po box 2161
minden, nv 89423
phone: 775-267-5345 fax: 775-267-5415 cell: 775-721-0457 e-mail: bob@rskconsulting.biz
contract management specialist
results
what can you expect from rsk consulting?
- complete review of all managed care contracts with summarization of allowables under each contract.
- contract terms review – including obligations of managed care company, insurance/tpa and provider
- summation of obligations and recommendations for changes to the contracts.
- comparison of allowables under each contract with current year medicare.
- compile most common cpt codes for practice in excel spreadsheet with allowables from each contract.
- show side by side comparison of allowables for each contract to current year medicare.
- assistance in making sure explanation of benefit sheets (eobs) allowables are posted correctly and comply with the individual contract.
- review allowables from eobs versus spreadsheet
- completion of credentialing applications for various managed care, insurance companies, hospitals and other entities requiring credentialing to be considered a participating provider.
- review of materials/supplies ordering to determine optimal levels.
- review of ordering for office supplies and medical supplies to determine past ordering
- establish optimal level of materials and supplies needed on hand versus length of time to get replacements.
- review hippa policies and procedures for adequacy and compliance.
- review of posted hippa policies.
- review policies and procedures manuals and agreements with outside vendors.
- office workflow analysis.
- report of patient flow from check-in to check-out.
- provide a report of paper flow in the office.