Services of Medical Directions, Inc.

MEDICAL DIRECTIONS, INC.

Medical Directions, Inc. provides services in a market basket approach.  Clients may select as little or as much from our inventory of offerings based on their requirements.  The services selected may be delivered under several models including the following:

• A fixed cost, project oriented engagement for a specific purpose
• A time and expense or ‘not to exceed’ arrangement targeting specific areas
• A monthly retainer with defined deliverables on a recurring schedule

SERVICES

• Billing Outcomes Audit
  
If your practice is not performing regular billing audits, almost certainly you’re leaving money on the table.  A periodic examination of processes and outcomes is essential to a healthy bottom line.  It can help uncover deficiencies and measure performance against expectations, potential and accepted standards.

• Practice Barometer/Revenue Cycle Matrix Development
  
Every stakeholder in a practice needs to know how their organization is performing on a regular basis.  A custom designed Practice Barometer provides an accessible tool to view key performance indicators on a regular or user defined schedule.
• Fee Schedule Consultation
  
A regular and periodic review of service fees ensures that charge levels are reasonable and competitive.  It highlights any under charge situations that may result in less than maximum reimbursement.
• Process and Procedure Improvement
  
Refining processes and procedures in the collection, preparation and input of data is critical to achieving and maintaining a healthy bottom line.  From automating processes to eliminating redundancies to controlling lost charges to redesigning forms, there are a multitude of ways to work smarter when we can’t work any harder.
• Reimbursement and Contract Compliance Monitoring
  
Every practice needs to regularly verify that contracted payers are reimbursing at agreed upon levels and living up to other contractual obligations.
• Coding Review and Evaluation
  
Correct coding practices have an enormous impact of financial performance.  Deficiencies can adversely affect revenue or, conversely, increase susceptibility to an audit. Under coding or over coding levels of care, inadequate documentation, bundling or unbundling of component services, medical necessity justification, reimbursable diagnosis codes, new codes, deleted codes….these all create a complicated environment requiring constant scrutiny and regular re-education.
• Denial Prevention and Management
  
Collecting, preparing and inputting data to prepare and submit claims is a demanding and costly process.  Handling that data a second time to resolve payer increases those demands and costs multi-fold. 
• Compensation Plan Development
  
A well designed incentive compensation plan can stimulate productivity, foster ownership values and increase satisfaction among providers, staff and patients.
• Practice Valuation
  
A significant change in the organization of a medical practice such as the addition or departure of a principal requires an accurate and unbiased valuation of practice assets.  What is the accounts receivable worth and how should that value be distributed are questions that must be answered.
• Forensic Consulting
  
Suspected instances of fraud, malfeasance or inadequate performance by staff or billing vendors require prompt and thorough action.  It is critical to get the facts quickly and take immediate action.