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