Acknowledge

There are two types of business owners. The reactive type is satisfied with the status quo while the other...

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Strategy

Strategy is defined as the science of designing, planning, or directing for the skillful management...

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Adapt

Medical practices have evolved and been forced to adapt over time due to changes in insurance....

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Evolve

Evolution refers to change or transformation over time. Since change is always coming ...

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Evolution Consultants LLC, Medical Practice Management, San Antonio Metro

New Practice Set-up - A new practice set-up begins at least six months prior to billing your first claim. This allows for the appropriate time for contracting, should contracting be needed. Evolution Consultants can help with qualifying a location, software selection, staffing and interviewing, processes and flow, and eventually to medical billing and ongoing oversight of the practice as a whole. Your practice is only as strong as the foundation you place it upon.

EHR Conversion - EHRs are also referred to as Electronic Medical Records. They allow you to schedule, chart, charge capture, bill, and store medical records all in one software. Many of them work with lab results interfaces, X-ray storage, and E-Prescribing systems to allow a streamlined flow of information. Evolution Consultants can help select and implement your EHR. We have done at least seven EHR conversions in the past few years with different software, different specialty, and different office requirements and all have led to full implementation.

Physician Credentialing - Many physicians do not have much credentialing, while some credential with multiple facilities and insurance companies. The maintenance can sometimes be overwhelming and time consuming. Many times it becomes that piece of paper at the bottom of the stack. Evolution Consultants' goal is to provide maintenance and ongoing support to this entire process in an organized way.

Practice Audit - A practice audit will provide a detailed overview of the entire practice including but not limited to customer service, work flow, benefits and front office performance, billing performance, insurance contract review, charting documentation and coding. An audit report is provided at the end of the audit. Many clients want a yearly non-biased picture of performance for comparison.

Code/Billing Audit - A billing audit is similar to a practice audit with the exception that Evolution Consultants would place our sole focus on the billing performance, including clearinghouse reports, accounts receivable analysis, collections process, and types of billing. An audit report is provided at the end of the audit.

Contracting - The foundation of any practice's financial success is built from the contracts it holds with insurance carriers. Insurance companies are sneaky in regards to how they slowly adjust your fees. Were you aware that your main commercial carriers adjust your rates yearly depending on your contract language? Many of them send correspondence that you would like to call on but never get time. Sometimes you just don't know what to ask or how detailed to get. Evolution Consultants wants to make those calls and monitor your fees to make sure you are not practicing medicine, administering services at a loss.

Practice Management/Administration - Many people confuse the difference between practice management and administration. Evolution Consultants define administration as oversight of profit and foundations such as billing performance, reporting, and insurance contract management. Practice management is the oversight of the daily office requirements, such as human resources issues, office processes, and patient complaints and problems. Evolution Consultants is capable of offering both.

Help with Workers Compensation Billing - Evolution Consultants has the ability to collect effectively from Workers Compensations plans. We are well aware of Workers Compensation billing Guidelines and are constantly in communication with the carriers in regards to outstanding bills.

IMPORTANT:

ICD-10 - The transition will require a more thorough understanding of treatments, outcomes, disease management, delivery, and cost to name a few. Carriers will be tracking information such as vaccination schedules, non-compliance, and patient counseling services done by the provider. Coding guidelines are becoming more detailed as of October 2013. The volume of available codes will increase by almost 4 times to 69,099. ICD-10 codes will require 3-7 characters compared to the 3-5 characters for ICD-9. Many clearinghouses are beginning the conversion now. Without updates to a billing office, a practice may face claims issues.

Meaningful Use Deadlines/E-Prescribing Compliance - If you were an early implementer of EHR software, then you probably find yourself needing to qualify for meaningful use for that EHR. In order to qualify for meaningful use, including incentives and to avoid potential penalties, a practice will need to execute e-prescribing compliance.

Certified Coders - Due to their certification, certified coders are required to keep up with coding changes and updates including the conversion to ICD-10. They do bring a solid skill set that includes looking at coding and charting with integrity, and therefore protects your practice.

PQRS Reporting - Utilizing codes and protocols to provide communication to CMS that your practice is executing the protocols laid out by CMS. These can range from diabetes treatment, E-prescribing, to cardiovascular disease and pre-operative care.

Contact Evolution Consultants, LLC

Evolution Consultants, LLC uses innovative processes and programs to streamline the flow of information to and from your practice thus reducing the paperwork and filing clutter.
We practice the "HANDS OFF" money approach. All co-pay, deductible, and co-insurance monies collected in house on the date of service are exclusively the practices to retain. This strategy encourages proper collection by internal staff and rewards the practice for performance.
If you were an early implementer of EHR software, then you probably find yourself needing to qualify for meaningful use of that EHR. In order to qualify for meaningful use, including incentives, and to avoid potential penalties, a practice will need to execute e-prescribing compliance.
Evolution Consultants has the ability to collect effectively from Workers Compensations plans. We are well aware of Workers compensation billing guidelines and are constantly in communication with the carriers in regards to outstanding bills.
Many people confuse the difference between practice management and administration. Evolution Consultants define Administrations as overseeing of profit and foundations such as billing performance, reporting, and insurance contract management. Practice Management is the overseeing of the daily office requirements such as human resources issues, office processes, and patient complaints and problems. Evolution Consultants is capable of offering both.
The foundation of any practice's financial success is built from the contracts it holds with insurance carriers. Insurance companies are sneaky in regards to how they slowly adjust your fees. Were you aware that your main commercial carriers adjust your rates yearly depending on your contract language? Many of them send correspondence that you would like to call on but never get time. Sometimes you just dont know what to ask of how detailed to get. Evolution Consultants wants to make those calls and monitor your fees to make sure you are not practicing medicine, doing procedures, or administering vaccines at a loss.
A billing audit is similar to a practice audit with the exception that Evolution Consultants would place our sole focus on the billing performance including clearing house reports, accounts receivable analysis, collections process and volume. An audit report is provided at the end of the audit.
A practice audit would provide a detailed overview of the entire practice including but not limited to customer service, work flow, benefits and front office performance, billing performance insurance contract review, charting documentation, and coding. An audit report is provided at the end of the audit.
Many physicians do not have much credentialing, while some credential with multiple facilities and insurance companies. The maintenance can sometimes be overwhelming and time consuming. Many times it becomes that piece of paper at the bottom of the stack. Evolution Consultants' goal is to provide maintenance and ongoing support to this entire process in an organized way.
EHR are also referred to as Electronic Medical Records allows you to schedule, chart, and charge capture, bill, and store medical records all in one software. Many of them work with lab results interfaces, X-ray storage, and E-Prescribing systems to allow a streamlined flow of information. Evolution Consultants can help select and implement an EHR. We have done at least five EHR conversions in the past frew years with different software, different specialty, and different office requirements and all have led to full implementation.
A new practice set up begins at least six months prior to billing your first client. This allows for the appropriate time for contracting should contracting be needed. Evolution Consultants can help with qualifiying a location, software selection, staffing and interviewing, processes and flow, and eventually to medical billing and ongoing oversight of the practice as a whole.