Effective Practice Manager/Physician Relationships

Size: px
Start display at page:

Download "Effective Practice Manager/Physician Relationships"

Transcription

1 Effective Practice Manager/Physician Relationships By: Sharon E. Sagarra, MBA, FACMPE Practice Administrator Benrus Surgical Associates, Inc.

2 Certified Specialist Physician Practice Management (CSPPM) Budgeting/Financial Performance Analysis/Revenue Projection/Capital Projects Revenue Cycle Information Systems

3 Certified Specialist Physician Practice Management (CSPPM) Identify the key contributory elements of "evaluation and management" services Recognize the Resource Based Relative Value System (RBRVS) and its components Identify the elements of managing third-party receivables and self-pay receivables Name techniques commonly used to measure accounts receivable Recognize the difference between bad debt and charity accounts Identify activities for evaluating and acquiring a medical group information system Identify three types of data used to estimate demand for a medical group's practice Define components of a comprehensive budget Define ratios valuable in monitoring financial performance of a practice Define cost accounting Recognize how break-even analysis can be of use to the medical group Identify processes for evaluating a contract Recognize Stark legislation and the laws it has developed for regulation of the medical group Identify elements of strategic planning and the role of marketing

4 The Many Hats of the Practice Manager Financial Management Operations Management Human Resource Management Organizational Governance Patient Centered Risk & Compliance Care Management

5

6 Operations Management Knowledge of industry benchmarks, best practices and total quality management techniques for process improvement. Knowledge of master budgets, employment law, healthcare rules/regulations and the ability to apply project management techniques to support the strategic plan. Skill to establish and coordinate the process of purchasing and asset management. Skill to provide a high-quality and safe environment. Skill to identify and govern outsourced business services and external expertise. Knowledge of how information technology supports business needs and organizational goals. Knowledge of communications, marketing and community relations. Knowledge of compensation plans, revenue allocation methods, expense allocation methods, and merger and acquisition agreements that establish productivity and compensation benchmarks for physician and staff. Skill to monitor physician conduct and performance expectations.

7 Financial Management Knowledge of regulations of coding and billing concepts, payer reimbursement policies and the revenue cycle. Knowledge to manage cash flow. Knowledge to manage accounts payable. Knowledge to manage payroll systems. Knowledge to create and manage budgets. Knowledge to manage the audit process.

8 Human Resources Management Knowledge to create, implement and manage a staffing plan. Knowledge of clinical and nonclinical staff retention. Knowledge to manage systems, processes and structure for training and development of clinical and nonclinical staff. Knowledge of staff compensation and benefit plans. Knowledge to evaluate staff performance.

9 Organizational Governance Knowledge to facilitate the organization s corporate legal and governance structures. Knowledge to integrate the corporate mission, vision and values statement into the organization s culture.

10 Patient Centered Care Knowledge to provide an environment to create, implement and maintain care coordination processes that lead to the best patient outcome. Knowledge to design, implement and maintain quality initiatives and measurement activities.

11 Risk and Compliance Management Knowledge to create, implement and maintain a risk management program to provide a safe environment Knowledge to develop, implement and maintain a compliance program for federal and state laws and regulations. Knowledge to develop, implement and maintain policies and procedures to prevent or minimize the impact of adverse events. Knowledge to comply with necessary accreditation and licensure requirements.

12 Clinical vs. Administrative Roles Owner/Stakeholder/Employed Physician Income Producer Clinician & Caregiver evaluate patients/make diagnosis/create treatment plan/treat Collaborator (internal & external) Policy-Maker Leader Collaborator - with Physician owner(s)/system Leaders create objectives Policy-maker Leader Superior effectively utilize practice resources Maximize Physician productivity

13

14 Effective Communication Necessary Information to do jobs well Understanding & Respecting each others roles Adequate Resources available Mutual Respect

15 Staff receives feedback Administrator/Manager also needs feedback

16 Tips/Guidelines for the Physician Role in Daily Operations (What we Administrators thinks our Physicians should know but don t have the time-or nerve-to tell them)

17 Personal Tip: #1 Do the Right Thing whether or not the patients like it

18 Personal Tip: #2 Read the Instructions, Learn the Rules

19 Personal Tip: #3 Live Within Your Means Pay Yourself First put away for retirement Understand Your Employment Agreement and review it now and again

20 Personal Tip: #4 Be Responsible For Yourself

21 Practice Tip: #5 Medicine is a Service Industry 1. Show up on time...today 2. Don t cancel your clinic today 3. Do today s work..today 4. Finish, close, lock your notes today 5. Be nice to your staff & Administrator.today 6. Repeat steps 1-6..tomorrow

22 Practice Tip: #6 Market Yourself! Nurture and Grow Your Referral Sources Participate in Events and Speaking Engagements Network with other Physicians

23 Practice Tip: #7 The Law Is the Law Is the Law

24 Practice Tip: # 8 Read Before You Sign sometimes Handle these yourself or insist on reviewing and personally signing your electronic signature: Your Medical License Your DEA Your NPI Read your Medicare Application before you sign (in blue ink)

25 Practice Tip: #9 If It Sounds Too Good To Be True..It Usually Is

26 Practice Tip: #10 Coding Is Your Baby Get to know the coders ICD-10 is here!

27 Staff Tip: #11 Value the knowledge of every team member and work collaborative but Don t become personal friends with the support staff (offices and facilities)

28 Staff Tip: #12 Interact with your Administrator as a Peer

29 Bonus Tip: #13 This tip was from a physician who was also an Administrator (for his wife s practice): I ve always said that if you are on the fence about offering surgery, it s ok to do it. If, however, you are on the no-surgery side of the fence, NEVER cross over!

30 Bonus Tip: #14 Healthcare is about two things: Money and Good Health If you chase the money, you get neither. If you pursue good health, you get both.

31 Bonus tip: #15 Keep Track of How Good You Are You are practicing in the era of Big Data Use it, don t fight it

32 Sharon E. Sagarra, MBA, FACMPE (636)

THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT A FRAMEWORK FOR SUCCESS

THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT A FRAMEWORK FOR SUCCESS THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT A FRAMEWORK FOR SUCCESS It s a direct reference to what we do on a daily basis, of what you need to know... Professionals demonstrate that knowledge

More information

THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT

THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT OVERVIEW & PERFORMANCE OBJECTIVES THE BODY OF KNOWLEDGE FOR MEDICAL PRACTICE MANAGEMENT 3RD EDITION TABLE OF CONTENTS About the Body of Knowledge..................................................3

More information

Promote Yourself. Online Education & Certifications. Reach your goals through education.

Promote Yourself. Online Education & Certifications. Reach your goals through education. Promote Yourself. Professional advancement. increased job satisfaction. improved team performance. Reach your goals through education. Online Education & Certifications Strengthen your competency with...

More information

2018 HIRING AND COMPENSATION TRENDS

2018 HIRING AND COMPENSATION TRENDS 2018 HIRING AND COMPENSATION TRENDS INDUSTRY SPOTLIGHT: HEALTHCARE Jennifer Carlson Metro Market Manager Sources of Information The thousands of interim and full-time placements we make throughout the

More information

Leveraging Healthcare Technology to Increase Your ASC s Efficiency & Profitability

Leveraging Healthcare Technology to Increase Your ASC s Efficiency & Profitability Leveraging Healthcare Technology to Increase Your ASC s Efficiency & Profitability Presented by: Chuck Meisel Vice President of Sales, Surgical Notes Agenda Your Business Today Surgery Center/Healthcare

More information

CHECKLIST. 7 Steps to Conducting The Perfect Audit

CHECKLIST. 7 Steps to Conducting The Perfect Audit 7 Steps to Conducting The Perfect Audit Summary Conducting an audit can be tricky. That s why it s important to have policies and procedures in place to keep you on a smooth track from your initial contact

More information

Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance

Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance Health Center Financial Performance Analytics The implementation of healthcare reform produces a heightened

More information

AGENDA. What Is Our Profession? Defining The Competencies Self Assessment Tools For Growth What About Professional Responsibility What Is Your Legacy?

AGENDA. What Is Our Profession? Defining The Competencies Self Assessment Tools For Growth What About Professional Responsibility What Is Your Legacy? Developing Professional Competence Copyright 2016 State Volunteer Mutual Insurance Company AGENDA What Is Our Profession? Defining The Competencies Self Assessment Tools For Growth What About Professional

More information

Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance

Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance Performance Benchmarking Toolkit for Health Centers: Tracking Data to Improve Financial Performance Health Center Financial Performance Analytics During this period of rapid industry transformation, it

More information

Objectives 6/26/2015. Medicare Payment Rate Rebasing - What you know and what you should know! AN OVERVIEW

Objectives 6/26/2015. Medicare Payment Rate Rebasing - What you know and what you should know! AN OVERVIEW AN OVERVIEW Medicare Payment Rate Rebasing - What you know and what you should know! David J. Berman, CPA, CVA, CGMA Principal Simione Healthcare Consultants, LLC Arnie Cisneros Owner and President of

More information

2018 Buyer s. Resource Guide. List it Sell it Close it Prospectus. Start reaching healthcare purchasers today + Update listings 24/7.

2018 Buyer s. Resource Guide. List it Sell it Close it Prospectus. Start reaching healthcare purchasers today + Update listings 24/7. Listing Details- Buyer s Resource Guide healthcare financial management association hfma.org Buyer s Resource Guide List it Sell it Close it Prospectus Start reaching healthcare purchasers today + Update

More information

Performance Benchmarking Toolkit for California Health Centers: Tracking Data to Improve Financial Performance

Performance Benchmarking Toolkit for California Health Centers: Tracking Data to Improve Financial Performance Performance Benchmarking Toolkit for California Health Centers: Tracking Data to Improve Financial Performance Prepared by Sponsored by Blue Shield of California Foundation Health Center Financial Performance

More information

Risk Management. Body of Knowledge Review Based on the 2014 ACMPE Exam Blueprint

Risk Management. Body of Knowledge Review Based on the 2014 ACMPE Exam Blueprint Body of Knowledge Review Based on the 2014 ACMPE Exam Blueprint Risk Management Under HIPAA regulations, what is the definition of a healthcare provider? 1 Risk Management A person or organization that

More information

Strategies for Home Care and Hospice

Strategies for Home Care and Hospice Strategies for Home Care and Hospice Helping Agencies Be Invincible to Our Industry s Unprecedented Regulatory and Payment Challenges. Guiding the Way to Quadruple Aim. The Why of Fazzi... We exist to

More information

About Us Advantages Contact us. Benchmark Billing Solutions

About Us Advantages Contact us. Benchmark Billing Solutions Benchmark Billing Solutions About Us Advantages Contact us Our Vision Our Clients Our Services About Us Benchmark Billing Solutions is a Delaware based LLC with rich relationships in the US. Organizational

More information

DEMONSTRATING YOUR MEDICINE S VALUE TO ALL STAKEHOLDERS TRUSTED COMMERCIALIZATION AND MARKET ACCESS EXPERTISE

DEMONSTRATING YOUR MEDICINE S VALUE TO ALL STAKEHOLDERS TRUSTED COMMERCIALIZATION AND MARKET ACCESS EXPERTISE CATALYSTS DRIVING SUCCESSFUL DECISIONS IN LIFE SCIENCES DEMONSTRATING YOUR MEDICINE S VALUE TO ALL STAKEHOLDERS TRUSTED COMMERCIALIZATION AND MARKET ACCESS EXPERTISE WHEN COMMERCIALIZING A MEDICINE, IT

More information

Business Optimization and Advisory Services

Business Optimization and Advisory Services Business Optimization and Advisory Services Business Optimization & Advisory Services In today s environment, it takes more than clinical expertise to maintain a successful oncology practice. Now more

More information

Start your marketing here

Start your marketing here Get listed at HFMA.ORG/BRG healthcare financial management association hfma.org BUYER S RESOURCE GUIDE Start your marketing here Start reaching healthcare purchasers today + Update listings 24/7 Reach

More information

Taking the Lead in Revenue Cycle Transformation

Taking the Lead in Revenue Cycle Transformation Taking the Lead in Revenue Cycle Transformation Kamron Lachney Vice President of RCM Operations, McKesson Change Healthcare August 29, 2017 Today s Speaker Kamron Lachney, MBA Vice President, Hospital

More information

2014 BUYER S RESOURCE GUIDE EARLY BIRD LISTING PACKAGE DESCRIPTIONS

2014 BUYER S RESOURCE GUIDE EARLY BIRD LISTING PACKAGE DESCRIPTIONS 2014 BUYER S RESOURCE GUIDE EARLY BIRD LISTING PACKAGE DESCRIPTIONS PACKAGE INCLUDES DELUXE 6,000 ELITE 1,935 PREMIUM 995 STANDARD 500 BASIC FREE* PRINT ONLINE VIRTUAL CONFERENCE Company name, street address,

More information

TO HIRE. or Not to Hire a Billing Service. kareo.com

TO HIRE. or Not to Hire a Billing Service. kareo.com TO HIRE or Not to Hire a Billing Service kareo.com Table of Contents FIRST, ASSESS YOUR PRACTICE 05 OUTSOURCING YOUR BILLING OPERATIONS 06 KEEPING YOUR BILLING OPERATIONS IN-HOUSE 07 STILL UNDECIDED? 08

More information

Take the pulse of your Practice

Take the pulse of your Practice Take the pulse of your Practice How healthy is your business and what can you do to survive the economic downturn? Presented by: Rochelle Glassman Partner and CEO, Phoenix Physician Services Welcome Welcome

More information

Duke Patient Revenue Management Organization HIMSS 2003

Duke Patient Revenue Management Organization HIMSS 2003 Duke Patient Revenue Management Organization HIMSS 2003 Paul Newman, Executive Director Duke Private Diagnostic Clinic & PRMO Overview of Duke University Medical Center and Health System Duke University

More information

How to Create a Regional Presence with Referral Relationships Gaining Market Share in Competitive Tertiary Markets

How to Create a Regional Presence with Referral Relationships Gaining Market Share in Competitive Tertiary Markets How to Create a Regional Presence with Referral Relationships Gaining Market Share in Competitive Tertiary Markets Article printed permission of Strategic Health Care Marketing, September 2003 by Kriss

More information

Leveraging Internal Audit and Corporate Compliance for Effective Risk Management

Leveraging Internal Audit and Corporate Compliance for Effective Risk Management Leveraging Internal Audit and Corporate Compliance for Effective Risk Management April 18, 2016 Don Sinko Chief Integrity Officer Cleveland Clinic Agenda Cleveland Clinic Integrity Office Model The 3 Lines

More information

ASHHRA Leadership Initiative Raise Your Voice, Raise Your Skills

ASHHRA Leadership Initiative Raise Your Voice, Raise Your Skills ASHHRA Leadership Initiative Raise Your Voice, Raise Your Skills Introduction Changes are occurring in health care every day. As HR professionals, we continually face new demands and expectations from

More information

helping you target the right resources hfma.org/brg 2014 BUYER S RESOURCE GUIDE 20 TH ANNIVERSARY EDITION

helping you target the right resources hfma.org/brg 2014 BUYER S RESOURCE GUIDE 20 TH ANNIVERSARY EDITION hfma.org/brg healthcare financial management association hfma.org 2014 BUYER S RESOURCE GUIDE 20 TH ANNIVERSARY EDITION helping you target the right resources LOOK INSIDE! 20 NEW CATEGORIES when was the

More information

Healthcare Expertise for Your Business

Healthcare Expertise for Your Business Healthcare Expertise for Your Business The Premier Bank Serving Healthcare Businesses in Texas Texas Capital Bank specializes in serving the diverse and complex needs of the rapidly changing healthcare

More information

MEDICAL BILLING ASSOCIATE

MEDICAL BILLING ASSOCIATE MEDICAL BILLING ASSOCIATE Position Description: Responsible for functions of the medical billing and coding office to ensure maximization of cash flow while improving patient, physician, and other customer

More information

PERFORMANCE THAT MATTERS. How to Evaluate a Radiology Billing Company. AdvantEdge Healthcare Solutions

PERFORMANCE THAT MATTERS. How to Evaluate a Radiology Billing Company. AdvantEdge Healthcare Solutions PERFORMANCE THAT MATTERS How to Evaluate a Radiology Billing Company AdvantEdge Healthcare Solutions ahsrcm.com info@ahsrcm.com 30 Technology Drive, Warren NJ 07059 877 501 1611 How to Evaluate a Radiology

More information

Geisinger Health System

Geisinger Health System Geisinger Health System Creating a Revenue Cycle Strategy for Mergers and Acquisitions (B08) October 29, 2013 Presented by Barbara M Tapscott, CHFP, CPAM VP Revenue Management, Geisinger Health System

More information

HOW TO CUT HOSPITAL EMPLOYED PHYSICIAN LOSSES IN HALF

HOW TO CUT HOSPITAL EMPLOYED PHYSICIAN LOSSES IN HALF HOW TO CUT HOSPITAL EMPLOYED PHYSICIAN LOSSES IN HALF Presented by: Bill Clayton wclayton@cshco.com OUR CREDENTIALS Clark Schaefer Hackett (Accounting & Consulting Firm) Bill Clayton has been designing,

More information

Ashley Newsome, CPC, CPMA

Ashley Newsome, CPC, CPMA Ashley Newsome, CPC, CPMA I m Certified, Now What? Life After Certification Healthcare is Always Changing How To Maximize Your Career Certification is a journey, not a destination! If you have recently

More information

Strategic Pricing for Hospitals An Augusta Healthcare Whitepaper

Strategic Pricing for Hospitals An Augusta Healthcare Whitepaper 2012 Strategic Pricing for Hospitals An Augusta Healthcare Whitepaper Augusta Healthcare partnered with T.J. Samson, a typical community hospital, and through a strategic pricing initiative, realized over

More information

Practice Transformation Readiness Assessment

Practice Transformation Readiness Assessment Practice Transformation Readiness Assessment Patients, payers, and government agencies are requiring all medical professionals to improve their patients' health and experience of care while reducing costs.

More information

HEALTHCARE CONSULTING GROUP

HEALTHCARE CONSULTING GROUP MAZARS USA LLP HEALTHCARE CONSULTING GROUP As one of the nation s leading professional service firms, Mazars USA provides the resources, experience and global expertise to help you adapt in a dynamically

More information

FINANCIAL SOLUTIONS PRIORITIZATION AND COST CONTAINMENT IN THE IT WORLD

FINANCIAL SOLUTIONS PRIORITIZATION AND COST CONTAINMENT IN THE IT WORLD FINANCIAL SOLUTIONS PRIORITIZATION AND COST CONTAINMENT IN THE IT WORLD Jackie Lucas, FACHE CIO Consultant Associate Faculty University of Phoenix Online Financial Solutions - Prioritization and Cost Containment

More information

HEALTHCARE CONSULTING GROUP

HEALTHCARE CONSULTING GROUP MAZARS USA LLP HEALTHCARE CONSULTING GROUP As one of the nation s leading professional service firms, Mazars USA provides the resources, experience and global expertise to help you adapt in a dynamically

More information

An Integrated Approach to Patient Experience Analytics

An Integrated Approach to Patient Experience Analytics An Integrated Approach to Patient Experience Analytics Director of Value Analytics Johns Hopkins Medicine Email: KLee31@jhmi.edu Vision, Mission, and Values Vision Enhance the value of health care services

More information

Active Record Retention and Legacy System Decommissioning:

Active Record Retention and Legacy System Decommissioning: Active Record Retention and Legacy System Decommissioning: Use Cases and Lessons Learned from Successful Projects NMHIMA Spring Conference April 18, 2017 Presented by Tony Paparella, President The Triumph

More information

Physician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013

Physician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013 Physician Practice ICD-10 Readiness Survey: Seven Key Survey Findings and Action Items June XX, 2013 Survey Background In the fourth quarter of 2013, Navicure commissioned Porter Research to conduct a

More information

2018 SURVEY SUITE. Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights. Cover TBD

2018 SURVEY SUITE. Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights. Cover TBD Cover TBD 2018 SURVEY SUITE Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights Competitive compensation arrangements to attract, engage and retain your executives,

More information

ICD-10 Time is running out

ICD-10 Time is running out ICD-10 Time is running out 1 Agenda Introductions What caused the implementation delay? 3 major areas of ICD-10 impact Financial Key performance indicators to monitor Operations Coding strategy Training

More information

Case in Brief: Henry Ford Medical Group provider employed medical group affiliated with Henry Ford Health System, based in Detroit, Michigan

Case in Brief: Henry Ford Medical Group provider employed medical group affiliated with Henry Ford Health System, based in Detroit, Michigan Henry Ford Medical Group: Moving to Top of License and Productivity Case in Brief: Henry Ford Medical Group 1300-provider employed medical group affiliated with Henry Ford Health System, based in Detroit,

More information

Michael Malone, MD Kellie Flood, MD Kevin Foley, MD October 15, 2015

Michael Malone, MD Kellie Flood, MD Kevin Foley, MD October 15, 2015 Basics of Writing a Business Plan Michael Malone, MD Kellie Flood, MD Kevin Foley, MD October 15, 2015 Background Requests for business plans from physicians are increasing as reimbursement shrinks and

More information

MACRA: An Overview and Implications for Your Organization. Patrick J. Hurd, Esq. March 30, 2017 VASHRM

MACRA: An Overview and Implications for Your Organization. Patrick J. Hurd, Esq. March 30, 2017 VASHRM MACRA: An Overview and Implications for Your Organization Patrick J. Hurd, Esq. March 30, 2017 VASHRM MACRA: How Did We Get Here? MACRA: How Did We Get Here? Medicare Access and CHIP Reauthorization Act

More information

2014 National Survey on ICD-10 Readiness. sponsored by Edifecs

2014 National Survey on ICD-10 Readiness. sponsored by Edifecs 2014 National Survey on ICD-10 Readiness sponsored by Edifecs 2014 National Survey on ICD-10 Readiness ehealth Initiative and AHIMA, hosted an industry wide survey on ICD-10 readiness in June 2014. The

More information

Improving Claims Management. Flexible and User Friendly

Improving Claims Management. Flexible and User Friendly Since 1989 Improving Claims Management Flexible and User Friendly Claims2Cash s easy-to-use web based interface allows any healthcare provider type to manage their entire billing process. Claims2Cash utilizes

More information

Webinar Series Physician Relations. Referral Development. Advancing the Physician Relations Program Structure

Webinar Series Physician Relations. Referral Development. Advancing the Physician Relations Program Structure Webinar Series 2017 Physician Relations Referral Development Advancing the Physician Relations Program Structure Webinar Series 2017 Physician Relations Today s Agenda You will Learn: What are the right

More information

SEE WHERE YOU STAND Benefits Strategy & Benchmarking Survey Healthcare Industry Addendum

SEE WHERE YOU STAND Benefits Strategy & Benchmarking Survey Healthcare Industry Addendum SEE WHERE YOU STAND 2018 Benefits Strategy & Benchmarking Survey Industry Addendum Survey Overview Gallagher s 2018 Benefits Strategy & Benchmarking Survey asked U.S. employers close to 300 questions across

More information

Strategic Planning Considerations. Presented by: Bruce Maller

Strategic Planning Considerations. Presented by: Bruce Maller Strategic Planning Considerations Presented by: Bruce Maller Strategic and Business Planning How much time do you spend developing strategy or engaging in business planning? Strategic and Business Planning

More information

MAP Keys and MAP Key best practices from MAP Award winners

MAP Keys and MAP Key best practices from MAP Award winners MAP Keys and MAP Key best practices from MAP Award winners 1 Christopher Koopman, MBA, CSAF, CRCR Analyst, Healthcare Finance Policy Healthcare Financial Management Association OVERVIEW What is MAP? What

More information

Physician E/M Audit Problems and Effective Solutions

Physician E/M Audit Problems and Effective Solutions Physician E/M Audit Problems and Effective Solutions Lamon Willis Director of Business Development Healthicity CPCO, CPC-I, COC, CPC Agenda 1. Setting Up Your Audits 2. Audit Resources 3. Auditing Methodology

More information

CAH Revenue Cycle Assessment Project Our Mission: To protect and improve the health and environment of all Kansans.

CAH Revenue Cycle Assessment Project Our Mission: To protect and improve the health and environment of all Kansans. CAH Revenue Cycle Assessment Project 2012 Our Mission: To protect and improve the health and environment of all Kansans. We gotta lotta CAHS! How did KS financial performance compare to benchmark?

More information

Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings

Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Ten Overlooked Opportunities For Significant Performance Improvement and Cost Savings Huron Healthcare s Performance

More information

Medical Auditing Boot Camp Professional Services

Medical Auditing Boot Camp Professional Services Medical Auditing Boot Camp Professional Services *** LIMITED TIME OFFER: FREE $100 AMAZON GIFT CARD! *** REGISTER TODAY! Course Overview Many physician practices, including independent practices, physician

More information

THE CONNECTED PATIENT EXPERIENCE: IMPLEMENTING A CUSTOMER CONTACT CENTER

THE CONNECTED PATIENT EXPERIENCE: IMPLEMENTING A CUSTOMER CONTACT CENTER SPEAKER HEALTHCARE THE CONNECTED PATIENT EXPERIENCE: IMPLEMENTING A CUSTOMER CONTACT CENTER Announcer: Welcome to Navigant On Healthcare, offering insights for healthcare leaders striving for success in

More information

YOUR BUSINESS QUARTERLY PULSE CHECK

YOUR BUSINESS QUARTERLY PULSE CHECK YOUR BUSINESS QUARTERLY PULSE CHECK Let the Fisher Team Guide Your Business! Your Business. OurFocus. Securing Success Sound planning is one of the most critical factors to the success of your business.

More information

The ROI to Outsourcing Your Medical Billing A step-by-step guide to the benefits of an end-to-end eye care billing service

The ROI to Outsourcing Your Medical Billing A step-by-step guide to the benefits of an end-to-end eye care billing service The ROI to Outsourcing Your Medical Billing A step-by-step guide to the benefits of an end-to-end eye care billing service Fast Pay Health by First Insight. All rights reserved. www.fastpayhealth.com Grow

More information

POSITION DESCRIPTIONS

POSITION DESCRIPTIONS Chief Executive Officer Responsible for planning, directing, coordinating and controlling the overall operations of the organization and subsidiaries. Directs short and long-range functions including development

More information

Strategy & Due Diligence: Best Practices In Partnerships & Mergers

Strategy & Due Diligence: Best Practices In Partnerships & Mergers Strategy & Due Diligence: Best Practices In Partnerships & Mergers MARCH 1, 2018 1:00 PM 2:00 PM ET JOSEPH P. NAUGHTON-TRAVERS, SENIOR ASSOCIATE, OPEN MINDS Introduction and Housekeeping Housekeeping:

More information

Be S.M.A.R.T. Top 5 Game Changes to Improve A/R and Increase Revenue. Jennifer Maru Director of Sales

Be S.M.A.R.T. Top 5 Game Changes to Improve A/R and Increase Revenue. Jennifer Maru Director of Sales Top 5 Game Changes to Improve A/R and Increase Revenue Be S.M.A.R.T. Carmen Pascarella President cpascarella@ (774) 221-7697 John Sullivan Chief Operating Officer jsullivan@ (203) 433-5999 Jennifer Maru

More information

DETAILED CONTENTS. Preface... Acknowledgments... Coastal Medical Center Comprehensive Case Study...

DETAILED CONTENTS. Preface... Acknowledgments... Coastal Medical Center Comprehensive Case Study... DETAILED CONTENTS Preface... Acknowledgments... Coastal Medical Center Comprehensive Case Study... Chapter 1: Leadership and Strategic Planning.... Definition of Leadership... Other Key Leadership Roles...

More information

Best Practices in Capital Planning and Financing. Terry Glasscock Senior Project Consultant March 7, Capital Link

Best Practices in Capital Planning and Financing. Terry Glasscock Senior Project Consultant March 7, Capital Link Best Practices in Capital Planning and Financing Terry Glasscock Senior Project Consultant March 7, 2018 1 Steps to Success Strategic Planning Financial Strength Operational and Clinical Excellence Assessing

More information

Comprehensive Revenue Integrity Support Program

Comprehensive Revenue Integrity Support Program Comprehensive Revenue Integrity Support Program The need to improve the bottom line while reducing organizational costs has never been greater for healthcare organizations. New reimbursement models, the

More information

Medical Billing Services. Make the right decision for your practice.

Medical Billing Services. Make the right decision for your practice. Medical Billing Services Make the right decision for your practice. Medical Billing Services Make the right decision for your practice. Losing sight of your business operations can lead to critical consequences

More information

Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy

Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy Envisioning a Better Way with Cloud-Based Services John Fitchwell, Director of Market Strategy We understand

More information

Benchmarking Compliance Programs. Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract

Benchmarking Compliance Programs. Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract Benchmarking Compliance Programs Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract Health Care Compliance Association INDIANAPOLIS, IN Regional Conference September

More information

Physician Compensation: Designing the Best-Fit Plan. by Matthew R. Sturm, MBA

Physician Compensation: Designing the Best-Fit Plan. by Matthew R. Sturm, MBA Physician : Designing the Best-Fit Plan by Matthew R. Sturm, MBA All physician practice groups (single specialty, multispecialty, and health system-employed) must consider not only their desired outcomes

More information

Healthcare Revenue Advisors THE REVENUE CYCLE MANAGEMENT COMPANY. COMPANY PROFILE

Healthcare Revenue Advisors THE REVENUE CYCLE MANAGEMENT COMPANY.  COMPANY PROFILE THE REVENUE CYCLE COMPANY www.gulf-hra.com COMPANY PROFILE GulfHRA, is an established UAE based Revenue Cycle Company since 2013, providing innovative revenue solutions in compliance with DHA, HAAD, and

More information

OUTSMART FRAUD. Strategic Internal Controls to Prevent Business Fraud

OUTSMART FRAUD. Strategic Internal Controls to Prevent Business Fraud OUTSMART FRAUD Strategic Internal Controls to Prevent Business Fraud GrowthForce LLC 800 Rockmead Drive Suite 200 Phone 281.358.2007 Fax 281.358.4120 OUTSMART BUSINESS FRAUD Using statistical data from

More information

ISSUES AFFECTING FQHC S

ISSUES AFFECTING FQHC S ISSUES AFFECTING FQHC S What will it take for Federally Qualified Health Centers to survive in today s healthcare physician recruiting climate? Jackson Physician Search in partnership with CommonWealth

More information

Managing Productivity in the Critical Access Hospital

Managing Productivity in the Critical Access Hospital Managing Productivity in the Critical Access Hospital Ralph Llewellyn Partner rllewellyn@eidebailly.com The Need for Change Industry trends are creating a need for health care organizations to change the

More information

BOARD SELF-EVALUATION TOOL

BOARD SELF-EVALUATION TOOL BOARD SELF-EVALUATION TOOL The following assessment tool is to be completed at a meeting of the Board of Directors. We believe that this assessment can be completed in about 30 minutes, but the more time

More information

TAKING A FRESH APPROACH

TAKING A FRESH APPROACH TAKING A FRESH APPROACH TO HEALTH INFORMATION CAN REVITALIZE YOUR REVENUE CYCLE How financial leaders use health information management to maintain a sustainable revenue cycle Presented by Optum360 PATIENT

More information

How to Thrive Just Not Survive IN A CHANGING HEALTHCARE ENVIRONMENT

How to Thrive Just Not Survive IN A CHANGING HEALTHCARE ENVIRONMENT How to Thrive Just Not Survive IN A CHANGING HEALTHCARE ENVIRONMENT How to Thrive Get Back to Basics The Old Fashioned Practice Assessment No such thing as the perfect medical practice Strategic Planning

More information

What Are Your Sage 100 Contractor Financial Reports Telling You?

What Are Your Sage 100 Contractor Financial Reports Telling You? What Are Your Sage 100 Contractor Financial Reports Telling You? Presented by: Leslie Shiner Owner, The ShinerGroup L.Shiner@ShinerGroup.com Copyright Notice 2013 Sage Software, Inc. All rights reserved.

More information

SDHFMA Sponsorship THANK YOU, June 2017 Welcome to the Quill Exchange. To learn more about the Quill Exchange's namesake, Georgia Quill, click here.

SDHFMA Sponsorship THANK YOU, June 2017 Welcome to the Quill Exchange. To learn more about the Quill Exchange's namesake, Georgia Quill, click here. Page 1 of 9 Subscribe Past Issues Transla SDHFMA Sponsorship THANK YOU, June 2017 Welcome to the Quill Exchange. To learn more about the Quill Exchange's namesake, Georgia Quill, click here. View this

More information

Improving Revenue Integrity Through Effective Coding and Denials Management

Improving Revenue Integrity Through Effective Coding and Denials Management Improving Revenue Integrity Through Effective Coding and Denials Management June 1, 2018 HFMA Massachusetts/Rhode Island Chapter Christy Matheson, RHIA, CCS Medical Record Associates, LLC OBJECTIVES: Understand

More information

Doing More with Less. Rick Weymier does not have any financial conflicts to report at this time.

Doing More with Less. Rick Weymier does not have any financial conflicts to report at this time. Doing More with Less Rick Weymier, MBA, FACMPE, Chief Administrative Officer WB Carrell Memorial Clinic, Dallas, Texas Rick Weymier does not have any financial conflicts to report at this time. 1 Learning

More information

M. Patrice Eiff, MD Professor Director of Faculty Development- Family Medicine Director, SOM TALENT Program

M. Patrice Eiff, MD Professor Director of Faculty Development- Family Medicine Director, SOM TALENT Program M. Patrice Eiff, MD Professor Director of Faculty Development- Family Medicine Director, SOM TALENT Program Workshop Objectives Discuss tips for strategic career management. Reflect on your career strengths

More information

2017 SURVEY SUITE. Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights. Cover TBD

2017 SURVEY SUITE. Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights. Cover TBD Cover TBD 2017 SURVEY SUITE Strengthening Total Compensation Solutions through Data-Driven Intelligence and Insights Struggling to benchmark unique or emerging positions? Interested in devising competitive

More information

Guiding Principles. Mission: Vision: Values: Overarching Principles

Guiding Principles. Mission: Vision: Values: Overarching Principles Guiding Principles To ensure that the organization effectively achieves these goals and objectives and experiences a uniformly successful implementation, we have developed a series of guiding principles

More information

Health Care Organizations and Environments

Health Care Organizations and Environments Question 1: What are the key responsibilities of the governing board (GB) in health care organizations? Answer 1: First, GBs are responsible for formulating organizational ends. That is, they are responsible

More information

Focus on Technology: Preparing your practice for ICD-10

Focus on Technology: Preparing your practice for ICD-10 Focus on Technology: Preparing your practice for ICD-10 The role technology plays in transitioning your practice to ICD-10 can t be overstated. Testing that technology and training your staff are also

More information

Investor Presentation. November 2016

Investor Presentation. November 2016 Investor Presentation November 2016 Safe Harbor Statement The statements in this presentation that relate to guidance, pro forma presentations, future plans, goals, business opportunities, events or performance

More information

Certified Healthcare Financial Professional

Certified Healthcare Financial Professional Certified Healthcare Financial Professional Overview of New Program October 9, 2015 Linker Mills, FHFMA Maryland Chapter Certification Contact Purpose of this Chapter Learning Program Highlight key knowledge

More information

Performance Improvement: What Matters Most

Performance Improvement: What Matters Most Performance Improvement: What Matters Most Jessica Jones, CHFP Managing Director jjones@hurconconsultinggroup.com 303-619-1379 RaNae Wright, MHA Community Market Leader ranae.wright@studergroup.com 513-236-9092

More information

Focus on Technology: Preparing your practice for ICD-10

Focus on Technology: Preparing your practice for ICD-10 Focus on Technology: Preparing your practice for ICD-10 The role technology plays in transitioning your practice to ICD-10 can t be overstated. Testing that technology and training your staff are also

More information

Balanced Scorecard- Going Back to Go Forward or: Linking Measurement to Strategy Rural Health Resource Center. Duluth, Minnesota

Balanced Scorecard- Going Back to Go Forward or: Linking Measurement to Strategy Rural Health Resource Center. Duluth, Minnesota Balanced Scorecard- Going Back to Go Forward or: Linking Measurement to Strategy Rural Health Resource Center Duluth, Minnesota How s Your Balanced Scorecard? We ve measured but something s missing. Our

More information

Financial Policies for Every Health Center OBJECTIVES

Financial Policies for Every Health Center OBJECTIVES Financial Policies for Every Health Center Michael Holton Manager Tele: (919) 571-3266 Email: michael.holton@mcgladrey.com RSM McGladrey Inc. is a member firm of RSM International an affiliation of separate

More information

Patient Engagement for Growth Aesthetic Practice Marketing Perspectives and Priorities

Patient Engagement for Growth Aesthetic Practice Marketing Perspectives and Priorities Patient Engagement for Growth 2018 Aesthetic Practice Marketing Perspectives and Priorities Table of Contents Foreword 01 Executive Summary 02 Respondent Profile 04 Priorities & Marketing Approaches 08

More information

One Core Billing Solutions

One Core Billing Solutions One Core Billing Solutions Company Overview A Growing provider of healthcare solutions with over 10 years in the business. Focus on developing strategic partnerships and long-term relationships with our

More information

Keep your staff growing and engaged with a CDI career ladder

Keep your staff growing and engaged with a CDI career ladder Keep your staff growing and engaged with a CDI career ladder WHITE PAPER Summary: The following white paper demonstrates the importance of implementing a career ladder and/or incentive program for your

More information

HIM Competencies. Prerequisite. Biomedical Sciences o Pathology & Pharmacology o Anatomy & Physiology o Medical Terminology

HIM Competencies. Prerequisite. Biomedical Sciences o Pathology & Pharmacology o Anatomy & Physiology o Medical Terminology Survey & Results HIM Competencies Data Content, Structure & Standards o Classification Systems o Health Record Content & Documentation o Regulatory Requirements & Data Standards o Database Management &

More information

The Art of Putting It Together STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS

The Art of Putting It Together STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS By Robert Parris, managing director, and Melanie Schoenvogel, senior

More information

PulseRCM Testimonials

PulseRCM Testimonials Billing & Collections Services PulseRCM Testimonials Find out what practices have to say about PulseRCM Billing & Collections Services. pulseinc.com : 800.444.0882 PulseRCM: What s in it for you? PulseRCM

More information

Sales Representative Training Guide. OrthoRx, Inc.

Sales Representative Training Guide. OrthoRx, Inc. Sales Representative Training Guide OrthoRx, Inc. Thank you for participating in the Ancillary Advantage Sales Representative Training Program This training guide provides the core information for understanding

More information

Transformation Management and Human Resources

Transformation Management and Human Resources Transformation Management and Human Resources Webinar 2 Presented by: Ann Hogan, M.Ed. Ann Hogan Consulting Strategic Planning Outlines a plan for next 5 7 years Articulates your vision Continually needs

More information

1/31/2018. Meeting productivity demands in healthcare settings. Disclosures. Objectives of this session. Productivity.

1/31/2018. Meeting productivity demands in healthcare settings. Disclosures. Objectives of this session. Productivity. Disclosures Meeting productivity demands in healthcare settings Financial: Nothing to disclose Non-financial: Have published and presented previously on this topic Nancy B. Swigert, M.A., CCC-SLP, BCS-S

More information