BETTER MANAGEMENT OF YOUR MANAGED CARE

Strategic Healthcare Partners

Strategic Healthcare Partners has partnered with RenewalMSO to offer very attractive fees for physician practice strategy development; provider enrollment; underpayment analysis and review; network contracting, modeling, language review, language negotiation, and rate negotiation; payer and claims issues; and more.

That’s not all. When you become a member of RenewalMSO, Strategic Healthcare Partners will perform a Paid Claims Analysis and a Patient Liability Review for your practice.

The Paid Claims Analysis is an interactive report that draws conclusions as to payer mix trend, discount trend by payer, generated charges trend by payer, net collections trend by payer, denial trend by payer, general patient liability collection percentage, paid/undercharged claims for the period of time, and more.

The Patient Liability Review is an interactive report that analyzes patient liability collections for moneys owed your practice after commercial insurance, after Medicare, or straight self-pay. The report is arrayed by date of service to allow the reader to evaluate collections upfront vs. during the early statement/early out period vs. the collection agency periods. Your practice’s performance is compared to client benchmarks to assess opportunities.

About Strategic Healthcare Partners

SHP is the support team for your CFO and practice administrator. The company has built an extensive team that can provide the strategic plan you need for the future, while providing the answers to the daily physician practice questions you may have. They support physicians with the proper tools to help protect and grow their practices.

Managed Care Contracting Review & Negotiations

SHP mirrors the functions of an internal managed care department. As part of your team, they begin with your current contracts and analyze your data to develop a custom contracting strategy for your company. They negotiate with the payers on your behalf to get the best rates and fee schedules. They also make recommendations of new plans to enter that can benefit you. Continually, they serve as your liaison to the key payers in the market to solve administrative issues and ensure timely resolution of claims.

Decision Support

SHP’s Decision Support staff assists physician practices with financial and data analysis solutions:

• Fee Schedule Analysis/Interpretation/Comparison
• Revenue Cycle Analytics
• Denial and Underpayment Review
• Budget Development and Management
• Annual Business Planning
• Growth Strategy Support/Proforma Development
• Market Share/Service Contribution Margin Analysis

Provider Enrollment

Provider enrollment can significantly hurt practice cash flow if not completed correctly and timely. SHP has established internal tools and external relationships with the payers that gives them the edge to meet payer credentialing requirements quickly and correctly the first time. They track the progress from submission to completion with regular updates to your practice to ensure timely completion.

Revenue Cycle Support

SHP offers a complete operational assessment, including charge master review, superbill review, POS collections training, and payer audits. Used in tandem with the proper and previously mentioned data analysis, your revenue cycle will be thoroughly assessed and positioned for further success.