A “Snap-Shot Review” Of Your Practice’s Financial Position ECS’s Practice Management Review/Assessment is the equivalent of performing a “snap-shot” review, or a history and physical on your practice. Whether you think you are in wonderful shape, or are in significant financial or operational pain, we will take a look at your practice. ECS solves complex practice management problems with a high degree of technical skill. We understand the economics of medical practice, as well as the need to balance the business side of medicine with high standards of quality health care delivery. ECS's practice management services range from a focused review to a “big picture” assessment of the practice’s finances and internal operations to management.
How do you know if you are capturing all your revenue? Are you in compliance with government rules based on billing, coding, and reimbursement “risk areas”? The government recommends a “minimum” of at least 1 to 2 reviews per year of your practice. This does not include some of the items listed below that MUST be done regularly.
Are you making sure denials aren’t being written-off or “hidden in your adjustments”?
Is there communications between your back-end and your front-end staff?
Are your Charge-Tickets Updated?
Are you educating your providers and staff?
Do you have written policies and procedures?
Do you perform quarterly or monthly charge-capture, coding and denial audits?
Is your Fee-Schedule up to date, and is it based on Reasonable & Customary by geographical location or based on a Medicare Formula?
What about CPT/HCPCS Modifiers?
Are your E&M codes appropriately being assigned correctly, not just the levels of service, but what E&M coding category assignments?
Have you performed an E&M Bell Curve Analysis by Specialty?
Have you updated your PPO Contracts? Do you bring in your PPO Rep. monthly to discuss claim denials?
Do you need help in re-negotaiting new PPO contracts?
Does your staff know how Medicare and PPO Payers work when it comes to polices, and is your staff educated in Medicare Reimbursement Rules?
Does your Staff know what ERISA is vs. the Summary Plan Design (SPD) and how this relates to payer reimbursement polices?
Coding, billing, and getting paid if you do not step back and review your practice?
After performing the assessment, we will meet with you in person to present a comprehensive review of the findings, as well as recommendations for improvements. You will have a clear understanding of how to take your practice to the next level. The results of a ECS Practice Management/Assessment provides you with the knowledge and guidance that can help improve your revenue, as well as, long-term financial stability.
Clients who follow the recommendations experience:
Greater practice profits
Increased patient satisfaction
Improved employee morale
Reduced stress for the physician and staff
And many more!
Every practice has its own unique challenges and provisions, and your assessment may include, but is not limited to, an in-depth review of: