Existing Practice
“Our company’s primary mission is to improve operational efficiency and maximize reimbursement within our client’s practice.”
Arlene Guerra, RN, CEO
The 80/20 Medical Management and Billing Services Group, LLC
The business of medicine relies mainly upon operational efficiency and maximized reimbursement. These are the foundations of a thriving medical practice.
Operational Efficiency
- Workflow
- Use of Technology
- Organizational Management
- Recruiting Standards
- Trained workforce
- Scheduling
- Credentialing
- Provider Enrollment
- Lines of Authority
- Employee Policies and Procedures
- Employee Health Benefits
- Patient Relations Policies and Procedures
- Practice Management
- Financial Planning and Consulting
- Purchasing and Inventory Management
- HIPAA and OSHA Compliance
- Performance Review System
- Accounting Systems and Payroll
- Vendor Agreements
- Periodic Review of Success Factors
- Suggestion Program
- Change Planning and Implementation
- Emergency Procedures
Maximized Reimbursement
- Accounts Receivable Management
- Billing/Collections Procedures
- Internal Controls
- Eligibility and Verification
- Accurate Data Entry
- Management Reports
- Coding Proficiency
- Managed Care Contract Negotiation/Compliance
- Patient Mix
- EOB Reviews
- Revenue and Profitability Goals & Objectives
- Denials and Appeals Process
- Live Time access to patient balances via Mobile Link
|
