Practice Enhancement
Consulting
Many offices that we encounter already have
physical therapy services in place. The fact that
they already offer these services doesn't preclude
them from wanting or NEEDING our help. It is no
secret that insurance companies are continually
looking for ways to limit our services or narrow
the scope of the services we can provide.
The insurance companies use strategies like
bundling, cascading payments, post-payment audits
and demands for refunds. All these strategies are
simply tactics they employ to make the collection
of the money that they owe us, for the services we
have provided for their insured, difficult to
obtain.
Our Company Specializes In
Getting You Paid!
There are laws, rules and regulations to protect
the insurance companies, but there are other laws
and regulations that protect the providers. Some
of these laws are "Equitable Estoppel and
Unjust Enrichment." One of the main functions
of consulting division is to train you and your
staff how to fight back against the insurance
companies for that which your office deserves to
be paid!
Insurance companies have three rights in the
absence of misleading information or fraudulent
claims: (1) to receive a claim, consider it and
pay it; (2) to receive a claim, consider it and
deny it; or (3) to receive a claim, request
further information and then deny it or PAY IT!
At Serenity Health Systems, we provide consulting
services once you fill out a practice assessment
and we determine that we can help you increase
your bottom line! In many cases we guarantee a
thirty percent increase in collections three
months after our visit to your office. That's
right, "after we visit your office." It
is our belief that too many consulting companies
try to provide their services over phone lines and
we believe that consulting needs to take place
"on-site" in order to get a good
product.
Some, but not all of the services we provide
are:
- Audits of services ordered
- Audits of ICD-9 utilization
- Audits of CPT code utilization in relation
to the ICD-9 choices being made
- Effective training in insurance
verification
- Effective training in insurance
collection
- Effective negotiation techniques in
handling of Deductibles, co-pays and
co-insurance
- Installation of effective forms that
minimize double work and make sense to the
insurance companies (expediting claims
consideration)
In all, the services we provide in our consulting
division help an office run more efficiently and
get that office considerably more profitable.
There is an old saying: "it is hard to see
the picture when you're in the frame." The
simple truth is that when one of our consultants
visits your office, they see things that you and
your staff just don't see.
Please call our office and we can walk you through
filling out one our complimentary "Practice
Assessments." We will schedule a 15-minute
phone conference with you and tell you what we see
as potential "red flags" for insurance
companies and ways to improve things you are
already doing…and suggest some that you are
not!
The bottom line is that we have doubled and
tripled incomes in physician's offices that have
picked up the phone and called us. So why don't
you become one of the many that have!
Click here to contact us
about a free consultation regarding your practice
revenues. |
