Comprehensive Management

The Manager will provide the Comprehensive Management Services in consultation with the Practice and at the Practice’s ultimate direction and discretion.  The Executive Management Services include the following:

The Manager will provide support or consulting services for the Practice in the following general administrative areas:

• Executive decision-making training and support;

• Practice restructuring and personnel/job performance coaching;

• Identifying various cost containment initiatives and negotiations including, supplies, equipment, real estate, debt services, and other needs of the Practice;

• Application of practice communication strategies;

• Assist in implementation of compliance programs and risk mitigation;

• Development, administration, and provision of practice workflow solutions;

• Operations benchmarking, participate in management meetings, and KPI development;

The Manager will provide support or consulting services for the Practice in the following non-clinical human resourcing areas:

• Development, administration, and provision of guidance regarding employment policies and procedures;

• Development of employment agreements for non-physician employees;

• Assistance or sourcing for background checks, drug testing, and verification of employment;

• Recommend partners (as needed) for benefit procurement, enrollment, administration, and process management services;

• Guide practice (as needed) in areas of workers compensation, equal employment opportunity and other employment-related regulatory requirements;

• Recommend systems for personnel learning management system for various training programs, compliance attestations, and continuing education;

• Compensation benchmarking, staffing benchmarking, bonus program development, comprehensive benefit reviews, and annual performance evaluation management and support;

The Manager will provide support or consulting services for the Practice in the following clinical  (advanced practice providers or physicians) human resourcing areas:

• Preparation of employment agreement forms for physician employees at the direction of the Practice;

• Review and (as needed) revise new physician welcome packets;

• Assistance with the development of printed communications intended for physicians or patients;

• Compensation benchmarking, bonus program development, comprehensive benefit reviews, and annual performance evaluation management and support;

The Manager will provide support or consulting services for the Practice in the following financial management resourcing areas:

• Assistance with cash management, bank reconciliations, and bank relations;

• Oversight of accounting reporting and maintenance of accounting books;

• Preparation of perpetual forecasts, annual budgets, and ad hoc analytics to support Practice operations;

• Prepare financial reports for physician-owners;

• Review accounts receivable and payables and suggest areas for improvement;

• Recommend accountant for financial audits within the Practice patient management system, bank registers, petty cash accounts, purchase orders, payroll systems, and other reconciliation tasks.

The Manager will provide support or consulting services for the Practice in the following ancillary operations resourcing areas:

• Support in the development of various ancillary service lines within the Practice;

• Assistance in the establishment of pro forma models for ancillary growth;

• Workflow management support to optimize ancillary operations, personnel job functions, and comprehensive patient services.

• Evaluation of comparable ancillary operations to exchange best practices, training, and experiential support between the Practices supported by the Manager;

• Operations benchmarking, ancillary management meetings, and KPI development;

The Manager will provide support or consulting services for the Practice in the following revenue cycle operations resourcing areas:

• Operations benchmarking, revenue cycle meetings, and KPI development;

• Review of patient collections policies and front desk collection metrics;

• Recommend providers of training and education in payment posting, claims submission, coding practices, authorizations, denial management, appeals, refiling of claims, and other revenue cycle functions.

• Recommend providers for oversight of internal revenue cycle offices and external revenue cycle management services in conjunction with the Practice personnel;

• Recommend providers for conveyance of changes in regional or state specific policies that impact day to day revenue cycle functions for the Practice including payer policy changes, bundled services, denied services, added services, and other rules or requirements;

• Recommend providers for negotiation of collection, coding, or other revenue cycle services;

• Assistance in the development of revenue cycle policies to support Practice administration;

• Recommend providers for analytics to support proposed charge master schedules in the practice management system;

• Recommend providers for underpayment analysis and review of claims adjudication in accordance with the Practice third-party payer contracts;

The Manager will provide support or consulting services for the Practice in the following third-party payer contracting and relationship management resourcing areas:

• Evaluate Practice’s various third-party payer contracts and provide recommendations on payer strategies;

• Negotiate and convene value-based programs in conjunction with third-party payers;

• Identify resources to assist Practice to quantify clinical measures and outcomes in support of various value-based initiatives including ACOs, Medicare star ratings, quality performance improvement plans, or other programs that require data management;

• Engage third-party payer interfacing and negotiations for in conjunction with all Practices supported by the Manager.