President
Current• Review of managed healthcare contracts with networks and payors to assure that they contain language to protect the practice rather than the network or payor• Analyze and create models to determine whether the reimbursements being paid are the reimbursements and at the levels that were contracted and expected• Negotiation of managed healthcare contracts and reimbursements to make sure that practices receive the highest reimbursement possible in this healthcare market for their specialty• Evaluation of operational processes to ensure that the practice is operating at “best practice” levels including benchmarking• Performance of trend analysis concerning accounts receivable, office collections, transmittal report errors, denial reports all in a monthly billing “report card”• Review and assist in the building of an ambulatory surgery center, including development, contracting and ROI analysis; including review and analysis of current ASC situation and trends.• Perform ROI analysis on new “ancillary services” to include imaging, pathology, laboratory, etc.• Credentialing for existing or new physician or mid-level providers with respective hospitals and commercial and governmental heatlh plans• Development of physician compensation plans dependent on each individual group’s need• Help in the transitions of physicians in and out of practices (buy ins and buy outs) including the merging of various physician groups into a larger entity