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1st Assistant Credentialing Services
As a former practice manager and practice consultant, I know the value of credentialing. My company has expert specialists to assist our clients with every aspect of credentialing including primary source verifications, payor enrollment, and contracting. We use a sophisticated software system which allows us to prepare apps, finish verifications and prepare our clients information in a timely and accurate manner. Flat fees are used in our pricing so that the client can know how much services will cost up front without nickle & diming their pocketbook. 1st Assistant is an extension of your practice and we work closely with each client to ensure accuracy and timeliness of our credentialing. We take pride in our work and we work for YOU!
Alta Partners, LLC
Alta Partners, LLC, based in Westlake, OH, provides physician billing, practice management, clinical integration, and physician practice consulting services. Founded in 2000, Alta currently provides billing services to over 200 providers of all sizes and specialties including private practice and hospital-employed groups. Our clients are located throughout Ohio and in Michigan, Indiana, Illinois, Kentucky, Florida, and Missouri. Alta works with physician clients, in partnership, to make them more effective in the areas of revenue cycle management, clinical integration, personnel management, and business management, using a variety of EHR and PM software applications.
American Healthcare Documentation Professionals Group
Are you drowning under the weight of your healthcare documentation? Spend more time caring for patients by sharing that burden with your staff. Since 1992, the American Healthcare Documentation Professionals Group has been providing healthcare documentation services, staffing and training to hospitals, medical clinics, physician groups and other healthcare organizations. We stand ready to assist your organization implement an internally managed StepsForward program at your facility. Visit our Website at www.ahdpg.com for more details. Principal Consultant, Mr. Chris Reilly, MHA, CMPE, CPHIMS has over 15 years of healthcare leadership in the areas of Administration, Clinical Operations, Finance and Information Systems. He has worked in a variety of care settings including, Hospitals, Physician Group Practices, and Telemedicine. His areas of expertise include: • Operations • Analytics • Performance Improvement • Strategic Planning • Team Documentation (Scribe) Chris is located in the Washington, DC metropolitan area but is able to travel where needed. He can be contacted directly at 571-389-2815 for an initial telephone consultation during normal business hours.
AMPM derives its name from its original identity as Austin Medical Practice Management. AMPM, Inc. is a medical billing, practice management, and managed care services firm with over 16 years of experience and success in many specialty types and practice settings.
Amy Poplin Dunatov
Amy Dunatov has extensive experience in medical practice management, including both private practice and hospital-owned multispecialty group settings. She has comprehensive knowledge of billing and E&M coding, physician compensation plan design, financial and operational benchmarking especially as it relates to physician compensation and productivity. As Executive Director of Physician Services for a large hospital owned physician network, Amy was responsible for all phases of the physician employment process including contract drafting, negotiation, and design of compensation plans for 50+ employed physicians. She also served as Compliance Officer and served on Corporate Compliance Committee for the organization, playing an integral role in Corporate Compliance plan design and implementation for the hospital-owned practices. As administrator of an 11-provider gastroenterology practice, Amy managed development of a new office building (14,720 sq. ft.) with endoscopy suite, including pro forma analysis, liaison with the design/build team, and oversight of budget. She prepared the practice for a successful AAAHC survey in October 2006. Amy received her BS in Business Administration from Gardner-Webb University and a MPH from University of North Carolina School of Public Health. She has achieved fellowship status in the American College of Medical Practice Executives, the educational branch of Medical Group Management Association (MGMA). She attained certified coding specialist designation from American Health Information Management Association in 1992 and is an ICD-10-CM certified trainer.
Associated Healthcare Advisors Inc.
Kathy Moghadas has been providing quality medical management consulting services to individual and group practices as well as hospitals and allied institutions on a national, regional and statewide basis since 1987. As a registered nurse and risk manager, she has advanced certifications in healthcare business, compliance, coding and reimbursement as well as risk management. Kathy has been working in the healthcare community since 1975. With a solid foundation and working knowledge of the principles of outcome measurements and quality assurance, and with a focus on compliance, internal operations, reimbursement, quality systems design and implementation, Kathy is thoroughly qualified to meet the regulatory compliance needs of its clients. Kathy Moghadas, principal of the firm, was honored by her community in 1998 to be the recipient of the Small Business Person of the Year Award. Kathy and her team are licensed and certified professionals who are committed to the pursuit of continuing education to maintain the highest standards of professional growth. Through her education company, TopCat, they have been meeting the professional continuing education needs of licensed professionals throughout the country. To keep abreast of the changing needs of their clients, the professionals at Associated Healthcare Advisors actively participate in national professional organizations, and contribute to national healthcare periodicals and publications. In June 2005, Kathy’s first book: Medical Practice Policies and Procedures was published by the AMA. In 2008 her book: Tools for An Efficient Medical Practice was published through the AMA. Kathy was the 2011 president of the National Society of Certified Healthcare Business Consultants, a member of Healthcare Compliance Resources, and the American Academy of Family Practice Consultants Forum. Kathy is a frequent contributor to healthcare industry publications such as Medscape, WebMD, AMA News, Medical Economics and Doctors Forum.
Brennan Associates, LLC
Healthcare transformation specialist experienced with integrated healthcare delivery and team-based models of care for physician-owned and hospital-based practices; Organizational and behavioral change strategist; Leadership and executive coaching for individuals, project teams, and interprofessional teams to achieve results.
Bryan Research has been dealing with healthcare institutions for almost ten years now, working at all levels within the organizations to solve problems, redesign and reorganize and improve operational performance. Listed below are a few examples: 13 hospital health system in the southern USA. We redesigned operating room flow, concentrating on turnaround time reduction, by optimizing supply chains, re-sequencing turn around activities and redesigning case cart setup, usage and teardown. Four site health system in the northeastern USA. We analyzed both clinical and pathology laboratory workflows, redesigned them according to toyota production system principles and managed implementation of the changes to a stable system. 125 bed hospital in the midwestern USA. We analyzed and redesigned OP and IP processes to improve capacity management,quality and LOS. These improvements released $63m a year in previously consumed capacity. Independent drug screening laboratory in the northeastern USA. We analyzed existing demand and capacity management strategies, introduced improvements to flow resulting in 35% extra capacity, designed a new laboratory layout and systems and project managed the move to the new laboratory facility. Large, urban hospital system in NYC. We analyzed biomedical engineering issues around incubator availability. Redesigning this resulted in significant capital savings. Our more recent work has been exclusively with primary care practices, assisting with all aspects from patient flow and operations to owner / founder transitional issues requiring extensive coaching. We use the philosophies and frameworks of the Toyota production System, along with many others to effectively assess your operations and strategy and engage your team in truly transformational work.
Capko & Morgan
Capko & Morgan is a medical practice management consulting and market research company serving physicians and healthcare companies throughout the United States.
CareVitality, Inc. Chronic Care Management Code CPT 99490
CareVitality, Inc., a subsidiary of EHR & Practice Management Consultants, Inc. (EHRPMC), is a national healthcare technology consulting and care management services firm. CareVitality, Inc. is well known for providing physician groups and hospitals with expertise around their healthcare technology systems and assisting providers in participating in healthcare quality initiatives such as Chronic Care Management (CCM) technology and services to support reimbursements from CMS for CPT Code 99490, Patient Centered Medical Home (PCMH) and other value-based care programs with our comprehensive service offering and care management team. Chronic Care Management (CCM), Patient Centered Medical Home (PCMH), Transitional Care Management (TCM), Comprehensive Primary Care Plus Initiative (CPC+) Services Provider
Cheri S. Kane, FACMPE, PwC, Managing Director
Possesses 25+ years healthcare leadership experience with increasing responsibility in a variety of hospital, physician, managed care, consulting and vendor environments in for-profit and not-for-profit organizations focusing on all entry points to the revenue cycle process. Cheri has lead seeral operational improvement initiatives for up to 1,000+ hospital owned physician organization. While in these roles, she was the sr. leader responsible for the development and implementation of all the operational policies and procedures for the physician network. In addition, she has personally managed up to eight practices concurrently while reducing accounts receivable days in a twelve month period for 100+ days to 33. Cheri was the project lead for two large scale academic hospital facilities employing 800+ physicians performing revenue cycle turnarounds delivering results inmore than $130M in net revenue recovery for the hospital by implementing areas of improvement including Scheduling, Patient Access, Health Information Management, Billing, Collections, Managed Care Contracting and CDM/Charge Capture. She personally has developed and implemented two large central scheduling call centers for physician referrals. One was for a $1.5B hospital organization with more than 500 employees holding responsibility for Scheduling, Patient Access, HIM / Charge Capture, Business Office, Managed Care Contracting, and Vendor Management . In addition, she has performed extensive managed contracting for physician providers and payers. For more than five years, she was a regional director of provider relations for the largest managed care company in the country managing 3,500 physicians negotiating fee for service and capitation contracts. In addition, she developed a national program called Care Advocacy to increase physician relationships and reduce high risk patient costs. Ms. Kane possesses a Fellowship from the American College of Medical Practice Executives for Medical Group (ACMPE) Management Association Fellowship (FHFMA) with Healthcare Financial Managers Association. In addition, she recently completed her project management certification in 2014 and received her PMP. She is a frequent writer for HFMA and MGMA publications and newsletters.
Cockrell, Egeland and Associates, LLC
Formed in 2011, Cockrell, Egeland and Associates, LLC provides strategic planning ,operations management, practice management and governance / organizational structure support. In addition, we work with medical groups in providing structure to capturing incentive payments from third party payers. We also provide interim and long term management / search functions for medical organizations. With over 60 years of healthcare management experience, the principals in the firm William F. (Bill) Cockrell FACMPE and Rodger D. Egeland bring personal experience in addition to calling on a network of independent associates to meet the needs of our clients.
Compliance and Revenue Integrity Consulting and Management Services
Joette Derricks has more than 30 years of experience in healthcare finance and operations management, ensuring productivity, profitability, and compliance within every type of healthcare organization and physician specialty. Joette is a visionary, conceptual thinker with broad experience in strategic and organizational performance measurement, business reengineering, process and procedure development, and revenue growth initiatives. She is a qualified expert witness and has provided testimony and expert reports for national health care clients. A nationally-acclaimed writer, consultant, and speaker, Joette has been invited to present at the American Health Information Management Association (AHIMA), Medical Group Management Association (MGMA). Joette is certified in healthcare compliance (CHC), certified in coding (CPC), a fellow in the College of Medical Practice Executives (FACMPE) and is trained in Lean Healthcare and Six Sigma.
Comprehensive Healthcare Advisors, LLC
As an experienced practice administrator, leader, and consultant, Wayne has provided services to both private and hospital employed physician groups and local public health clinics across Ohio. Wayne earned his undergraduate degree in Business Operations from DeVry Institute of Technology, and a Master of Health Services Management and Policy from The Ohio State University. Since then, his work has focused on all aspects of medical practice management and operations. Wayne’s engagements have included designing and implementing operational and leadership structures, reorganizing processes, performing revenue cycle analyses for both private practice and public health organizations, physician marketing, creating and implementing office policies and procedures, analyzing and negotiating physician fee schedules, constructing monthly dashboard reports, and creating annual physician budgets. Wayne has served as Director of Employed Physician Services for two different health systems, has functioned as physician liaison with a large multi-specialty Medical Services Organization, and has worked as the practice administrator in three private practice settings. Wayne earned the distinction of Fellow in the American College of Medical Practice Executives (ACMPE). He served on various professional organization boards, including Secretary and Vice President of the Obstetrics and Gynecology Assembly, a professional chapter of the Medical Group Management Association (MGMA) and as the Legislative Liaison with the Ohio MGMA. Wayne maintains active membership with the MGMA .
Mark Graban has coached healthcare organizations with Lean methodologies since 2005. As the author of the book "Lean Hospitals" and co-author of the book "Healthcare Kaizen," Mark is recognized as a leading voice who can work with executives, front-line staff, and everybody in between. Because improvement matters… we all deserve the best healthcare (as patients) and the best healthcare workplaces (as professionals). More engaged staff leads to better quality and lower cost. That’s why Mark does this work.
Creative Practice Solutions, Inc
Creative Practice Solutions is a boutique business consulting company geared towards Medical Professionals. With over 28 years of experience in Healthcare administration, they have improved the functioning, efficiency and collections of both private practice and outpatient hospital departments throughout New York City. Their sister company, VGA Billing Services, Inc., specializes in medical billing for non-participating providers in private practice.
Eagle Consulting Partners, Inc.
Eagle Consulting Partners was founded by Gary Pritts in 2001 and provides services to health care providers, developmental disability agencies, health payers, and technology vendors.
Encompass Medical Partners
Encompass Medical Partners is a full service practice management company. We specialize in PQRS program management and reporting, reducing lag time through a proprietary credentialing and enrollment system, HIPAA risk assessments, EHR integration, improved billing revenues through revenue cycle management and much more. Encompass Medical Partners focuses on the business of medicine so that our partners can focus on their patients.
First Healthcare Compliance
Founded in 2012 First Healthcare Compliance is a privately-owned women business enterprise. It helps practices comply with every federal regulation that applies to physician practices, including HIPAA/HITECH, OSHA, the False Claims Act, the Anti-Kickback Statute and Stark.
Forward Healthcare Solutions, LLC
Thomas Ludwig is an experienced clinic administrator and an accomplished author. He worked primarily in the physician practice setting for a variety of organizations – large and small, public and private – for more than 35 years. Mr. Ludwig started his career as a Navy Corpsman, medical assistant and staff nurse. His 20+ years of experience as an administrator have been in roles from front-line manager to chief operating officer. He has extensive experience in clinic operations and quality management with expertise in process improvement, workflow efficiency, advanced access and clinical quality programs. Thomas Ludwig works with small-to-mid sized practices and is willing to travel anywhere in the U.S.
Health Management Associates
Health Management Associates employs a team of consultant clinicians covering a broad range of medical and behavioral health services. Our firm has particular expertise in the integration of behavioral health into primary care and hospital settings as well as addressing behavioral health needs across integrated delivery systems. PCMH certified trainers on staff with extensive expertise in practice transformation and health care reform initiatives in public and private settings
Houck & Associates, Inc.
Houck & Associates provides ambulatory care consulting services to clinics, physician groups, hospitals, and integrated delivery networks nationwide.
HuTech Resources, LLC
HuTech Resources, LLC provides management and consulting to physician practices and health care organizations. HuTech offers a range of expertise from fundamental operational re-engineering to strategic practice development.
Manage My Practice, LLC
With 30+ years managing physician practices of all sizes and specialties in the private and public sectors, Mary Pat Whaley is one of the preeminent practice management consultants in the United States today. In addition to her Board Certification in Medical Practice Management, she is also a Certified Professional Coder and a Fellow in the American College of Medical Practice Executives. She is widely quoted in national practice management magazines including Medical Economics, Physicians Practice, the Journal of Medical Practice Management, Physicians Digest, and Outpatient Surgery Magazine. A prolific blogger, she draws 30K+ visitors to her website (www.managemypractice.com) monthly and is a Healthcare LinkedIn Thought Leader with 250,000+ followers reading her observations and posts. As an inaugural member of the Advisory Board to the Mayo Clinic Center for Social Media, Mary Pat was featured in the Mayo Clinic Foundation for Medical Education and Research book “Bringing the Social Media #Revolution to Health Care.” In addition to her social media expertise, Mary Pat is well-known for her deep knowledge in technology, particularly practice management and EMR software. Products she has worked with include Allscripts, GE Centricity, Greenway, eClinicalWorks, eMDs, Kareo, Practice Fusion, AzaleaHealth, Athena Collector & Clinicals, Cerner, Epic, 3M, Meditech, McKesson, Craneware, and MedAptus. Mary Pat's national consulting practice is focused on the solo and small medical practice market. Her mission is to keep independent physician practices financially viable. She is the originator of the Credit Card on File Program which addresses the collection of patient balances and reduces A/R to 35 days or less. Her expertise is in the wallet-friendly new practice start-up and loves to work with spouse teams to help the “managing” spouse learn about healthcare. Her wide experience encompasses many practice models including cash practices (concierge, membership, and Direct Primary Care), insurance practices, insurance/cash hybrid practices, as well as micro-practices, visiting practices, telemedicine, house call practices, and nursing home and assisted living practices. Mary Pat offers customized consulting packages that address the full line of practice start-up services, consulting focused on one part of the start-up, or creation of a preliminary Pro Forma to see if the practice vision is feasible financially. She welcomes your call or email to discuss practice needs.
MGMA Health Care Consulting Group
The MGMA Health Care Consulting Group provides management consulting services to healthcare organizations by identifying critical issues and developing tailored, actionable solutions. We understand the challenges you face as you strive to make your organization the best it can be. Our goal is to facilitate your success by providing real-life, practical solutions based on in-depth industry expertise and insight.
Moore Solutions, Inc.
Moore Solutions Inc is a nationally recognized leader in Business Intelligence for medical practices. Practices across America rely on Moore Solutions Inc. for emails, dashboards and spreadsheets reporting critical success factors for their practice. Find lots of report examples and hundreds of free training videos at mooresolutionsinc.com. If you're frustrated with the canned reports in your PM or EHR system and want to really understand what's happening in your practice, contact Nate Moore today.
Practice Management Resource Group, Inc.
PMRG provides consulting services to Ophthalmology practices with a focus on financial performance. Also, offer outsourced billing services exclusively to Ophthalmology practices, including all of the sub-specialties.
While this firm has deep experience in implementing information technology (HIT) solutions in healthcare, it has always addressed this work from the perspective of the users of these solutions, and how to implement these solutions so they quickly produce positive impacts on the care delivered by healthcare practitioners. The transformation process has always been at the heart of our implementation strategies. So we are firm believer in sound planning as well as careful implementation when working on change adoption in healthcare. The current directions for change hold great promise for major improvements in care for patients, and by patients and their care givers. The key will be the successful integration of various HIT technologies with process changes/transformation. This is our sweet spot.
Satinsky Consulting , LLC
Since 2002, we've been helping physicians set up new practices and helping existing practices address administrative, financial, marketing, website, HIPAA compliance, and HR challenges.
SCD Consulting Services
SCD Consulting Services provides concierge online marketing and website design, primarily for medical and dental practices. Helping you get a stronger internet presence; brand and connect on all social media venues, and custom website design to update or optimize your site. No contracts! We are also EXCLUSIVE to one type practice in each market area (you define the area.) We work with you, creating a stronger internet presence and getting you more patients, as long as you are happy with our services. Contact our CEO, Shirley Cress Dudley, FACMPE, today, for a free evaluation of your website, your online presence and your competition. Shirley@scdConsultingServices.com
Simpler Healthcare supports healthcare organizations pursuing transformation to a Lean management system and culture. Building on 20 years of experience with Lean in manufacturing, Simpler joined forces with Dr. John Toussaint and Thedacare in the early 2000's to develop an effective approach to transforming health care management systems and cultures. Simpler has experience supporting hundreds of healthcare clients across the United States, Europe, and Asia with Lean transformation. Our work is deeply rooted in the two key principles of Lean - Respect for People and Continuous Improvement, with a major focus on improving provider satisfaction and resiliency.
Sunrise Group Practice Solutions, LLC
Innovative leader with many years of broad based medical group practice management experience in both the privately owned and integrated physician offices. Skilled in identifying problems, formulating solutions and successfully managing the operations of medical group practices. Areas of expertise include: Financial Management, Physician Recruitment, Physician Practice Management, Formation of New Practices and the Integration of Existing Practices, Strategic Planning, Facility Planning, New Program Development. History of balancing needs of physicians, employees and community to provide cost effective quality medical care. Experiences in both interim and consulting assignments.