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(1)

Cli i l P

ti

Clinical Practice

(2)

Have You Been

Asking Yourself

Asking Yourself

y

Do I know my collection results month to

month?

month?

y

Have we been reimbursed properly?

y

Is our office current on coding changes,

rules, laws, mandates, trends?

,

,

,

y

Our office is getting bombarded with denials,

why?

y

Should we upgrade our software and what

about administration?

y

I find I’m unable to focus on patient care

(3)

If You

Have

Been Asking

g

Yourself Those

Questions…

Allow us to Introduce

Allow us to Introduce

Ourselves…

C P M

(4)

Reimbursement & Recovery Specialists

in Revenue Cycle Management

Revenue Cycle Management Specialists

Medical Billing | Collections | Compliance | Training | Added Value Services | Reports | Newsletter

Clinical Practice Management (CPM) offers a comprehensive suite of services to

the health care industry including electronic and paper medical billing, collections,

compliance, reporting, information, and training.

CPMs story begins in 1998 when a group of Physical Therapists had the vision to

provide what they, themselves, were looking for in a Revenue Cycle Management

company...billing accuracy, optimum reimbursements, maximized collections,

training and compliance in their field.

CPM has realized that vision and today is a successful Revenue Cycle

Management Company dedicated to providing well informed, exceptional services,

to which our satisfied clients will attest.

Clinical Practice Management will team with your practice in managing all aspects

of your Revenue Cycle—as well as keeping your practice compliant and informed.

We also offer Added Value Services, the most popular being CPMs Medicare

Provider Enrollment support which, to date, boasts a 100% success rate.

Our customary and added value services both ultimately work toward the success

of your practice which allows you to provide higher quality healthcare services.

(5)

CPM – Your Solution to

Healthcare in the 21

st

Century

Healthcare in the 21 Century

We understand how the many new electronic and

other requirements and mandates may have you

feeling overwhelmed. Let us tell you why CPM

should be your outsource Revenue Cycle

should be your outsource Revenue Cycle

Management solution.

A di

d R

i

Cli i Ch

• Audit and Review Clinic Charges

• Submit All eClaims and Paper Billing

• Electronic and Manual Payment Posting and

Audit

Audit

• Set Up ERA and EFT

• Patient Statements & Collections

• Comprehensive Collection Process

E

i

f S

l

• Economies of Scale

• Staffing Contingencies

(6)

Who are We?

John O'Connor, PT, CSCS - Owner

John graduated from The University of Pennsylvania's Physical Therapy program in 1980 after completing his undergraduate degree at Villanova University.

He started Palos Verdes Physical Therapy in 1985 and has been a successful owner treating orthopedic clients for over 27 years. As a Certified Strength and Conditioning Specialist and a member of the NSCA, he has a strong interest in sports and performance enhancement for youth, high school, college, and weekend athletes. He is a member of the American Physical Therapy Association (Orthopedic Sports & Private Practice Sections) In order to keep up on Therapy Association (Orthopedic, Sports, & Private Practice Sections). In order to keep up on the latest advances in Physical Therapy he continually attends lectures and stays current with the latest journals and research.

Joseph Donohue, PT - Owner

Joe is the owner/managing partner of Clinical Practice Management, Inc. (CPM), which performs management, consulting and billing services for private practices throughout California and Texas. He also founded ProSport Physical Therapy in Newport Beach, CA and opened a second office in Rancho Santa Margarita.

Joe also has strong ties in the athletic community. He provides athletic training and physical therapy services for local high schools and also serves as the team Physical Therapist for two professional teams: the Anaheim Storm Indoor Lacrosse team and the NHL's Anaheim Ducks. In the fall of 2003, and summer of 2004, Joe served as the Medical Director/Coordinator of the World Gymnastics Championships and USA Olympic Gymnastics Trials held at the Arrowhead Pond of Anaheim

held at the Arrowhead Pond of Anaheim.

Kimberly Saalfeld, Operations Manager

Kimberly graduated from California University—Long Beach in 1988 .

She joined CPM in 2005 as an Accounting Manager. Kimberly became the CPM Operations

M i 2009 Ki b l t CPM ith t A ti b k d h i

Manager in 2009. Kimberly came to CPM with a strong Accounting background having worked in this field for 17+ years.

Kimberly enjoys playing soccer in her spare time and is part of a successful women’s league that has gone on to earn statewide recognition.

(7)

What Our Clients Say…

“Clinical Practice Management

has been an invaluable resource for

"I have been a client of CPM for 7

years and have never regretted that

decision.

Throughout the years CPM has been a

has been an invaluable resource for

my business since the day I opened

my doors 4 years ago. CPM has

assisted me not only in my billing,

but in everything from obtaining

Medicare provider numbers for my

g

y

reliable partner that always went the extra

mile to ensure the best possible results.

CPM continues to work with me as my

business grows and offers services that

keep my business up to date with

Medicare provider numbers for my

therapists to keeping up with daily

changes in insurance reimbursement

and government healthcare issues.

The have been my "go to" resource

that allows me to see a full patient

p

y

p

changes in the healthcare environment.

I would highly recommend CPM to any

physical therapist either starting a new

business or considering changing their

business needs so that they are better

that allows me to see a full patient

load while still feeling in control of

what was happening with billing and

reimbursement. A lot of billing

companies promise to fight for

maximum reimbursement and to be

business needs so that they are better

prepared for the future.“

-Matt, P.T.— Practice Owner, CA

maximum reimbursement and to be

easy to contact with any questions,

but CPM has proven it to me allowing

me to grow my business.”

Nino PT DPT

Practice Owner TX

-Nino PT, DPT—Practice Owner, TX

(8)

What Sets CPM Apart…

• Provider Training

• Integrated Software Program

• Integrated Software Program

• CPM website Client Portal

• Research & Information

• Research & Information

- Newsletter

- Flash Traffics

- Flash Traffics

(9)

Provider Training

Comprehensive New

Comprehensive New

Client Training

P

• Teleconference or On-site

Program

• Online Client Handbook

• Online Training Tools

Ongoing Client Education

(10)

CPM Utilizes an Integrated

Software Program

Whi h I

l d

g

Which Includes

Scheduling Module

Electronic Medical Record (EMR)

Detailed Patient Demographics & Ledgers

Detailed Patient Demographics & Ledgers

Clinic’s have 24/7 access to their information

CPM is responsible for

CPM is responsible for

Maintaining your database on our server

Data Back-up

All Electronic Submission Requirements and

q

Clearing Houses

All Software and Hardware requirements and

updates

(11)

Client Portal

C e t o ta

Access to your clinic

y

specific CPM website

Client portal

- 24/7 access

- Monthly Reports Access

- Customized Clinic Charge Ticket forms

g

- Monthly Newsletter

- Client Handbook

- Reference Library

y

- Training Tools

- Industry Links

- Fee Schedules

Fee Schedules

(12)

Monthly Online Newsletter –

CPM Provider Newsletter Digest ©

g

CPM’ R

h T

k

• CPM’s Research Team keeps

abreast of legislation, mandates,

rules, and other matters that affect

h

lth

healthcare.

• We usually give our clients a

“heads-up”

months in advance of

implementation dates so they won’t

be caught “unaware” of significant

changes.

g

• This information is compiled into

(13)

Flash Traffics!

Wh

“h t b tt

i

Cli i

l

y When a

“hot button”

issue comes to Clinical

Practice Management’s attention, we

immediately inform our clients.

y Our Research Team monitors and subscribes

to various government and payer websites so

as to give our clients up-to-date information.

y We also gauge what impact, if any, the

information will have on our client’s clinic.

____________________

EXTRA! FLASH TRAFFIC!

CPM PROVIDER NEWS DIGEST !

(14)

CPM’s Points of Focus

G

l O i

t ti

• Goal Orientation

• Teamwork

• Ongoing Staff Training

• Ongoing Staff Training

• Total Quality Management

• Continuous Improvement

Continuous Improvement

• Team Approach

These points of focus and

These points of focus and

values serve as our road map to

maximizing reimbursement for

your healthcare business.

(15)

Goal Orientation –

Benefits to your Practice

We start by setting performance goals

y

g p

g

for your healthcare business. Next we

break these goals down into specific

individual team actions that will result in

the achievement of these goals

the achievement of these goals.

Incorporating our services into your

healthcare business allows you to

immediately gain years of business

immediately gain years of business

administration experience and expertise.

CPM will also provide your healthcare

business with valuable operational

procedures that result in strong

improvements to your bottom line.

Ultimately, your practice can see more

patients and provide better care

patients and provide better care.

(16)

Teamwork!

y CPM works with your healthcare

y

business to establish a successful

working partnership

y Your healthcare business will have a

Your healthcare business will have a

CPM primary point of contact in

keeping with our relationship based

approach to reimbursement

approach to reimbursement

y “Working well together” as a team will

maximize reimbursement by reducing

errors or repeating tasks

errors or repeating tasks

y CPM and Client responsibilities are

delineated clearly in the

Client

H

db

k

t

ffi i

d

Handbook

to ensure efficiency and

quality

(17)

Ongoing Staff Training

CPM focuses on continual

CPM focuses on continual

improvement through:

• Research

• Research

• Keeping abreast of current rules, laws &

regulations

• Education through regular in house

• Education through regular in-house

training sessions

• Keeping current with technology by

upgrading software applications

upgrading software applications

• CPM takes a Proactive Approach on

Upcoming Industry Standards such as

the ICD-10 and Implementation of

the ICD-10 and Implementation of

Healthcare Reform

(18)

Total Quality Management

Speed & Accuracy!

y CPMs focus is on first time accuracy in

y CPMs focus is on first time accuracy in

all areas of reimbursement to increase

cost effectiveness

y CPM reviews outgoing claims for

y CPM reviews outgoing claims for

Medicare (CMS) Local Coverage

Determination (LCD) compliance as

well as correct usage of any current

well as correct usage of any current

therapy cap modifiers

y Patient statements are sent out every

30 days

y

y Electronic billing and other advanced

billing methods are used extensively to

promote timely and complete payment

(19)

Speed and Accuracy!

Maximize reimbursement through:

• Claims sent out several times each week

• Claims sent out several times each week

• Line item posting

• Contractual adjustment accuracy

• Policy and contract knowledge

• Timely filing of secondary insurance

claims

claims

• Timely open balance follow-up with

insurance companies and patients

(20)

Continuous Improvement

-- Education &

Communication Tools

• CPM offers various communication

• CPM offers various communication

and educational tools to keep CPM

clients informed. Contact your CPM

Training Representative for more

g

p

(21)

Team Approach

The CPM Teams

• Management Team

• Accounting Team

g

• Charge Entry Team

• Payment Team

• Collection Team

• Information & Research Team

• Information Systems Team

(22)

…Team Approach

CPMs focus is on the

Team Approach!

• All CPM team members are involved in

making sure that your healthcare

making sure that your healthcare

business gets optimum reimbursement

This approach affects all aspects of

reimbursement:

reimbursement:

• Sending clean claims

• Posting of payments correctly

according to client contracts

according to client contracts

• Prioritized Collection Efforts

• Diligence in all areas of your

h

lth

b

i

(23)

y Congratulations on making

the smart choice of

investigating the benefits

and services that we at the

and services that we, at the

Clinical Practice

Management family

provide.

y Make an even smarter choice by

choosing to join CPM in moving

choosing to join CPM in moving

your healthcare business

reimbursement and office needs

References

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