MEDICAL PRACTICE MERGERS

Bringing two or more entities together to enhance efficiency, profitability, and quality care.  Services include:

Design revenue and expense sharing formulas

Staffing and reorganization and implementation

Management structure

“Divorce Clauses”

Buy-in and Buy-out formulas

Stark law compliance

Post merger integration

PROFITABILITY ENHANCEMENT STRATEGIES

FTE to provider ratios

Billing and collection service analysis

Provider compensation analysis and recommendations

Overhead expense analysis

Revenue enhancement analysis

Various scenarios and solutions will be presented to quantitatively and qualitatively correct (or develop) the current situation, and identify transition strategies, if appropriate.

MEDICAL PRACTICE APPRAISAL & VALUATION SERVICES

PHYSICIAN GROUP MODEL ASSESSMENTS

HCG will assist in developing Physician Group Practices or will restructure your financially or operationally troubled Group Practice.

*Provides in-depth analysis and design scenario options

Restructure physician compensation agreements

Enhancement of physician organizational structures

In-depth analysis of the infrastructure necessary to accomplish your objectives

CODING EDUCATION AND SUPPORT

Medical services are reimbursed based upon the codes submitted.  The rules are complex and ever changing.  Documentation/ coding reviews can be a valuable tool in uncovering inadequacies. Results demonstrate more accurate claims submission, decreased denials, improved cash flow, compliance with government and payor regulations, and increased employee knowledge and retention.  Our AAPC/AHIMA-certified staff services include:

*Documentation/coding reviews with the physician(s) and their staff

Charge entry reviews

Analysis of coding policy and procedures

Analysis of “Coding Patterns”

Superbill/charge master review and documentation template development

Customized training in CPT-4, IDC-9, HCPCS coding, modifiers

Annual coding updates

COMPLIANCE PLAN DEVELOPMENT AND EDUCATION

Healthcare providers are facing intense scrutiny by the government for possible fraud and abuse violations.  An integrated, comprehensive compliance program is a necessity for all medical practices.

*Assist in development and implementation of a compliance program

Develop the overall program structure

Operationalize the program

Provide procedures and reporting forms

Mitigate risk