Services > Practice performance analysis
Performance Analysis Solutions
Practice performance analysis
Comprehensive Performance Analysis for Physician Practices
We augment revenue cycle management for physician practices and partner with our physician clients to offer data-driven insights and targeted solutions that optimize billing and operations for sustainable growth.
At Accredited Billing and Consulting, we provide performance analysis services for physician practices that want to optimize revenue and financial health. Our experienced team of revenue cycle consultants analyzes key performance indicators (KPI’s), billing practices, and operational workflows. Through performance analysis, we identify opportunities to improve performance as well as develop and implement data driven solutions to improve cashflow, reduce claim denials, and optimize practices for sustained growth, all while being compliant with regulations and industry standards in the healthcare environment. Our customized solutions are focused on improving revenue cycle management using innovative billing practices and efficient operations, resulting in the overall success of the practice.
Improve Your Profitability with Performance Analysis
Our accredited Billing & Consulting team utilizes an intelligent performance report system to evaluate your practice, industry, and market, and then find inefficiencies to improve.With our revenue cycle management focus, we are committed to discover opportunities that otherwise go unnoticed, and can greatly enhance your practice’s revenue, and overall operational performance.
We support all RCM functions for providers, and produce custom performance reports for every specialty, from internal medical and urgent care to pain management, and more. Our performance reports are invaluable tools that will help your practice forecast future growth, achieve new strategies, meet compliance goals, and ultimately create success for all stakeholders.
In-depth Performance Assessment
We will collect essential information from your organization, looking at your practice’s revenue cycle management performance. This data consists of:
- Front office medical records
- Claims and coding, ICD-10/CPT coding compliance
• Claims reimbursement rates from several payers By evaluating these data points, we will identify of bottlenecks and areas requiring improvement, along with our medical billing services for healthcare providers, we provide actionable recommendations to maximize revenue generation, and improve workflow in your practice, resulting in better management of your insurance claims and remaining in HIPAA compliance.
Key Performance Indicators (KPIs) and Statistical Analysis
At Accredited Billing & Consulting, we understand that healthy revenue cycle management requires consistent monitoring and improvement of Key Performance Indicators (KPIs). As an example, we suggest benchmarks to develop a 30–35-day claim payment cycle on Accounts Receivable, allowing your practice to manage cash flow consistently and effectively. We will also monitor key areas including:
- Clean Claims Ratio: We will prevent potential delays and costs by ensuring your claims run straight through processing—on the first attempt, and we will take a serious look at denied claims.
- Denial Management: We will analyze claim denials and examine the root cause to help avoid delays.
• Payer Requirements: We will monitor fee schedules, renewals of contracts, all claims will be reviewed for HIPAA compliance, for payer’s requirements.
Reliable Quality Metrics for Long-Term Success
Quality is the backbone of a successful medical practice, and Accredited Billing & Consulting utilizes next-level clinical performance analytics to ensure your practice is compliant and providing quality care. Our team creates reports on a number of clinical quality measures, including: • Meaningful Use (MU) • Provider Quality Reporting System (PQRS) • Pay for Performance (P4P) • Patient-Centered Medical Home (PCMH) • Accountable Care Organizations (ACOs) These quality metrics offer both financial and operational performance related to the health of your practice. This means we can help you provide quality care while also providing you tips to maximize reimbursement and operating more efficiently.
Provider Productivity Measurements for Better Outcomes
We prepare detailed reports to assess and improve provider productivity. By working with healthcare consultants and analysts, we measure: • Individual provider performance and the effect on practice efficiency • Benchmarks with other like practices • Provider performance strengths and weaknesses These reports offer actionable information that offers an opportunity for the provider to embrace a high quality care culture and improve service delivery, while maximizing their practice's profitability. In addition, we help the provider prevent incurring an expense to their practice by inadvertently using evaluation and management codes for reimbursement that are incorrect. By ensuring that the correct codes are employed, we improve the likelihood of positive reimbursement and improving the sustainability of your practice.