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| AREAS REVIEWED |
OBJECTIVES |
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| Practice Review |
CODING & DOCUMENTATION
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- provide statistical analysis of current coding by type : office visit, wellness visit, office procedures, hospital, etc...
- analyze Practice criteria for coding by type vs. required criteria
- determine if Practice physicians understand subtle nuances in coding levels
- review Practice chart documentation to see if it supports coding
- analyze Practice criteria for documenting vs. required criteria
- if appropriate, demonstrate & project where improved documentation and better understanding of coding requirements can increase Practice revenue
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THE COLLECTING OF MONEY
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- analyze Practice protocols for the collection of monies due and analyze AR and productions reports for collection correctness and efficiency
- provide statistical analysis of current coding by type : office visit, wellness visit,
- compare to MMS's "responsibility with accountability" standards
- analyze Practice effectiveness in collecting "patient responsibility $'s due"
|
INTERNAL REFERRING SYSTEM
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- if it already exists, review the system in place and compare to MMS protocols
- if it already exists, provide statistical analysis of its overall effectiveness and comparably by physician
- if not in place, determine areas to implement and project potential $ effect
|
ADDITIONAL INCOME PRODUCING SERVICES
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- determine if the nature of the Practice would allow for the development of additional revenue sources
- estimate potential revenues
|
|
| Practice Expenses |
EMPLOYEES
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- interview & observe all staff (including practitioners) in performance of duties and interaction with each other
- observe staff interaction with patients from the point of view of the staff as "customer service" and as "salespeople"
- document our observations and evaluate vs MMS guidelines & criteria
|
HUMAN RESOURCES
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- determine if the system in place meets gov't standards and protects the Practice
- if not, document ares of exposure
|
PAYROLL
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- determine the true cost of each employee to the Practice by factoring in the "paid time off" policy and overtime costs
- determine what each department "costs" the Practice relative to Practice revenue ex: the billing & collection dept.
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PURCHASING
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- look at the system in place to protect The Practice from excessive spending
- look at the system in place to secure the physical inventory
- determine $ savings to the Practice with the MMS procurement system
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SPACE DESIGN & UTILIZATION
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- look at the design and the flow from the patient point of view
- determine if there are practical, cost effective recommendations to be made
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| Practice Communication |
PATIENT FORMS
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- determine if they maximize Practice ability to collect monies due
- determine if they protect the Practice in terms of all regulations, including HIPAA
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INFORMATION FLOWING TO THE DOCTORS
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- determine the system in place and the "reports" utilized for the doctors to analyze:
- the current financial condition of the Practice...
- the current condition vs past performance...
- the performance of each practitioner individually & relative to each other...
- the status of monies being pursued for collection from insurers and patients...
- the effectiveness of the internal referring system...
- the projection of future cash flow based on historical Practice write off rates...
- the insurance plans that pay the best & worst that they participate with...
- evaluate all of these relative to MMS customized Practice reports
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