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This month.... With the summer vacation months approaching it is a good idea to check your health insurance plan to determine how to use health services at your vacation spot. If you are not sure what the benefits are when you travel, call your member services department. Their telephone number is located on the back of your insurance card. |
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Advisory Board:
Links Section
CEO:
Mary Shaub, MHS
:
Betty Addison, MS
Donna Sherwin, CPA
Bruce Grossinger, DO
Walter Tsou, MD MPH
Hope Shaub
Leo Daniel Haley, M.B.A.
Provider Services
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Patients First, Please designates us as your health care advocate. Our services will strengthen the provider-patient relationship. We understand the never ending struggles that providers and consumers are encountering in today's payor driven managed care environment. Conflicts continually arise as the providers attempt to address the simultaneous demands of the payor and the patients.
ON CALL CONSULTANT, is our hotline access progam. By choosing this service, the provider is regarded as the proactive agent for the consumer in their struggle to regain control of accessing healthcare services. You can focus on the demands of the patient while our experts are there to address practice management, operational and revenue cycle issues.
- DAILY availablity from 9:00 am to 6:00 pm EST via our toll free number at 888-244-4090 OR via email at the communication box on our home page as well.
- We solve questions related to health plan coverage options, claim submission guidelines, care management, copay or coinsurance schedules, deductibles, how to handle difficult patients, denial questions, alternative care options or appeal strategies.
- Quarterly utilization reports help you target issues that effect your practice's income and quality of care.
- Free annual educational program of your choice.
- Health care advocate service plans begin at $70 per month.
LEADERSHIP DEVELOPMENT services will provide your staff with the competitive edge to differentiate the quality of your patient service as superior.
- Training classes provided onsite are offered in 2 hour, half day, and full day sessions.
- Topics - Effective Front Desk, Award Winning Telephone Techniques, Patient Service - Excellence Is Our Motto, Understanding Fees and Co-Pays, How To Explain Insurance to Patients, Communicating Your Financial Policy, Understanding Insurance for Maximum Reimbursement.
- Classes can be designed to meet your unique needs.
- Leadership development classes begin at $300.00.
PRACTICE MANAGEMENT AND REVENUE CYCLE MANAGEMENT services will enhance the provider's recognition as the ultimate advocate in the eyes of the consumer independent of health plans. While providing superior customer service our strategies will optimize financial returns for the organization.
- PRACTICE MANAGEMENT PROGRAMS include business office benchmarking strategies, health plan (insurance) contract analysis.
- HIPAA ASSESSMENT PROGRAMincludes defining business associates, designing forms for consent and authorization, developing privacy and security policies and procedures.
- INTERIM MANAGEMENT / STAFFING SERVICES
- REVENUE CYCLE MANAGEMENT SERVICESinclude cash acceleration programs, denial analysis, provider enrollment, billing and follow up system analysis and outsourcing.
- COMPUTER SYSTEM SERVICES include system conversion services, analyzing the current use of your system, review of management reports, use of the internet, expertise in multiple computerized systems – SMS, IDX, PCN, Medisoft and Lytec.
- FEES are structured upon the defined need. We have a reasonable rate structure allowing for flexibility to meet your needs. Project and hourly fees are provided depending on the scope of the project. For revenue cycle management services programs may include a combination of management fee and a lesser contingent rate.
