Consulting

Healthcare Consulting

Navigating today’s healthcare environment has become increasingly challenging. This reality means it is more difficult than ever to grow and sustain a financially healthy and strong practice. Our team of experienced professionals work hard to take the uncertainty out of this overwhelming process.

We will help you establish, grow, or streamline your practice through our wide array of healthcare consulting services.

Practice Startup

We take pride in working with startups as much we do helping existing practices expand. There are many factors to consider from early planning stages leading all the way to opening day. We take a ground-up approach when shaping a custom strategy for your practice that centers around:

Entity structure

Business plan

Practice location and layout

Licenses, permits, and certificates

Credentialing for insurance payers

Hospital privileges

Professional liability insurance

Medical and office equipment selection

Fee schedule

Insurance contract review

Revenue Cycle Review

Shrinking healthcare operating margins mean you have to be smart about how you do business. Efficiency and accuracy are the keys to increasing revenue. We will study the operating procedures of your billing process, from pre-registration to payment, and identify where you may be losing revenue. After completing the review, we will provide you with a written report of our findings as well as recommendations as to how you can improve your revenue cycle.

Coding Review

Concordis’ certified professional coders can perform medical records reviews for the providers in your practice. We will do a complete assessment of your coding and reimbursement practices. The reviewer will verify that documentation in the medical records supports CPT, HCPCS, and ICD codes assigned. The objective of our review is to identify under-billed, over-billed, undocumented, denied, and down-coded services. We can also provide training for your providers to enhance proper medical records documentation.

Operational Analysis

Concordis will analyze your overall operations. Combining data from patient volume statistics, fee schedules, production and collections, operating expenses, and staffing, we create a comprehensive profile of the inner workings of your practice. We will also review the processes your office uses to order and maintain medical and pharmaceutical supplies. We can help identify inefficiencies, develop custom solutions, and set benchmark goals that will increase your profitability.

Direct Hire

Whether you are hiring for professional or clinical staff, the process can be long and tedious as you are tasked with recruiting, conducting interviews, obtaining reference checks and background screenings, and negotiating employee salaries and benefits. Concordis will take care of the entire selection process for you based on your criteria for the candidate, so you can focus on providing exceptional service to your patients.

 

We understand fully the impact the right employee or the wrong employee can have on your practice. As such, we make every effort to find the candidate who is the best fit for your practice’s culture.

Credentialing

The credentialing process is time consuming, requiring tedious and often complex navigation of payer networks that can take up to 120 days for processing. Concordis will take care of the physician and non-physician practitioners credentialing process so you can devote your valuable time to other administrative tasks. Our staff will actively manage the entire application process and any follow-up correspondence needed; and, we will provide you weekly follow-up regarding our progress.

Interim Practice Management

Our experienced consultants have managed successful practices in their careers, and they are available to fill-in for interim periods while you transition from one Practice Manager to another, or perhaps to cover for your Practice Manager while they are on FMLA leave, extended vacation or any other period of absence. Our consultant will be on-site to ensure that the practice runs smooth and efficiently.

Management Assistance

At times, managing a practice can become overwhelming. Our consultants are available to assist you with the management of the practice. We can handle special projects, or the daily operations. These services are available on a retainer basis, and the cost is based on a specific number of hours per month.

Fraud Risk Assessment

Combating fraud is a constant challenge in the healthcare industry. We will conduct a fraud risk assessment and help you identify and understand areas of vulnerability. Our team will then work with you to develop internal controls to mitigate, prevent, and recoup losses.

Human Resources

A well-run human resources department naturally leads to a more satisfying employee experience. We will help your practice become organized and streamlined when it comes to personnel files, legal documentation, employment applications, reference checks, and offer letters. We go even further by determining salaries and developing employee handbooks, job descriptions, employee forms, and employee performance evaluation systems.

Staff Training and Development

Your staff members are the front line for your practice and have a tremendous amount of influence on the patient experience. However, it can be difficult finding the time to develop effective processes and procedures that are not only understood, but followed. Our team at Concordis will train your staff on everything from telephone etiquette, customer service, office policies, and compliance, to job-specific requirements.

Practice Compliance (HIPAA & OSHA)

One of the most important areas of running a healthcare practice is accountability and compliance. There were nearly 500 pages detailing changes to HIPAA alone in 2013. Ignorance of these changes will not protect you from the costly fines that come from noncompliance. Concordis can set up a compliance program for your practice that will keep you up to date with the ever-evolving healthcare industry.

You don’t have to do it all by yourself. Let us bring you the peace of mind that comes with increased efficiency and maximized cash flow.