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Healthcare Practice Management Services, LLC


Optimizing Healthcare
Operations
PROFILE




                                                                                                   Introduction
We pride ourselves on becoming    healthcare practice management services is a healthcare
                                  consulting firm specializing in helping private and hospital
partners in your organization’s   based physicians in the areas of practice operations, billing,
                                  financial management, coding, practice start ups, compliance
success, and With more            and technology integration. We address our clients’ concerns
                                  by utilizing our considerable experience and knowledge to
than 65 years of combined         conceive and implement creative solutions.
                                   
experience, our consultants’      at hc practice management, we offer a variety of services
                                  designed to optimize your healthcare organization. our
distinctive approach Will help    healthcare practice consultants have extensive knowledge
                                  and experience in their fields enabling them to implement the
your practice recognize areas     most effective strategies for maximizing your potential. each
                                  program we implement is customized to address particular
of opportunity and maximize       opportunities for growth. We apply the optimal combination of
                                  services to ensure your specific needs are met in the area of
profitability.                    practice design and performance, including:

                                  •   interim management
                                  •   operational assessments
                                  •   cost reduction
                                  •   revenue enhancements
                                  •   productivity optimization
                                  •   strategic development
                                  •   information technology planning & implementation
                                  •   turn-key solutions




                                                                                                          3
ISSUE                                                             APPROACH




                                                                                                                                                                           Practice Design & Performance Management
                                           lack of business design clarity often leads to cost, quality,     We begin by clarifying the organization’s desired customer,
                                           care delivery and service issues that reduces patient             operational, and financial performance outcomes.
                                           satisfaction and frustrates employees, and can limit a            then using a comprehensive and fact-based analytical
                                           practice’s ability to realize desired growth and profitability.   approach, we carefully and concisely assess the current
                                                                                                             environmental context looking for any elements of design
                                           to realize the full benefits of design requires practice          that may be limiting performance:
                                           owners and management to clearly define what is needed
                                           to achieve desired business outcomes, organization                •   governance and decision making
                                           capabilities and culture.                                         •   directed strategy with delineated goals
                                                                                                             •   performance measurement – expense / revenue
                                                                                                             •   external – internal forces / opportunities
Practice Design & Performance Management




                                                                                                             •   risk management - organizational
                                                                                                             •   staffing (levels & capability)
                                                                                                             •   supporting administrative processes

                                                                                                             With a comprehensive understanding of the current
                                                                                                             organizational environment, we will assist you to make
                                                                                                             targeted changes in practice design that will have the best
                                                                                                             opportunity for performance improvement by eliminating
                                                                                                             non value-added work, removing redundancies, improving
                                                                                                             information flow, modifying job accountabilities, reducing
                                                                                                             resource waste, and modifying organization structure.


                                                                                                             OUtCOME

                                                                                                             • reduced costs and increased workforce productivity
                                                                                                             • increased customer satisfaction resulting from
                                                                                                               improvements in care delivery and responsiveness
                                                                                                             • improved profitability




                                                                                                                                                                                                  5
ISSUE                                                     APPROACH




                                                                                                                                                 Revenue Cycle Management
                           revenue cycle management is essential to a successful     We will take an objective view of your processes and
                           practice. this cycle involves many stages including       offer realistic solutions you can implement right away to
                           patient information gathering, reimbursement schedules,   achieve significant improvements.
                           insurance contracts, medical documentation, employee
                           training, billing processes, technology access and much   our review will include:
                           more. and despite attempts to automate the billing        • assess initial patient contact & registration process
                           process, many technology and service vendors have         • review charge capture and check-out procedures
                           yet to meet the needs and expectations of healthcare      • analyze billing and collections policies
                           providers because they fail to address the entire         • assess the overall effectiveness of the tools used in
                           revenue cycle.                                               your revenue cycle process - technology
                                                                                     • review critical performance metrics
                                                                                     • assess payor / fee schedule compliance and
                                                                                        contract review

                                                    Patient
                                                     Data
                                                                                     OUtCOME

                                                                                     • improved performance in areas that matter most to
                              Analytics &                             Charge           creating value for the organization
                               Reporting                              Capture        • high level of focus and discipline through clearly
                                                REVENUE                                communicated performance indicators
                                                 CyCLE                               • education of all staff to ensure clear understanding of
Revenue Cycle Management




                                                                                       accountability and leadership alignment
                                                                                     • improved profitability


                                       Posting /               Billing
                                      Collections             Process




                                                                                                                                                               7
ISSUE                                                          APPROACH




                                                                                                                                                         Healthcare It Solutions
                          a health practice looking to implement health it will need     our consultants can help you make crucial decisions
                          to devote a significant amount of time and resources           regarding system providers, hardware and software
                          in conducting the necessary analysis to ensure the             applications.
                          product being purchased, meets the practice’s identified
                          requirements while providing the anticipated benefits.         • in-depth study of the practice requirements
                                                                                         • develop business process redesign as determined
                                                                                         • develop selection and evaluation criteria for vendors
                                                                                         • manage a request-for-proposal program
                                                                                         • evaluate & score vendor’s ability to meet practice
                          ELECtRONIC HEALtH RECORD (EHR)                                   requirements
                          tECHNOLOgy                                                     • integrate the chosen technology into the practice
                                                                                         • ensure “meaningful use” objectives are achieved
                          health it is a cornerstone of the future of healthcare.
                          health it is expected to improve quality & care
                          coordination, make noticeable improvements to patient
                          safety & satisfaction, improve billing and collections,
                          feed the information stream for clinical research, and
                          help reduce waste & fraud. the federal government
                          has passed legislation requiring all medical providers
                          incorporate health it solutions into their practice.

                          the legislature includes up to $45 billion in incentives for
                          meeting “meaningful use” through certified ehr providers.

                          We will assist you in seizing the opportunity by achieving
                          “meaningful use” and securing incentive payments.
Healthcare It Solutions




                                                                                         OUtCOME

                                                                                         • improved individual and organizational capabilities
                                                                                           and performance
                                                                                         • mitigation of business risk through improving patient care
                                                                                           and satisfaction
                                                                                         • revenue cycle improvements resulting in profitability gains
                                                                                         • secure “meaningful use” incentive payments




                                                                                                                                                                      9
ISSUE                                                        APPROACH




                                                                                                                                                     Procurement and Contracting
                              practice owners often overpay for materials and services,    We take a cooperative approach aimed at developing
                              not because they want to or don’t care about cost, but       a total procurement program with sustainable cost
                              rather they are too busy to become a supply buyer. even      management results. this is accomplished through proven
                              with a modest shopping list a buyer will have to dedicate    purchasing process that includes:
                              time on a frequent basis wading through all the market
                              options in order to engage in any kind of meaningful         •   analyze historical spending
                              comparison shopping. and even with that effort, you          •   benchmark against industry
                              would likely uncover only a fraction of what is available.   •   source viable market alternatives
                                                                                           •   contract with best-in-class vendors
                                                                                           •   evaluate service performance
Procurement and Contracting




                                                                                           OUtCOME

                                                                                           •   material and service quality expectations met
                                                                                           •   vendor relationships defined
                                                                                           •   cost control practices implemented
                                                                                           •   resources better aligned with practice needs
                                                                                           •   profitability maintained or increased


                                                                                                                                                                     11
ISSUE                                                        APPROACH




                                                                                                                                                                                 Accreditation, Certification & Licensure Preparation
                                                       healthcare practices and outpatient care facilities of all   accreditation is regarded as one of the key benchmarks
                                                       types are inundated with new and ever changing rules         for measuring the quality of an organization, along with
                                                       and regulations from various government agencies and         its products and services. in the us, standard setting by
                                                       peer associations.                                           industry leaders with peer review is widely accepted.

                                                       the process of meeting these expectations can be and is      accreditation generally exceeds the standards of most
Accreditation, Certification & Licensure Preparation




                                                       an on-going and time consuming activity. failure to comply   state and agency requirements for healthcare practices,
                                                       can result to penalties and/or loss of revenue.              that is why whether your practice is seeking state
                                                                                                                    licensure or association certification we approach every
                                                                                                                    preparation project with the foundation established in
                                                                                                                    accreditation standards. the core of which revolve around:

                                                                                                                    •   rights of patients
                                                                                                                    •   governance
                                                                                                                    •   administration
                                                                                                                    •   Quality of care provided
                                                                                                                    •   Quality management and improvement
                                                                                                                    •   clinical records and health information
                                                                                                                    •   infection prevention and control safety
                                                                                                                    •   facilities and environment
                                                                                                                    •   risk management




                                                                                                                    OUtCOME

                                                                                                                    •   standard of excellence
                                                                                                                    •   more effective & efficient operations
                                                                                                                    •   stronger risk management strategies
                                                                                                                    •   increased credibility with agencies & 3rd party payors
                                                                                                                    •   revenue quality improvements
                                                                                                                    •   compliance program sustainability




                                                                                                                                                                                                               13
ISSUE                                                       APPROACH




                                                                                                                                                                    Practice - Facility Project Management
                                         Whether you are setting up a new or redesigning a           our goal is to consistently maintain a standard of quality
                                         current practice or outpatient care facility the project    by demanding the highest performance outcomes from
                                         management requirements are extensive, time consuming       all involved. this is accomplished by establishing a clear
                                         and requires a working knowledge of various building        understanding of expectations and communicating those
                                         codes, agency and/or state rules and regulations, as well   expectations on a consistent bases.
                                         as specific requirements for payor certification.
                                                                                                     our services include:
                                         in the wake of such complexity, it is not a value-add       • project planning & development
                                         proposition for a practice owner or manager to take on      • pre-construction services
                                         such a project alone. you need an experienced partner       • project assurance – build-out compliance
                                         that you can trust to ensure your goals and expectations    • cost management
                                         are met.                                                    • final inspection & physical environment review
                                                                                                     • post construction facility readiness management
Practice - Facility Project Management




                                                                                                     OUtCOME

                                                                                                     We understand that the first day of opening is an inflexible
                                                                                                     deadline. hc practice management services is committed
                                                                                                     in meeting that deadline and within budget.




                                                                                                                                                                                          15
480.456.4244 main
480.717.4045 fax
info@hcpracticemanagement.com
www.hcpracticemanagement.com

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HPMS Services Overview

  • 1. Healthcare Practice Management Services, LLC Optimizing Healthcare Operations
  • 2. PROFILE Introduction We pride ourselves on becoming healthcare practice management services is a healthcare consulting firm specializing in helping private and hospital partners in your organization’s based physicians in the areas of practice operations, billing, financial management, coding, practice start ups, compliance success, and With more and technology integration. We address our clients’ concerns by utilizing our considerable experience and knowledge to than 65 years of combined conceive and implement creative solutions.   experience, our consultants’ at hc practice management, we offer a variety of services designed to optimize your healthcare organization. our distinctive approach Will help healthcare practice consultants have extensive knowledge and experience in their fields enabling them to implement the your practice recognize areas most effective strategies for maximizing your potential. each program we implement is customized to address particular of opportunity and maximize opportunities for growth. We apply the optimal combination of services to ensure your specific needs are met in the area of profitability. practice design and performance, including: • interim management • operational assessments • cost reduction • revenue enhancements • productivity optimization • strategic development • information technology planning & implementation • turn-key solutions 3
  • 3. ISSUE APPROACH Practice Design & Performance Management lack of business design clarity often leads to cost, quality, We begin by clarifying the organization’s desired customer, care delivery and service issues that reduces patient operational, and financial performance outcomes. satisfaction and frustrates employees, and can limit a then using a comprehensive and fact-based analytical practice’s ability to realize desired growth and profitability. approach, we carefully and concisely assess the current environmental context looking for any elements of design to realize the full benefits of design requires practice that may be limiting performance: owners and management to clearly define what is needed to achieve desired business outcomes, organization • governance and decision making capabilities and culture. • directed strategy with delineated goals • performance measurement – expense / revenue • external – internal forces / opportunities Practice Design & Performance Management • risk management - organizational • staffing (levels & capability) • supporting administrative processes With a comprehensive understanding of the current organizational environment, we will assist you to make targeted changes in practice design that will have the best opportunity for performance improvement by eliminating non value-added work, removing redundancies, improving information flow, modifying job accountabilities, reducing resource waste, and modifying organization structure. OUtCOME • reduced costs and increased workforce productivity • increased customer satisfaction resulting from improvements in care delivery and responsiveness • improved profitability 5
  • 4. ISSUE APPROACH Revenue Cycle Management revenue cycle management is essential to a successful We will take an objective view of your processes and practice. this cycle involves many stages including offer realistic solutions you can implement right away to patient information gathering, reimbursement schedules, achieve significant improvements. insurance contracts, medical documentation, employee training, billing processes, technology access and much our review will include: more. and despite attempts to automate the billing • assess initial patient contact & registration process process, many technology and service vendors have • review charge capture and check-out procedures yet to meet the needs and expectations of healthcare • analyze billing and collections policies providers because they fail to address the entire • assess the overall effectiveness of the tools used in revenue cycle. your revenue cycle process - technology • review critical performance metrics • assess payor / fee schedule compliance and contract review Patient Data OUtCOME • improved performance in areas that matter most to Analytics & Charge creating value for the organization Reporting Capture • high level of focus and discipline through clearly REVENUE communicated performance indicators CyCLE • education of all staff to ensure clear understanding of Revenue Cycle Management accountability and leadership alignment • improved profitability Posting / Billing Collections Process 7
  • 5. ISSUE APPROACH Healthcare It Solutions a health practice looking to implement health it will need our consultants can help you make crucial decisions to devote a significant amount of time and resources regarding system providers, hardware and software in conducting the necessary analysis to ensure the applications. product being purchased, meets the practice’s identified requirements while providing the anticipated benefits. • in-depth study of the practice requirements • develop business process redesign as determined • develop selection and evaluation criteria for vendors • manage a request-for-proposal program • evaluate & score vendor’s ability to meet practice ELECtRONIC HEALtH RECORD (EHR) requirements tECHNOLOgy • integrate the chosen technology into the practice • ensure “meaningful use” objectives are achieved health it is a cornerstone of the future of healthcare. health it is expected to improve quality & care coordination, make noticeable improvements to patient safety & satisfaction, improve billing and collections, feed the information stream for clinical research, and help reduce waste & fraud. the federal government has passed legislation requiring all medical providers incorporate health it solutions into their practice. the legislature includes up to $45 billion in incentives for meeting “meaningful use” through certified ehr providers. We will assist you in seizing the opportunity by achieving “meaningful use” and securing incentive payments. Healthcare It Solutions OUtCOME • improved individual and organizational capabilities and performance • mitigation of business risk through improving patient care and satisfaction • revenue cycle improvements resulting in profitability gains • secure “meaningful use” incentive payments 9
  • 6. ISSUE APPROACH Procurement and Contracting practice owners often overpay for materials and services, We take a cooperative approach aimed at developing not because they want to or don’t care about cost, but a total procurement program with sustainable cost rather they are too busy to become a supply buyer. even management results. this is accomplished through proven with a modest shopping list a buyer will have to dedicate purchasing process that includes: time on a frequent basis wading through all the market options in order to engage in any kind of meaningful • analyze historical spending comparison shopping. and even with that effort, you • benchmark against industry would likely uncover only a fraction of what is available. • source viable market alternatives • contract with best-in-class vendors • evaluate service performance Procurement and Contracting OUtCOME • material and service quality expectations met • vendor relationships defined • cost control practices implemented • resources better aligned with practice needs • profitability maintained or increased 11
  • 7. ISSUE APPROACH Accreditation, Certification & Licensure Preparation healthcare practices and outpatient care facilities of all accreditation is regarded as one of the key benchmarks types are inundated with new and ever changing rules for measuring the quality of an organization, along with and regulations from various government agencies and its products and services. in the us, standard setting by peer associations. industry leaders with peer review is widely accepted. the process of meeting these expectations can be and is accreditation generally exceeds the standards of most Accreditation, Certification & Licensure Preparation an on-going and time consuming activity. failure to comply state and agency requirements for healthcare practices, can result to penalties and/or loss of revenue. that is why whether your practice is seeking state licensure or association certification we approach every preparation project with the foundation established in accreditation standards. the core of which revolve around: • rights of patients • governance • administration • Quality of care provided • Quality management and improvement • clinical records and health information • infection prevention and control safety • facilities and environment • risk management OUtCOME • standard of excellence • more effective & efficient operations • stronger risk management strategies • increased credibility with agencies & 3rd party payors • revenue quality improvements • compliance program sustainability 13
  • 8. ISSUE APPROACH Practice - Facility Project Management Whether you are setting up a new or redesigning a our goal is to consistently maintain a standard of quality current practice or outpatient care facility the project by demanding the highest performance outcomes from management requirements are extensive, time consuming all involved. this is accomplished by establishing a clear and requires a working knowledge of various building understanding of expectations and communicating those codes, agency and/or state rules and regulations, as well expectations on a consistent bases. as specific requirements for payor certification. our services include: in the wake of such complexity, it is not a value-add • project planning & development proposition for a practice owner or manager to take on • pre-construction services such a project alone. you need an experienced partner • project assurance – build-out compliance that you can trust to ensure your goals and expectations • cost management are met. • final inspection & physical environment review • post construction facility readiness management Practice - Facility Project Management OUtCOME We understand that the first day of opening is an inflexible deadline. hc practice management services is committed in meeting that deadline and within budget. 15