OUR SERVICES:

Modern medical group practice management with a personal touch.

We have expertise in all elements of coding and claims management, practice data analytics, payor relationships and reimbursement, and group benefit management. Hands on, customized approach to identify the specific elements of practice management support for each client. Our technology platform supports the service delivery and brings value with automation and business intelligence through data and predictive analytics to consistently deliver best practice data reporting to independent groups.

REVENUE CYCLE MANAGEMENT

  • RCM staffing
  • A/R management
  • Denials management
  • Financial and quality reporting
  • Patient billing and collections
  • Payment processing
  • Monthly A/R closeout reporting
  • Monthly reconciliation
  • PNC Lock Box service

MIPS

  • Analyze client practice in order to choose the appropriate quality measures and improvement activities.
  • Assist with operational changes to accommodate implementation of quality measures.
  • Monitor clinician performance and provide feedback on ways to improve opportunities in documentation to optimize measures.
  • Work with the Registry of clients choosing to assure complete and successful MIPS submission for all eligible providers to CMS.

CERTIFIED MEDICAL CODERS AND AUDITORS

Coders and coding auditors are certified through RHIA, RHIT, CCS or CPC, and are members of the Emergency Department Practice Management Association (EDPMA), the American Academy of Professional Coders (AAPC), and the American Health Information Management Association (AHIMA)

PAYOR RELATIONS

  • Commercial Payor Contracting/Credentialing/PFV programs
  • MACRA/MIPS/APM programs

CODING AND COMPLIANCE

  • Certified coding/auditing/education
  • Inpatient and outpatient coding reviews (CPT, HCPCS Level II, ICD-10)
  • Compliance program development/implementation/auditing

FINANCIAL AND ACCOUNTING SERVICES

  • Financial analysis (budgeting, forecasting, Pro Forma)
  • Comprehensive financial statement reporting (analysis, KPIs)
  • Month-end close and general ledger management

HRO/PEO SERVICES

  • HR Outsourcing
  • Comprehensive back office support services
  • Management of employee onboarding, paperwork and handbooks
  • Employee staffing and scheduling support
  • Physician extender program development
  • Professional Employment Organization (PEO)
  • Compliance management (Cobra, HIPPA, OSHA, ERISA, etc.)
  • Payroll processing and payroll tax administration
  • Employee benefit management

CONSENSIO HEALTH PRACTICE SOLUTIONS

  • SensER
  • Clinician Performance Reporting
  • HCAHPS Performance Analysis
  • Encounter Reconcilliation
  • Claims Loss Recovery
  • OIG Compliance Audits
  • Documentation Deficiency Tracking
  • Strategic Planning/practice assessment/growth strategies/service line development
  • Physician Advocacy

10625 West North Avenue, Suite 101
Wauwatosa, WI

(414) 858-2200
information@consensiohealth.com

Promoting the health of independent physician group practices.