Practice Business Analysis and Practice Improvement
This can and nearly always includes finding significant opportunities for improvement in the revenue cycle, but can include staffing utilization, community and market analysis, strategic planning, competitor impact, opportunities for expense reductions, physician compensation analysis, clinic flow and improvements, customer service and referral source analysis, updated fee schedule analysis and managed care contracting. We believe we can do this in a highly individualized manner that does not create staff anxiety.
Managed Care Analysis and Negotiations, Contract Management & Fee Schedules
Evaluation of Current Contracts and Contracting Strategies-Are You Getting Paid Correctly (according to your contract) and or, is the Time Right for a New Set of Strategies and Contracts and Negotiation with Managed Care Organizations- Development and Implementation of Effective Contracting Strategies
- New Physician Credentialing and Contracting
- Fee Schedule Analysis, Development, and Implementation
- Helping Managed Care Understand the Value of your Organization
- Working with Local and State Indigent Care Plans
- Appeals with Managed Care Companies Claiming ERISA Plan Exemption from State Law
Finance Issues
- Dashboard Reporting-Design and Construction of Business Reporting and Business Analysis
- Profit and Loss Statements; Full Monthly, Quarterly, and Year End Financial Reporting
- Special Analysis of all Types-Managed Care Payments , Reimbursement Trend Analysis, Accounts Receivables, Facility Expenses, Departmental Reports, New Service Lines and Ancillary Service Program Performance
- Business Office Analysis-All Aspects of the Revenue Cycle; Managed Care Contract Negotiation and Payments, Co-Pay Collections, Electronic Remittance, Self Pay and Managed Care Payments, Outstanding Patient Balances, Managing External Collection Agencies and Accounts, Conflicting and Absent Data, and Practice Performance Fluctuations and Concerns
- Billing and Collections Reporting and Analysis-In House and Outsourced Vendor Services
- Building Accountable In House Billing and Collection Departments
- Design and Implementation of Strong Financial Controls; Petty Cash, Bank Deposits, Charge Cards, Daily Patient Accounting, Day Sheets, Co-Payments, Management of Computer Access Levels
- Responding to CMS and Insurer Audit and Recoupment Requests
- Patient Refund Policies and Procedures
- Patient Account Diversion to Outside Collection Agencies- Policies & Procedures, Account Tracking, Compliance and Accountability
- Pre End of Year Tax Planning for Medical Groups; PC’s, LLC’s, S and C corporations.
- Overhead and Expense Reduction Strategies
- Vendor Management and Purchasing Strategies
- Cost Saving Strategies in Professional Liability Coverage
