A and Part B providers and DMEPOS suppliers, as well as enrollment and reassignment for individual practitioners.  Our practice includes working with new providers on completing and tracking enrollment applications in state Medicaid programs and assisting existing providers on change of information or change of ownership filings.  In addition, we can help providers navigate applying for NPIs, revalidations, and maintaining accurate enrollment records. 

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Summary & Recommendations

Aspen consultants will provide standard reporting, economic models, and recommendations based on level of engagement & client needs.

DMEPOS Supplier Accreditation Process

All DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) suppliers must obtain accreditation prior to being awarded a contract under the Medicare DMEPOS Competitive Bidding Program. 

Aspen Consulting Service specializes in obtaining this mandatory accreditation by working closely with Accreditation Organizations (AOs) and the DMEPOS supplier to maintain a successful, streamlined process.

During the engagement, Aspen Consulting Service works with the DMEPOS supplier in selecting an appropriate Accreditation Organization, writing the 48 policies and procedures required for approval from the Accreditation Organization, which span all areas of the supplier’s organization (Human Resources, Finance, Billing, Retail Services, etc.), and assist in preparing for the unannounced onsite survey.   Once approved through accreditation, Aspen Consulting Service will continue to work with DMEPOS suppliers in completing the Medicare enrollment process and becoming a Medicare approved vendor.  

1

Select an accreditation organization approved by CMS

*The organization will verify whether or not applicants meet the standards, including compliance with federal and state licensure requerimets.

2

Submit application and required documents to the organization

*The organization will review the application and documentation, which can take about 4 to 6 months.

3

Pass the survey conducted at applicant’s place of operation

*The organization will visit the applicant’s place of operation unannounced to conduct a survey and report the accreditation to the National Supplier Clearinghouse.

4

Complete Medicare enrollment forms with the CMS

*A form from the CMS website will need to be filled out and submitted.

5

Purchase a DMEPOS surety bond

*Suppliers must obtain a $50,000 bond for each location at which they operate, and the bonds must be submitted to the Supplier Clearinghouse.

Our Team

Deborah Dean

Deborah Dean

Chief Executive Officer

Jim Dozier

Jim Dozier

Chief Information Officer

Brandon Hubbs

Brandon Hubbs

Chief Data Scientist

Luis Simonet

Luis Simonet

IT Officer

Contact Us

E-mail

info@aspenconsultingservice.com

Phone

404-932-8117

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