Why would a physician group use ACS rather than developing and managing ancillaries on its own?
This is a common and important question. In a few words, we provide physician groups with virtually all of the support needed to develop and manage successful ancillary services. Our services minimize the time and energy required by the group and staff. More specifically, we provide the following clinical, financial, regulatory, commercial property, human resources and billing support. (See FAQs for additional information)


Clinical Support

  • Analyze current and anticipated patient levels and other factors to determine the size, staffing, design, equipment and other elements of a facility that meets the needs of a practice and its patients.
  • Recruit the most qualified staff available with skill sets that compliment the group and meet patient needs.
  • Coordinate the preparation of all necessary policy and procedure manuals.
  • Train facility staff to prepare and maintain appropriate documentation to support all Medicare and private pay billing.
  • Constantly monitor and evaluate processes and productivity to help insure exemplary outcomes and efficiency.

Financial Support

  • Help determine the amount and source of start-up capital.
  • Provide recommended and realistic budgets and financial goals based on actual results of other physician groups.
  • Help determine how to allocate ancillary income among group members.
  • Recommend appropriate insurance coverage and competitive coverage sources.
  • Continuously monitor the financial performance of the facility and provide recommendations for improvement.

Legal/Regulatory Support

  • Help structure the group's owner-ship of the facility.
  • Coordinate licensing and enrollment procedures.
  • Coordinate compliance with federal, state and local regulatory requirements, including Stark and other self-referral restrictions.

Location

  • Locate convenient, accessible and affordable space for ancillary services.
  • Review and negotiate lease terms.
  • Design the facility layout to maximize patient comfort and staff efficiency.
  • Provide recommended build-out contractors and coordinate bidding and contracting process.
  • Monitor the build-out process.

Human Resources

  • Develop and implement a staffing plan that provides patient coverage without overstaffing.
  • Provide well-founded recommendations as to competitive compensation and benefit levels.
  • Design and implement an incentive compensation plan that rewards patient satisfaction, outcomes and productivity.
  • Assist in the regular evaluation of staff members.

Billing Collection

  • Implement most beneficial methods of billing Medicare and other payors
  • Assist in contracting and credentials for ancillaries
  • Assist in developing/implementing billing and collection policies for ancillaries
  • Train billing/collection staff in ancillary coding and claim submission
  • Monitor coding and bill preparation, submission and collection to optimize timely reimbursement of claims
  • Coordinate the development, preparation, distribution and review of management reports
  • Assist in Medicare reviews and appeals

 

 

 


 

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