Medical Practice Consultation
A well-managed practice does not have one good solution. It is a package of variety of actions which include patient processing, proper documentation, well-trained staff, effective communication, caring doctors, and efficient billing and coding.
Practice Management is a 360° task that starts with accurate patient processing and leads to a successful visit. For a patient visit to go smoothly, it is important to gather all necessary information before the visit date and make all relevant information available to the patient. With effective management, both the patient and the practice can enjoy a good outcome. By following a few fundamental guidelines, practices will greatly increase the number of satisfied patients and reduce burden on staff. A well-managed practice means happy patients, productive staff, and increased revenue.
Operating a Medical Practice is more than Practicing Medicine
Managing a medical practice can be a challenging job, but a rewarding one as well. Each day presents new situations to cope with. Solution and great outcome will involve participation of every person working in the practice. We take on challenges that other billing companies shy away from. No job is too big or too small for us. We consult for Account Receivables, Claim Audits, Billing Analysis, Documentation Audits, Production Efficiency, and much more.
1. Account Receivables
We take on the challenge of recovering lost income for practices with our AR management service. During our research and recovery, we map out the causes for AR and then create a plan with solution and suggestion to avoid these pitfalls in future.
2. Claim Audit
We review exam notes to ensure documentation includes supporting evidence for billed services. If there is any missing information, we alert doctors to make needed addendums. Likewise, if we find service or information in medical records which has not been reflected on the claim, we give details to the provider to include any needed medical billing codes. We check for up-coding and down-coding issues as well. We also process insurance refund requests, medical review requests, and claim appeals.
3. Billing Analysis
We review practice billing for past 12 months. We review schedules, exam notes, claim submission, documentation, claim rejections, outstanding, and error rate. We put together a comprehensive report after our review and analysis is completed and we also provide recommendation for effective billing.
4. Production Efficiency
We work with providers to review different production reports. We generate reports by provider, billing codes, diagnosis, etc. We also create at a glance comparison reports and charts. With effective reporting, providers can create benchmarks and make informed decisions.
5. Service Documentation
We review supporting evidence for billed services. If there is any lacking in documentation for diagnosis of tests or procedures, we request correction by addendum by the provider.
6. Creating Success
We are able to do a practice reboot, reduce financial burden, help create an effective workflow, and increase the bottom line. We work toward a goal of reducing and eliminating insurance and patient aging balances.
How We Can Help Your Practice
We start by meeting with key people in the practice, take detailed notes, and discuss top priorities. We generate needed reports from billing software, clearing house, insurance portals, and gather information from doctors and staff. After documenting all data, we start working on the practice’s goals. We regularly report back to the practice on our findings and progress. Our time frame for practice consultation is defined by the practice needs.
Identify Practice Needs – Mapping Success
Your practice needs are going to be unique to your clinic, staff, patients, and community. We work with all staff to identify these requirements and work diligently to create possible solution as a team.
Meetings – Navigating the Future
We meet with provider and office staff at regular intervals. We give daily feedback and report any new information we discover in the consultation process.
Reports – Sharing Solutions
We share all our reports and findings with the provider’s office. Our reports contain detailed explanation of our findings.
