ADMINISTRATION
CREDENTIALING AND PRIVILEGING
A high quality treatment and happy patients are not result of a chance but it is thanks to the well-suited team privileged to perform their highest to achieve good clinical outcomes. This is where we provide the most value, handling your credentialing process from A-Z for each role and perform all the necessary source verifications for you.
- Oversee and manage all credentialing, appointment, reappointment processes, perform audits on existing files, implement a program for organization and tracking.
- Providing tools and templates to create a robust process on priveleging
- Managing credentialing packets and guidance on maintenance for easy access
- Gov Body reviews on suspended licenses
- Guidance on reporting and account set ups.
And more...
REVENUE CYCLE & FINANCIAL MANAGEMENT
We create a seamless process for your billing, collections and financial practices. From ensuring timely collections to staying up to date with compliances, we are your trusted partner.
- Develop/Revise patient financial policies.
- Analyze trends and offers solutions after reviewing changes in charges/collections/ patient/client volume and payor mix
- Revise Patient fee schedule if necessary
- Improve internal cash controls
- Improve Personal Injury (PI) Negotiations, create a structure for organization and increase collections
- Develop an expense management model and implement tools
- Oversee management of accounts receivable and collections
- Manage medical Coding of all cases
- Perform Root Cause analysis on Denials
- Manage Insurance Carrier Credentialing
- Insurance Verifications
- Report on practice revenue, performance, and areas for improvement
- Lien recovery services
And more..
INFORMATION TECHNOLOGY
We spearhead key resources in information technology to make sure you the needs of your facility is met through our IT partners. We understand efficient use of technology plays an important role in the success of your center, efficiency in your operations and increases patient satisfaction
- EMR/EHR integration and implementation support
- First level hardware/systems support
- Phone systems, translation services, front desk support
And more..
HUMAN RESOURCES MANAGEMENT & STAFFING
Proper management of human resources is critical in providing a high quality of health care.Effective human resources management strategies are greatly needed to achieve better outcomes and maintain reputation of the facility. We help you develop personnel policies, employee retention, staff education and more.
- Provide staffing for the facility with current openings
- Review all company HR files, perform a full compliance audit, revise policies if necessary
- Create a new workforce model to ensure full optimization of staff and revenue drivers support the model and overhead
- Re-define roles for optimizing staff time and create key performance measures
- Reduce overtime pay in clinical/business units and identify causes
- Provide HR-related forms and train management on how to utilize
- Implement a formal performance management program
- Guidance on succession planning
- Improve orientation process and staff education program
And more...
RECORD OF CARE MGMT
We assess the medical records and health information system of the facility and ensure compliance in standards and protection of confidentiality.
- Audits to ensure proper maintenance, security and legibility
- EMR system vetting and implementation
- Policy and procedure development
- HIPAA policy manual and assessments
- Working with Privacy officer for ongoing education
And more..
DESIGN & DEVELOPMENT
Our partners consisting of licensed architects, developers, real estate agents will help you from A-Z from the purchase to design and development. We ensure every aspect of the design is compliant with codes and planned to create a state of art facility.
- Site evaluation and selection
- Licensing applications including Certificate of Occupancy
- Site Design (Interior and exterior)
- Equipment purchasing and maintenance
- Project management during construction
- Feasibility analysis
- Business set up and development (Entity structure, bank accounts, insurance credentialing, accreditation application)
And More...