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HPMS Services Overview
- 1. Healthcare Practice ManagementServices, 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
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