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PVN focus is to maximize the efficiency and profitability of medical practices while dealing with the constant changes to our nation's health care delivery system.
LIST OF MANAGEMENT SERVICES
(click on heading for more information)
Medical Practice Management Services
We evaluate your medical practice business office’s efficiency and profitability in the following areas:
- CPT and ICD Coding
- Fee Schedule
- Receivables Management
- Aging of Accounts Receivable
- Collection Percentage
- Overhead
- Staff Training and Education
- Medical Reimbursement
- Medical records documentation
- OSHA
- Medical Compliance
- Focused Medical Review
- Compliance Programs
- Out sourced Medical Billing
- HIPAA
Our consultants use proven techniques to identify, recommend and implement actions for maximizing profitability and efficiency.
Strategic Planning
We help develop and implement comprehensive plans for managed care to include:
- Market Assessment
- Future needs by specialty
- Major employer issues
- Opportunities available
- Identification and Definition of Practice Goals
- Recommend Organizational Structure
- Type of Organization
- Legal implications of the recommended structure
- Medical Director and Committee requirements
- Administrative requirements
- Plan(s) of action including alliances with other manage care organizations
- Timetable for Implementation
Mergers and Acquisitions
PVN consultants assist you in planning and implementing all types of business alliances. We can assist you throughout the entire process working together with other experts. Our services include:
- Resolving key issues
- The implementation process
- Addressing patient issues
- Determining medical practice valuations
- Developing physician Compensation Plans
- Providing a timetable for completion of all phases
- Putting together integrated delivery systems
Managed Care
We assist you in negotiating managed care contract provisions and reimbursement amounts. Most contracts are heavily slanted towards the Payers and have serious consequences if signed "as-is". We have been successful in changing contract provisions and reimbursement amounts including:
- Utilizing specialized attorneys at substantially reduced legal fees to review contracts
- Obtaining information on allowable amounts for the most frequent services provided
- Evaluating usual and customary reimbursements based on RBRVS
- Identifying reimbursement amounts that fall below the accepted usual and customary and then negotiating increases
Credentialing and Quality Assurance
We can assist you in assessing your practice preparedness in meeting the standards established by NCQA in the even of a site visit by a representative of a Managed Care Organization. Failure to meet these standards can exclude a doctor from participation in managed care contracts. Conversely, meeting these standards can result in reduced malpractice insurance costs. The practice compliance review includes an assessment of:
- Medical Records Documentation Review
- Quality Management Plan
- Utilization Management
- Credentialing
Valuation of Practices
PVN Consultants are engaged routinely to value practices. Our services include:
- Utilizing various approaches to the valuation calculation
- Determining items adding value to the practice
- Determining the value of Goodwill utilizing practice information and other national guidelines
Compensation and Benefit Plans
Major changes are occurring in Physician Compensation and Benefit Plans because of the impact of managed care and the Capitation on medical practices. Our consultants:
- Develop compensation plans with consensus of the group
- Recommend incentives based on management and resource utilized
Financial Planning
Some of our consultants are certified financial planners and personal financial specialists with proven records and satisfied clients. Our consultants can:
- Reduce stress in your life by gaining control of your finances
- Maximize cash flow within your practice and use this additional income to fund and manage your retirement program and other funding needs such as:
- Tax planning and preparation
- Risk management and insurance
- Investment planning
- Education funding
- Evaluate estate planning
Activity Based Cost Accounting
In order for each practice to be profitable under Capitation, the practice needs to determine the unit cost of delivering a service, by CPT code. The basis of Activity Based Cost Accounting services include:
- Compiling a complete and appropriate list of service by CPT code
- Determining the resources consumed to provide these services, ie. appointment scheduling, medical record preparation, billing and account receivable, work value of physician and employees, overhead expenses, risk factors, and then compiling the information to determine the cost of each unit of care.
Practice Management Software and Hardware
The heart of every practice is computerized billing. We can assist in pricing and selecting computer software and hardware. Our services include:
- Pricing and selecting systems
- Implementing new systems
- Establishing systems and procedures to effectively process claims to all payers electronically
- Implement interactive systems to verify insurance coverage in "real time"
- Provide the service on a contractual basis
- Integrated Electronic Medical Record
- Integrated Practice Management System
Investment Advice
Some of our PVN consultants are register investment advisors managing both small and substantial funds. Our services are tailored to each client and are directed towards:
- Maximizing the return on each investment based on the investment philosophy of each client but keeping money safe
Management Information Systems
We specialize in integrating existing and available software with customized software to provide solutions for medical offices' information systems. Some of our Resource People have worked with HCFA to create the New Medicare Transaction.
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