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Bringing You Up-to-Date and Keeping You Ahead of the Curve |
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ABC's consulting services are available to our established clients and
also non-clients. Services include compliance
review and the development of compliance programs,
HIPAA readiness and compliance, analysis and audits programs, unit-fee programs, and interactive financial practice
analyses. For expanding practices, ABC provides
strategic staffing analyses, practice expansion planning, mergers,
acquisitions and business evaluations, market research and income
projections, and much more. |
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Contact us to learn more about
any of our consulting services. |
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Managed Care & Hospital Employment Contract Negotiations
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ABC's consultants can provide assistance and advice regarding your
managed care and hospital contract negotiations based on our healthcare
experience. In addition, we can refer you to qualified legal counsel for
a legal review of your contracts. Areas that qualified legal counsel can
discuss with you include issues relating to reimbursement, credentialing,
quality and utilization review obligations, term and termination provisions,
referral obligations, access to medical records, and indemnification and
insurance requirements. |
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Unit Fee Analysis
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ABC account managers closely monitor and analyze each client's account
to determine if third-party reimbursements received are consistent with
expected amounts and applicable reimbursement laws and regulations for
anesthesia services. The account manager and a professional coder
perform periodic audits to determine if all the procedures performed by
the anesthesiologist are accounted for as indicated on the billing slip.
Accurate billing reports are necessary for
proper collection of third-party reimbursement fees. Proper information
facilitates timely collections and may reduce operating costs for clients.
Reimbursement fees are reviewed and updated on a regular basis. Clients
receive an analysis of their fees in relation to the marketplace. |
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Practice Analysis
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ABC's professional consultants can perform an on-site management
evaluation of your current practice and provide you with a detailed
analysis, including solutions for operating your practice more
efficiently and effectively. Our practice analysis services may
include investigation of anesthesia records, billing and collection
reports, practice mix, accounts receivable reports, payment posting
records, procedure entry, insurance verification, claims, follow-up,
patient statements, telecommunications, quality assurance, capitation
and managed care contracts, and software capabilities. |
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Strategic Staffing
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One of the biggest dilemmas facing anesthesiologists today is who
should employ CRNAs? Should they be employed by the hospital or by the
practice? We analyze your level of operations to determine the optimal
mix of physicians and CRNAs for your practice. |
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Expansion Planning
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The economic and political pressures on anesthesiologists: decreasing
reimbursement, increasing overhead, complex hospital and managed care
contract negotiations, hospital mergers and acquisitions, and pressure
to absorb CRNA expenses, has caused a surge of practice expansions
including mergers, consolidations, acquisitions and joint ventures.
While expansion is a typical response to these external forces, there
are many business and legal implications related to practice expansions
which must be effectively addressed to ensure a successful expansion.
As with any business decision, practice expansions must be carefully
planned in order to achieve the desired result. Anesthesia Business
Consultants provides the necessary tools to assist you in preparing
for an expansion or development into other anesthesia specialties such
as multidisciplinary pain clinics or outpatient facilities with our
market research and income projection services. |
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