Operational
Assessment
|
We can analyze your practice from A to Z. With a constant eye on the bottom line, we
spend from a few days to several weeks, interviewing staff, reviewing job
descriptions, analyzing work-flow and, of course, evaluating all ICD-9,
CPT and HCPCS coding for accuracy.
In
addition, we help you design procedures to safeguard payments received,
monitor accounts, receivables/payables, and better manage cash flow.
The following operational areas are carefully
reviewed:
|
| Practice and physician hours of
operation |
Telephone procedures |
Appointment scheduling |
| Call coverage |
Patient flow |
Patient education |
| Radiology assessment |
Diagnostics assessment |
Nursing assessment |
| Supplies inventory and ordering
procedures |
Equipment procurement policies |
Laboratory assessment |
| Prescription refill procedures |
Physical plant assessment |
Payor mix |
| Policies and procedures manual
to include financial and collection policies |
Percentage of net to gross
revenues |
Regulatory compliance status
assessment |
| Fee schedule compared to other
area practices |
Software analysis and
utilization |
Medical record contents |
| Maintenance of medical records
and release of information |
Managed care contract analysis |
Accounts receivable analysis |
| Accounts payable process
assessment |
Management reports analysis |
Billing procedures and process |
| Insurance verification process |
Pre-certification/referral
process |
Posting of charges and payments |
| Claim denials/rejections |
Cash collections |
Depositing of funds |
| Write-off procedures |
In-house collection procedures |
Outside collection agency |
| Personnel file components |
Staffing patterns and job
descriptions |
Orientation/training program |
| Payroll processing |
