Technology and Business Capabilities That Work Together

We help you identify crucial levers in your practice and market to maximize practice revenue. This could be anything from increasing the number of inbound referrals to marketing your practice to payers and negotiating better reimbursement rates. We can also help you leverage bundled payment agreements with the technology and business enablers that make it relatively painless.

Do you have the right data to make decisions to support your independence?

Did you know that primary care providers now receive guidance—sometimes amounting to directives—from payers about where they should send their patients? Even if you have a strong referral network now, that could change quickly as payers increasingly issue “report cards” on various specialists based on cost and other patient outcome data. This needs to be actively managed as it can be the bane or blessing for your practice.

Do you know where your referrals are coming from?

Let’s face it. Getting paid is an increasingly painful and complex process whether you insource or outsource your billing and collections. What’s more, the traditional models of third-party outsourced billing providers and software-only solutions are inherently broken. Your revenue shouldn’t be divorced from your business operations, nor can it be dictated by out-of-the-box software. We help our clients design and execute their RCM operations based on specialty-specific needs and strategic plans, emphasizing automation and integration with outside payers and partners. Whether you need services, software, or both, we can help you build the RCM solution that works for your practice.

Are your practice operations and billing processes aligned to ensure you get paid correctly and on time?

Are you aware of the criteria used by payers to assess your practice? More importantly, do you have a strategy to enhance your ranking? Our approach is to help you understand a payer's evaluation metrics and then work with you to develop a targeted plan. This plan not only aims to elevate your practice's ranking but also ensures its sustainability, helping you secure and maintain your network status.

Do you know how regional payers rank your practice?

Medical practice technology is a critical piece of the practice infrastructure. We take a pragmatic approach to determining your technology needs based on the data you have or don’t have access to, your goals, and your operational structure. From practice management enabler modules to an end-to-end solution, we aim to help you optimize patient care management and drive operational efficiencies.

Healthcare is based increasingly on the free flow and analysis of data. That’s true on a clinical level as well as on a business level. Owners need to understand business metrics in real-time. Colleagues need to understand treatment plans and outcomes. Payers need much of the same information but in totally different formats. Bundled payment programs require reams of data–and all of it needs to flow freely where needed but still be protected in a safe, HIPPA-compliant manner. We help your data get where it needs to be in formats everyone wants while keeping it safe and secure.