Our Services
PAYOR CONTRACT NEGOTIATIONS & REIMBURSEMENT
—maximize revenue—
Contract negotiations with health plans and hospitals
Fee schedule development
Capture of supply charges and other overlooked revenue
Monitoring of payor reimbursements for accuracy
Termination of non-favorable payor agreements
BUSINESS ANALYSES
—boost profitability and efficiency—
Production benchmarking against MGMA data and other indicators
Analyses of accounts receivable, expenses and profitability
Front-office tools and training
Business office effectiveness review
Billing performance audit and recommendations
Practice start-up assistance
CODING ASSISTANCE
—obtain highest allowable reimbursements—
Assistance with CPT, diagnostic and HCPCS coding and modifiers
Physician and staff education regarding coding pitfalls and best
practices
Coding and denial oversight to track and correct payor EOBs
Mock Medicare RAC audits to ensure compliancy of your code
selections and documentation
CREDENTIALING
—maintain revenue channels—
Deadline management, and completion and submission of applications for:
Medicare
Medicaid
Hospital privileges
Health plan provider panels
Addition of physicians or non-physician providers (PAs/NPs) to your practice
REGULATORY COMPLIANCE
—maintain good relations and avoid crises—
Outsourced compliance planning and oversight
Compliance advisory services for practice leadership
Support through HIPAA violations, breach notifications and corrective action plans
HIPAA policy and procedure updates under the ARRA HITECH Act
Preparation for successful accreditations, including AAAHC or outpatientbased JCAHO surveys
MEDICAL PRACTICE MARKETING
—improve patient volume, payor mix and market reputation—
Strategic marketing plan development
Implementation of marketing and communications campaigns
Branding, including review of the total patient experience
Strategic use of social media and other emerging mediums