matching-color-logo13

OPERATIONAL ASSESSMENT

Millennium Healthcare Consulting, Inc.®, team of professionals  possess the expertise to perform an objective assessment of the “financial and operational pulse” of your medical practice or hospital-based central business office function.

We will evaluate your medical practice and business office profitability and efficiency by reviewing the following fareas:

medical-staff1

  • Billing, Coding and Collection Analysis
  • Physician Productivity
  • Utilization of Advanced Practitioners
  • Staff Personnel
  • Ancillary Services/ Affiliation Opportunity
  • Managed Care Review
  • Expenses

Billing, Coding and Reimbursement

Our objective and independent assessment review key critical points of the charge capture process by identifying potential revenue enhancement areas and potential compliance risk. Some of the areas of review include:

  • Targeted Coding Reviews to ensure coding is consistent with the level of care rendered with the goal of optimal reimbursement and payment for ALL services rendered. Any compliance risks, if present, will be identified and addressed.
  • Billing/ Collection Procedures Reviews including Claims Denials/Appeals Process, Accounts Receivable Analysis by Major Third-Party Payors
  • Conduct Managed Care Contract evaluation and negotiations
  • Review internal controls of the charge capture process to ensure accountability of all clinical services rendered
  • Capitation feasibility analysis, if applicable

Physician Productivity

  • Anaysis of physician schedules
  • Anaysis of visits and procedures per physcian and compare to “best practice” indicators within given area of specialty to identify any areas for productivity improvement

Copyright © 2010 Millennium Healthcare Consulting, Inc.® All Rights Reserved