Consultations and implementation are offered in the following areas to enhance the patient care experience and improve the work environment:
-
Physician Revenue and Cash flow Enhancement
The complete revenue cycle is reviewed beginning with a thorough analysis of accounts receivable by examining the explanation of benefits rejections. Each step in the process is mapped and improved or redesigned as necessary to correct problems. The roles of various staff are defined and the appropriate training is designed as necessary.
-
Practice Operations Improvement
The practice processes are reviewed mapped and reworked as required to enhance the patient flow and efficiency of the facility. Appointment systems, telephone access, registration, check in, managed care eligibility, the clinical encounter and check out processes are all reviewed. Electronic solutions are evaluated to automate the processes.
-
Physician Coding and Documentation
Coding and documentation patterns of physicians are evaluated to identify any deficiencies. Appropriate educational programs are implemented to correct any problems. Electronic systems for claims review prior to submission are evaluated.
-
Managed Care Contracting for Physicians
Managed care contracts from a rate, medical management and a payment policy standpoint are reviewed. Negotiating strategies are tailored to correct identified issues. A payer compliance program is developed to ensure the managed care companies are paying at the contracted rates. Revenue recovery plans are created and implemented.
-
Physician Compensation and Productivity
Physician compensation plans and methodologies utilized to measure physician productivity are carefully reviewed. Revised compensation programs that foster physician productivity, satisfaction and retention are recommended.
-
Medical Staff Development
Work with Governance and management to create a medical staff development plan that emphasizes physician recruitment and retention strategies. Plan and help institutions who wish to facilitate the transition of physicians from an employment model to private practice so as to maintain physician loyalty and ensure future practice success.
-
Facilities Planning and Development
Serve as a liaison between architects and physicians to ensure understanding of both medical and architectural process. With this cooperation facilities are designed that foster patient flow, facilitate physician practice efficiency and enhance patient satisfaction. The proposed practice processes are mapped and flow charts utilized to ensure the design adequately addresses practice needs.
-
Inventory management
Systems are developed that allow for standardization of common medical office supplies. The best prices and best service from suppliers are negotiated. Practice policies are developed for the ordering, receiving, stocking and distribution of medical supplies.
