Practice Support Services We Offer
Healthcare Solutions WNY offers a wide array of services focused on maximizing your organization’s revenue potential. We offer billing and coding services, as well as a variety of consulting and practice management solutions.
Revenue Cycle Management
- Billing Services: From charge entry to denial management
- Collections: Maintain a collection rate of 2–5% above industry standards for end-to-end billing clients
- Reimbursement & Dispute Resolution: Analyze and collect every dollar due to the provider
- Denial Analytics: Provide denial analytics and education to maximize revenue
- Reporting: Offer management reports and KPI benchmarks for financial tracking
- Customer Service: Provide dedicated point of contact for office needs and customer service for providers
- Software Use: Ability to use client’s billing software or provide proprietary billing software
- Pre-Collection Services: Conduct early-stage collection services
- Fee Structure Analysis: Annually analyze and optimize the fee structure
- Custom Reports: Develop custom financial and operational reports
- Coding Services: Surgical and office visit coding (CPT and ICD-10) performed by a multi-specialty, AHIMA and AAPC certified coding team
- Coding Audits: Perform audits to maximize revenue and ensure compliance
- NCCI Policies: Ensure compliance with National Correct Coding Initiative (NCCI) policies
- Provider Education: Educate providers on coding and documentation to reduce errors
- Annual Updates: Provide annual updates on CPT and ICD-10 codes
- Denial Management: Review, appeal, and communicate billing denials to the practice
- Credentialing Applications: Apply to insurance companies for appropriate credentialing on behalf of providers
- Document Management: Maintain confidential files of all required credentialing documents
- CAQH Management: Keep CAQH profiles up-to-date
- Entity Correspondence: Respond to any requests for clarification or additional information from insurance companies or other entities
- NPI Management: Apply for and maintain National Provider Identifier (NPI)
Practice Management Services
- Financial Services: Handle day-to-day financial services and manage accounts payable weekly
- Cash Management: Monitor cash balances and perform bank reconciliations
- Compensation Strategies: Develop physician compensation packages and perform cost/benefit analyses for new providers or services
- Financial Statements: Generate monthly financial statements and assist in developing annual budgets
- Tax Coordination: Coordinate with tax accountants for year-end practice tax returns, 1099 forms, and New York State sales tax filings
- Payroll Processing: Handle payroll services, including annual W-2s and earnings statements
- Deductions Management: Manage insurance, retirement, and other deductions
- Compliance: Ensure adherence to NYS and federal payroll regulations
- Leave Tracking: Track vacation, holiday, and other time-off requests
- Recruitment & Screening: Assist with employment ads, applicant screening, and background checks
- Benefits Management: Administer employee benefit policies, manage open enrollment, and handle COBRA paperwork
- HR Support: Conduct new hire orientations and stay updated on federal and state labor laws
- Training & Compliance: Track annual training requirements and create/update employee handbooks
- Employee Relations: Facilitate HR-related issues and resolve delicate employee relations matters
Other Services
- Practice Start-Up Assistance: Offer guidance for new practice setup
- Profitability Assessment: Analyze and improve practice profitability
- Physician Productivity Analysis: Evaluate physician productivity and compensation structures
- Workflow Improvement: Identify inefficiencies in workflow processes and offer optimization strategies
- Financial Planning & Analysis: Perform in-depth financial analysis and long-term planning for the practice