Our Services
We appreciate that every client comes to us with their own unique strengths and perceived areas in need of improvement. Therefore, one of the first conversations you will have with our team will revolve around what your business needs to thrive.
Physician Engagement Practice Optimization
Our executive team will evaluate every aspect of your practice and work with management and staff to implement changes that will improve processes and eliminate waste. Some areas of improvement may include:
- Build and maintain practice specific Playbook, Standard Operating Procedures (SOP's) and or Key Performance Indicators (KPI's) for practice management department
- Analysis and evaluation to identify your own specific business needs and programmatic requirements
- Eliminate ineffective, nonessential spending and redirect the savings to the investments that will power your growth
- Assistance in setting up, re-organizing and re-direction of leadership
- Implement changes in management strategies while addressing financial measurements
- Performance improvement
- Review of monthly financial and management reports
- Interim leadership and management services
- The configuration of standardization of the existing and future managed care agreements
- Review of existing payer contracts and recommendations
- Review of marketing strategies, and expansion efforts
- Reputation management
- Staff training to maximize patient retention
- Patient Satisfaction Surveys
- Review and management of CAPHS scores
- MIPS score management and optimization
- Maintain PCMH-NCQA standards and criteria
- Telehealth
- Longitudinal healthcare service to high-risk, chronically ill seniors in conjunction with our partnership with FriendHealth
Managed Care Consulting for Physicians
Many physicians believe that little can be done about declining reimbursements from managed care payors. Many times, they feel the only way to improve their financial positions is to cut costs and work longer hours. Whether you are just starting or have an established practice, negotiating better rates for your services can enhance your revenue. It can be done, and you do not have to wait until your contract is up to for renewal to renegotiate the terms. Our executive team will focus on:
- Fee analysis
- Payor mix assessment
- MCO's (Managed Care Organizations) reimbursement analysis, providing you with guidance for future contract negotiations
- Provider Credentialing
- For Clinics or Group Settings:
- Guidance and structure for the healthcare clinic license(s) including assistance with governmental agencies such as AHCA
- The configuration of office policies and procedures along with a training plan to include the organization's Standard Operating Procedures (SOPs) and Key Performance Indicators (KPIs).
- Human resource policies
- HIPPA compliance
- General compliance policies
- Guidance and structure for the healthcare clinic license(s) including assistance with governmental agencies such as AHCA
- The configuration of office policies and procedures along with a training plan to include the organization's
Standard Operating Procedures (SOPs) and Key Performance Indicators (KPIs).
- Guidance and structure for the healthcare clinic license(s) including assistance with governmental agencies such as AHCA
- The configuration of office policies and procedures along with a training plan to include the organization's Standard Operating Procedures (SOPs) and Key Performance Indicators (KPIs).
Hospitalist Services -Inpatient Medicine Services
Certus Healthcare Management is equipped to assist hospitals, larger medical practices admitting panels, and health systems in evaluating the effectiveness of their Hospitalist Services. We will bring recommendations to help your program achieve larger levels of performance. Some of our services include
- Configuration and management of a Hospitalist Program for large physician practices, MSO's, Managed Care Organizations and Hospital Partners
- Realignment and reorganization of an existing hospitalist program in physician practices admitting panel, MSO's, Managed Care Organization and Hospital Partners
- Assist with building performance measures with various dashboard reports and onboarding of services
- Assist, manage and integrate patients navigating through a patient-centered medical home environment
- Readmission management
- HCAPS score management and monitoring
Medical Center Ambulatory/Urgent Care After Hour Department Start-Up
Healthcare is changing focus increasingly to serve the outpatient environment and ensure physician leadership in healthcare delivery models. The shift from volume to value coupled with healthcare consumerization has led to serious growth opportunities in outpatient/ambulatory environments. Your Certus Healthcare Management team will:
- Assist with site selection, due diligence, demographic assessment
- Medical center design and physical layout assistance
- Staff selection, training, and development
- Assist in obtaining required licenses (County, State, and Federal)
- Physician or Physician extenders recruitment and contract management design and implementation
- Assist with applicable compliance standards per statues with human resource manual adaptation, HIPAA guidelines, disaster planning, CLIA, fraud, waste and abuse requirements
- Assist with IT/EHR system for ideal setting integration