Who We Are
Solutions for Success
Arias & Arias Inc. A Nursing Corp. was founded in 2018 with a single mission: to be the most successful, creative and ground-breaking consulting agency in the U.S. We approach each of our clients with fresh eyes to develop customized, unique strategies. Though we’ve grown since our founding, we’re still the same agency at heart. Let us help make your dreams a reality. Are you ready to set your business on the path to success? Give us a call today and see what we can do for you.
Paul Arias
Paul Arias RN BSN MIS EJD CMAC is the founder and lead consultant of the company with close to 20 years of coordination and executive leadership experience. He has led many redesign projects for care coordination in hospitals and healthcare systems. He is a published author of various care coordination articles and the book entitled Prevent Denials and Win Appeals: The Hospital Case Manager's Guide to Revenue Integrity
Welcome to Arias & Arias Inc. A Nursing Corp.
Consultation for all Care Coordination, Utilization, Revenue Cycle, Transitional Care, BPCI, Acute Care at Home and Post-Acute Care Strategy needs
From implementing new business strategies to ultra-efficient work processes, Arias & Arias Inc. A Nursing Corp. is ready to tackle any challenge and put you on the path to success. Since 2018 we’ve helped our clients by delivering services that transform the way they do business. Contact us today to schedule a consultation.
What We Do
Utilization Review Process Improvement
From ED to Back End we will design a program to prevent denials and earn net revenue while ensuring proper coverage by staff without added expense
Care Management Redesign or Enhancement
Redesign your current workflows or enhance current processes to provide better outcomes for KPIs such as LOS, throughput, high LOS patients and difficult to place patient population
Transitions of Care
From Creation of a new program to modern design to reduce readmission and to tackle SDOH. Our TOC program designs are ground breaking and can lead to long term outcomes while addressing many of the needs of not only Medicare patients but other populations as well.
Value Based Programs
Whether you are in need for assistance with BPCI, Hospital at Home, ACO or any other VBP programs we are here to help. With millions of dollars earned through the years in many of the VBP programs we can assist you in designing what is right for you to achieve the success you need.
Arias & Arias Inc. A Nursing Corp.
Proven Results
Introductory Consultation
Expert Guidance
Looking to redesign or assess your current or future needs for any case management workflows but not sure where to turn? Need help planning or executing your next project? Let us guide you. Any organization can move forward with small incremental changes, but building for the future in today’s rapidly evolving environment means implementing bold initiatives and making insightful decisions.
Strategic Planning Session
Enhance your Business
We examine what organizations are doing to stay relevant and competitive in this fast-paced world, and which ones are doing it best. We then strategize using smart tools and competitive resources in order to understand the implications of every choice our clients can make. Get in touch to learn more about how this service can help you.
Contact us and find how our services can benefit your company.
Examples of Outcomes
Transitional Care/BPCI/ Readmission Outcomes
Development of Programs with reduction of readmissions at small to large academic medical centers leading to improvements as much as 21.5% to 15.8% in just 3years with elimination of penalties. Additionally, the TCM program was tied to BPCI that generated over $5 million dollars in revenue in the same timeframe.
Additional outcomes including reducing sepsis readmissions through an NP led TCM model from a 30% readmission rate to a 15.4% rate along with driving mortality down during the same 2-year period.
Length of Stay Reduction
Care Coordination/Case Management model redesign and enhancement has led to many savings and reduction in LOS. Models have included dyad and triad design. Each facility or health system is unique so it can require a different approach. Some of the outcomes included reducing LOS from 6.5 days to 5 days at an academic medical center to exceeding the 85th percentile for a severity adjusted LOS compared to other large 800+ bed facilities with a reduction of LOS by 0.5 days in just 6 months that included revenue of over $7.8 million dollars.
LOS reduction was also accomplished at other facilities with implementation of complex care programs with emphasis on high LOS patients with multiple barriers. At one inner city facility with over a 78% Medi/Medi payer mix a reduction of LOS from 21 days on average to 16 days was accomplished with this method and a reduction of cost of over $1 million dollars per day.
Denial Reduction
Average Denial Reduction at most locations is around 3% which generally leads to revenue of $7 to $12 million net per year. It can lead to more depending on discharges and adjusted net revenue per discharge. UR/UM strategies are a major strength of our consultation including having published a book on this subject and many articles and providing lectures across the U.S. to many audiences.
These are just some of the outcomes that Arias & Arias have achieved through the years. Contact us to discuss your needs.
Price List
Take Your Pick
Small to Mid-Size Facilities
Prices based on hourly rates for consultation planning and execution.
Large or Multi Site Facilities
Payment based on % net revenue earned after execution of changes and money earned.
Contact Us
Contact us and find how our services can benefit your company.
315-450-1400
