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Because your patients come first.Because your patients come first.Because your patients come first.
Regulatory and Practice Regulatory and Practice Management ServicesManagement Services
Daniel L. Johnson, CPC, CPC-H
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management ServicesPractice Management ServicesPractice Management Services
• Total Practice Management
• Practice Evaluations
• Revenue Cycle and Fee Schedule Analysis
• Strategic Planning
• Business Plans
• Practice Valuations
• Managed Care Contracting
• Presentations
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management ServicesTotal Practice ManagementTotal Practice Management
Practice Management ServicesPractice Management ServicesTotal Practice ManagementTotal Practice Management
Description: For the approximate cost of a full-time employee, MMHSI can oversee and manage the day-to-day operations of a medical practice.
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management ServicesTotal Practice ManagementTotal Practice Management
Practice Management ServicesPractice Management ServicesTotal Practice ManagementTotal Practice Management
• Consulting and management support of a medical practice to include but not limited to the processing of insurance claims, accounts receivable, accounts payable, and other reporting as may be required by the physicians.
• Monthly on-site visits by a member of the Consulting Staff of MMHSI for oversight. Monthly reporting on the operations of the office will be provided.
• Consulting support for CPT/ICD-9/Medicare/Medicaid and other Third Party Payers as related to physician billing.
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Practice EvaluationsPractice Evaluations
Practice Management ServicesPractice Management Services Practice EvaluationsPractice Evaluations
Description: Assesses practice operations and management. An on-site assessment of 2-3 days is necessary and written report of findings and recommendations are provided.
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Practice EvaluationsPractice Evaluations
Practice Management ServicesPractice Management Services Practice EvaluationsPractice Evaluations
• Assess billing operations, collections, and accounts receivable;
• Coding and documentation review;• Comparative Profile Analysis• EO(M)B Review (review of denied services)• Patient Mix Analysis• Patient Flow• Staffing Analysis• Regulatory Compliance Review
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Revenue Cycle and Fee Schedule Revenue Cycle and Fee Schedule
AnalysisAnalysis
Practice Management ServicesPractice Management Services Revenue Cycle and Fee Schedule Revenue Cycle and Fee Schedule
AnalysisAnalysisDescription: Review billing, collections, and accounts receivable process and makes specific recommendations for improvement. Current Fee Schedule is reviewed and compared to our extensive database of physician fees. Recommendations are made to change charges to current market levels.
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management ServicesStrategic PlanningStrategic Planning
Practice Management ServicesPractice Management ServicesStrategic PlanningStrategic Planning
• New Business Structures
• Develop New or Updated Management Teams
• Enhance your Business
• Develop New Revenue Streams
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Business PlansBusiness Plans
Practice Management ServicesPractice Management Services Business PlansBusiness Plans
• New Business Ventures
• Obtaining Capital Investment
• New Practice Startups
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Practice ValuationsPractice Valuations
Practice Management ServicesPractice Management Services Practice ValuationsPractice Valuations
• Valuations of Hard Assets• Valuations of Intangible Assets (Good
Will)• Evaluation of Regulatory Compliance for
Valuation Purposes• Evaluation of Cash Flow and Collections• Evaluation of Staffing and Expenses• Assign Dollar Value to Your Practice
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services Managed Care Contracting Managed Care Contracting
Practice Management ServicesPractice Management Services Managed Care Contracting Managed Care Contracting
• Evaluation of Current Contracts
• Evaluation and Negotiations of Fee Schedules
• Evaluation and Recommendations for Future Contracts
• Direct Contracting
• Capitation Evaluation
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Practice Management ServicesPractice Management Services PresentationsPresentations
Practice Management ServicesPractice Management Services PresentationsPresentations
• Practice Evaluations
• Revenue Cycle Analysis
• Organization Management
• Managing and Motivating Staff
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance ServicesRegulatory Compliance ServicesRegulatory Compliance Services
• Medicare/Medicaid/Third-Party Payer Audit Defense
• Voluntary Compliance Programs• Individual and Corporate Integrity Agreements• Voluntary Disclosures• HIPAA Compliance Programs• OSHA Reviews/Training/Compliance• Research and Coverage Analysis• New CPT Development• Legal Assistance and Support Services
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance ServicesAudit DefenseAudit Defense
Regulatory Compliance ServicesRegulatory Compliance ServicesAudit DefenseAudit Defense
• Consulting Services Related to Disputing Overpayment Demands
• Statistical Analysis• Fair Hearing and Mediation Representation• Administrative Law Judge Hearing Assistance• Attorney Support Services• Research• Audits• Other Analysis as Needed
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance ServicesVoluntary Compliance PlansVoluntary Compliance Plans
Regulatory Compliance ServicesRegulatory Compliance ServicesVoluntary Compliance PlansVoluntary Compliance Plans
• Establish Voluntary Program Designed to Limit Audit/Fraud& Abuse/Whistle-Blower Cases
• Custom Program Designed for Your Practice/Business
• Meets OIG Compliance Guidance
• Annual Auditing and Monitoring
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance ServicesIndividual and Corporate Integrity Individual and Corporate Integrity
AgreementsAgreements
Regulatory Compliance ServicesRegulatory Compliance ServicesIndividual and Corporate Integrity Individual and Corporate Integrity
AgreementsAgreements
• Recognized as Independent Review Organization by the OIG
• Statistically Valid Design and Auditing
• Annual Reporting and Monitoring
• Customized Compliance Program to Meet Integrity Agreement Goals
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance Services Regulatory Compliance Services Voluntary DisclosuresVoluntary Disclosures
Regulatory Compliance Services Regulatory Compliance Services Voluntary DisclosuresVoluntary Disclosures
• Mediation with Payers
• Confirmatory Audits
• Corrective Action Plans
• Auditing and Monitoring to Assure Compliance
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance Services HIPAA Compliance Programs HIPAA Compliance Programs
Regulatory Compliance ServicesRegulatory Compliance Services HIPAA Compliance Programs HIPAA Compliance Programs
• Compliance Manual
• Training
• Implementation
• Form Development
• Dispute Resolution
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance Services OSHA Reviews/Training/ComplianceOSHA Reviews/Training/Compliance
Regulatory Compliance ServicesRegulatory Compliance Services OSHA Reviews/Training/ComplianceOSHA Reviews/Training/Compliance
• Initial Safety Evaluation and Report
• Safety Manuals
• Blood Borne Pathogen Manuals
• Training
• Complaint Investigation and Resolution Management
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance Services Research and Coverage AnalysisResearch and Coverage Analysis
Regulatory Compliance ServicesRegulatory Compliance Services Research and Coverage AnalysisResearch and Coverage Analysis
• Complex Coding and Reimbursement Issue Analysis
• National and Local Coverage Decision Research and Analysis
• New or Revised Coverage Determination Development
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance ServicesNew CPT DevelopmentNew CPT Development
Regulatory Compliance ServicesRegulatory Compliance ServicesNew CPT DevelopmentNew CPT Development
• Direct Liaison with AMA CPT Advisory and Editorial Panel
• Single Specialty Society Involvement
• Research and Plan Development
• Presentation and Follow-up Services
Because your patients come first.Because your patients come first.Because your patients come first.Because Your Patients Come FirstBecause Your Patients Come First
Regulatory Compliance ServicesRegulatory Compliance Services Legal Assistance and Support ServicesLegal Assistance and Support Services
Regulatory Compliance ServicesRegulatory Compliance Services Legal Assistance and Support ServicesLegal Assistance and Support Services
• Fraud and Abuse Defense working with Legal Counsel
• Administrative Law Judge Hearing Assistance
• Expert Testimony
• Auditing
• Research and Analysis