Strategic Management Solutions
The nature of the changing healthcare
environment increases the importance of strategic analysis
and planning. As dependable advisors on all non-medical aspects
of practice management, MBS provides invaluable expertise
in assisting with strategic decision-making and managing exposure
to risk.
New Business Development, Strategy &
Execution
Our expertise as business advisors puts us on the front lines
of strategic planning. We’ll assist your practice in
finding and implementing growth opportunities such as physician
office labs, surgery center involvement, IPA or PHO development
and referral source expansion.
Managed Care
Affiliation Strategy Development
After careful analysis of your costs of providing services
and any commitments to your PHO or IPA, MBS will formulate
a strategy designed for Managed care participation advantageous
to your practice, resulting in improved reimbursement and
an increase in patient volume.
Physician Group
Formation & Feasibility Studies
MBS offers invaluable expertise throughout every
step of the formal organization of new physician groups.
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If you are currently a physician employed at a hospital, or
are an administrator interested in taking advantage of the
opportunities that exist in forming a fee-for-service physician
group, MBS can assist you in developing a separate corporation
to provide physician services within the hospital. Thousands
of hospitals and physician groups have already taken action
to capture the benefits involved with using independent physicians
groups as opposed to employees of the hospital.
One of the most important benefits with significant
impact on financial performance is the ability of a separate
physician group to bill and collect for their services.
Removing the professional component from the hospital’s
billing function and converting the global charge into only
a facility charge, causes insurance companies to reimburse
at a much higher rate than they would by receiving both
facility and professional charges on the same form. To realize
the maximum reimbursement from third party payors, professional
services must be billed on a HICFA1500 and facility charges
must be billed on a UB92.
With an emergency medicine, pathology, or
radiology group operating independently and billing separately
for their services, revenues to both the hospital and the
physician group will be permanently improved.
MBS provides complete feasibility studies
and revenue projections to assess the viability of the proposed
venture. We can also assist physician groups in arranging
financing for operating capital along with other business
dealings. Our experts oversee the entire process and involve
all required professionals, including attorney, accountant,
insurance broker, billing and collection services, as needed.
Merger/Joint
Venture/Acquisition Analysis
MBS evaluates the potential of a proposed purchase of or merger
with another practice. We can negotiate contractual agreements
and assist in the integration of the merger or acquisition
in day-to-day requirements.
Billing Service Agreement
Negotiation
As a liaison between physician practices and billing services,
MBS will negotiate all contract rates and service terms on
behalf of our clients. By applying our volume discounts to
these contracts, we are able to achieve favorable contract
agreements for our clients.
Collection Agency
Agreement Negotiation
MBS represents our clients in negotiating collection agency
rates and contract provisions.
Hospital Contract
Negotiation
PHO/IPA Agreements
Our expertise puts us at the forefront of PHO/IPA hospital
contract negotiation. After evaluating your costs, we negotiate
allowable hospital discounting rates and contract provisions
on your behalf.
Hospital Professional
Service Agreements
In developing and negotiating hospital contracts, we draw
on our vast experience to set appropriate terms that are
favorable to both you and the hospital.
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