Comprehensive Medical Practice Analysis |
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Over the past 15 years, medical professionals have come under extreme pressure by the federal government and private
industry with respect to their fees and utilization of services. At the same time, payers have been using technology systems
and integrating private-sector business techniques to impose even further financial burdens on medical practices with respect
to fees, coding regulations and billing restrictions.
In addition to these challenges, legislation such as Starke II, HIPAA, CCI and others, continues to have a negative impact
on the profitability of the medical practice. As a result, practices have been forced to invest in new technology and staff in
order to operate in full compliance.
Clifton Gunderson's Comprehensive Medical Practice Analysis (CMPA) offers solutions to the challenges you face through a
careful analysis of critical financial aspects of your practice. Using the results of our CMPA, medical practices are in a
much better position to optimize profitability and competitive position, while maintaining full compliance with all laws,
rules and regulations.
Due to the complexity of the issues involved, the data that must be analyzed, and limited in-house resources, many of
these challenges exceed the capacity of your medical staff. Our Comprehensive Medical Practice Analysis addresses these and
other problems directly in an efficient and effective manner.
Our services are a comprehensive "physical" of your business operations summarized in a written action plan. Our goal is
to improve your cash flow without adding to your workload. CMPA provides solutions in the following areas—
- Charge Master/Fee Schedule Analysis
- EOB-based Reimbursement Analysis
- Procedural Cost Accounting Analysis
- Ambulatory Diagnoses Related Group (ADRG) Cost Analysis
- Procedure Code and Modifier Compliance Analysis
- Evaluation and Management Code Utilization Review
- Capitation Cost Analysis
- Physician Productivity/Compensation Analysis
- Resource Allocation and Statistical Modeling by Location and by Physician
- Pricing, Billing and Collections Analysis
