Services

Administrator, CEO, and Office Manager

• Full Service Administrator and CEO Temporary Fill in Services during Vacancy and Recruitment Periods
• Job Description and Position Development
• Training, Mentoring, and Accountability Strategies
• Compensation and Annual Bonus Strategies
• Recruitment
• Employment Agreements

Advertising, Image Management, Marketing and Public Relations

• Development and Placement of Business and Clinical Stories in Print and Electronic Media
• Clinical and Business Text Writing for all Purposes; Brochures, Patient and Practice Forms, Web Sites, Clinical and Site Announcements in the Media, Communications with Governmental Officials, Governmental and Insurance Appeals, Effective Direct Mail Letters to Referral Sources
• Image Management Strategies for Physicians, Medical Entities, and CEO’s
• Television, Radio, Print, and Social Media Advertising Strategies and Placement
• Crisis Management Response
• Patient and Client Testimonials-Identifying the Appropriate Patient, Interviewing, Constructing Compliant Patient Releases, and Utilization of Patient Testimonials
• Community and Clinical Education Seminars
• Advertising, Marketing and Public Relations Training for Administrators/Managers/Physicians
• Web Site Review and Assistance in Selection of Web Site designers and Custodians
• Referral Source Marketing
• New Clinical Service Line Marketing
• New Provider and New Market Strategies
• Direct Mail Marketing
• E-Mail Marketing Strategies
• Full Brochure Development
• Physician, Clinician, Provider, and Facility Marketing
• Physician Recruitment Marketing
• MRI and Imaging Marketing, Ancillary Service Marketing

Aircraft Ownership and Leasing-Fractional Aircraft Ownership Provisions

Banking Assistance

• Banking Liaison-Selecting an Accountable, Compliant, Responsive Banking Organization
• Multi-Bank Loan Rate Negotiation Assistance (Building and Construction Loans, Line of Credit, Equipment Loans, Permanent and Adjustable Rate Loans, New Physician Home Loans)
• Ensuring the Personal Banker Response for your group

Budget Services

• Creation, Analysis, Implementation, and Ongoing Review  
• Annual Budgets for Single and Multiple Physician Practices, Clinics, Research Facilities, Specialty and Full Service hospitals
• Budgets for Specific Service Lines, Cost Centers, or Satellite Offices
• Budgets and Performa’s for Special Projects or New Business Development

Building and Facilities

• Full Design, Build, Selection Assistance and Management Advisory Assistance-Owner Advocacy with:  Architects, Developer, and Builders-ASC’s, Medical Office Buildings, Hospitals and Clinics
• Review, Negotiation, and Client Advocacy Assistance for all Construction Draws
• New Building Technology Liaison- Radiology, IT, MRI
• Management Assistance with/ of Tenants and Sub Tenants
• Liaison with Medical Office Building and Property Management Entities
• Selection and Accountability of Vendors and Partners
• Review of Operating Easement Agreements and Site Development Documents
• Review of Leases and Sub Leases
• Creation and Implementation of a Seamless and Effective Practice Relocation Plan
• Medical Building Valuation Process

Business Development

(also see Advertising, Marketing, Public Relations, & Joint Ventures)

• Uncovering Underserved Market Opportunities
• Analysis and Development of New Business and Market Opportunities
• Implementing and Managing Satellite Office Settings
• Implementation of Proven and Effective New Market Development Strategies
• Becoming the Preeminent-Preferred Providers in your Market Segment and Business Lines
• Discovering and Putting to Work your Business Strengths-Uncovering and Filling your Market Niche
• Business Development Agreements that are Compliant, with High Schools, Colleges and Universities, Hospitals and Other Businesses Entities

Clinical Assistance

• Recruitment and Hiring of Clinical Coordinators/Managers
• Customized Employment Position Descriptions; Medical Assistant, Radiology Technician, MRI Technicians, Clinic Nurse, Physician Assistants, Surgical Assistants, Temp Positions, and others
• Development of Clinical Policy and Procedures
• Purchasing Protocol and Policy and Procedures, including Vendor Negotiations
• Compliance with Regulatory Agencies regarding Clinical Procedures and Protocol
• Meeting Managed Care Clinical Care Requirements, Guidelines, and Audit’s
• Development of Practice Specific PQRI Plans and Assisting with Implementation

Compliance Issues and Assistance

• Development of OIG Corporate Compliance Plans
• Development of HIPAA Corporate Compliance Plans
• Post Medical Record Audit Compliance Training for Physicians and Physician Assistants
• OSHA and Radiological Compliance
• CMS Compliance Standards and Changes
• Stark Compliance
• Safe Harbor Compliance
• Compliance with Medicare and Medicaid Fraud and Abuse Statutes
• Records Retention Policies
• Investigation of Patient and Employee Allegations of all Types
• EMTALA Allegation Investigation and Response
• Avoiding Patient Abandonment Allegations

Conflict Resolution and Mediation

• Employee, Department, and Practice Wide
• Physicians
• Confidential Interventions
• Individualized and Specific Conflict Analysis and Resolution Strategies
• Strategies to Create a More Conflict Free Healthcare Business Environment

Customer Service

• Customized Customer Service Plans and Strategies for Physicians, Physician Groups, Clinicians, Hospitals, and Clinic Settings
• Design and Implementation of Patient Satisfactions Surveys and Analysis
• Proven Strategies for Referral Source Communications
• Building the Customer Friendly Patient Atmosphere in your Medical Business
• Using Customer Service Reporting to Improve Staff and Physician Response
• Building Customer Service and Reward into the Employee Experience
• Using Customer Service and Clinical Outcome Results to Develop Improved Negotiation Relationships with Managed Care Entities and Governmental Groups

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

Governance Assistance

• Board of Director Responsibilities, Management, and By-Laws
• Committees and Subcommittees-If, When, Where, and How. Development and Oversight Strategies of Committees and Subcommittees
• Creating Governance Acceptance with the Physicians and Staff
• Creation of Reimbursable Positions for Physicians in a Management Role such as Physician Managing Partner

Governmental Relations and Advocacy

• Advocacy, Proposal Presentations, and Appeals with Local and State Regulatory and Legislative Bodies and Elected Representatives
• Advocacy with State Insurance Commissions and or Commissioners
• Advocacy and Appeals with Various Departments within State Government
• Advocacy and Appeals with all County Health Departments
• Advocacy, Proposal Presentations with; United States Public Health Services-Indian Health Services, and Native American Tribal Governments and Health Departments

Group Practice Mergers and Acquisitions

(Also note Joint Ventures)

Human Resources

(See Personnel and Human Resources)

IPA’s/IPO’s

• Organizing Documents
• By-laws
• Legal Requirements and Limitations
• Board and Member Development
• Budgets, Dues, and Expenses
• Marketing and Expansion Strategies

Joint Ventures

• Hospitals and Physician Practices
• Physician Practices and Physician Practices
• Governmental Joint Ventures and Agreements
• Community Based Joint Ventures

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

MSO’s –Managed Services Organization

• If you Want a Service or Set of Services, We Can Find and Deliver Them
• Building your Own Community Provider MSO

Pension Profit Sharing Plans

• Developing Plan Design around Group Goals
• Selecting Investment Platforms and Criteria for Evaluation and Selection of Vendors
• Effective Plan Administration and Quarterly and Annual Testing and Accounting
• Selection of a Fund Investment Advisory Team
• Ensuring Plans Fit within IRS, DOL, and ERISA Guidelines
• Promoting your Plan to Employees

Personnel and Human Resources

• Temporary Replacement-CEO, Administrator, Office Manager, and CFO
• Administrator, Manager, Key Employee Mentoring and Training
• Development of all Personnel Policies and Procedures and Employee Handbooks
• Development of Activities and Practices that Improve Employee Retention and Satisfaction
• Development of Accountable and Actionable Position Descriptions and Annual Evaluation Tools
• Conflict Resolutions and Mediation- Practice Wide, Inter Departmental, and Individual
• Sexual Harassment Investigations and Annual Sensitivity Training
• Investigation of Reports of Alleged Improper Contact with Patients by Physicians and Clinical Staff Members
• Employee Benefit Package Review and Design
• Employee Training and Mentoring
• Planning for Group Growth
• Creating Wellness Programs and Incentives
• Personnel Intervention and Training of all Types

Physician Assistance

• ASC Design, Ownership, Regulatory Eligibility and Assistance
• Evaluation of Physician Partnership Buy-Ins and Buy Outs
• Fractional Aircraft Ownership and Leasing-Evaluation of Group and Individual Needs
• Review of Agreements
• New Physician Recruitment and Relocation Assistance
• Creating and Supporting Physician Retention Programs
• Communications and Cohesion Enhancement Strategies for Physicians in a Group Setting
• Hospital and Health System Liaison and Negotiations
• Pay for Call Negotiations between Health Systems and Physicians
• Pay for Physician Recruitment Costs between Health Systems and Physicians
• Navigation of Practice Issues of Ancillary Services Overlap and Competition with Hospitals
• Hospital Ownership of the Medical Practice-In Your Best Interest or Not
• Analysis and Design of Physician Compensation Strategies
• Contract Physician Employment Contracts
• Partner Physician Employment Contracts
• Physician Overhead Insurance
• Physician Disability Insurance
• EMTLA Reviews
• Providing Liability Audits and Remediation
• Working with Websites Rating Physicians-Managed Care, Insurer, and Consumer

Physician Assistants (Use Of)

• Physician Assistant Recruitment
• Analysis and Strategies for Cost Effective Utilization of the Physician Assistant
• Physician Assistant Retention Strategies
• Physician Assistant Position Descriptions
• Physician Assistant Evaluations, Salaries, Bonus and Incentive Programs
• Creating Team (Cohesion) Among the Physician Assistants
• Reimbursement Assistance for the use of Physician Assistants
• Strategies to Improve Managed Care Reimbursement for the use of Physician Assistants

Strategic Group Planning

• Customization of Strategic Group Planning Sessions Leading to Actionable and Accountable Strategic Plans
• Strategic Plans for Nearly Any Medical Organization (Annual and Multi Year)
• Checking Up On and Revising your Strategic Plan

Technology Implementations

• Vendor; Analysis, Selection, Negotiation, Accountability, and Customer Technology Education
• In House or External IT Department, How to Decide and When to Decide
• Finding an Accountable IT Vendor
• VOIP-Voice Over IP Phone Systems
• EHR, EMR systems-ASP or Web Based.  Full EMR or Document Management Systems. Designing User Group Evaluations Necessary to Select the Best Program for your Group. Assist in Facilitation of Successful Negotiations with EMR Vendors. Ensure a Seamless EMR Implementation and Utilization
• HIE-Health Information Exchange
• Gaining Meaningful Use Status
• Practice Management Software/Systems
• Automated Patient Appointment Reminder Programs
• Automated Superbill Reader Software and Hardware
• Data Mining Software/Systems
• Digital Dictation Downloads
• Web Site Patient Portals
• Web Site Patient Registration
• Web Site Patient Bill Pay
• External Data Back Up
• Computed and Digital Radiography
• PACS Systems
• MRI Selection (including assistance with ACR Accreditation)-Evaluating; Competitor Options, Platform Benefits and Limitations, Creation of Effective Business Plans
• Marketing and Leveraging your Organization’s Technology