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 Services
A/R Management
- Automated patient insurance eligibility and discovery
- Automated claim edits
- Denials management
- Strategic deductible management and claims submission
- Patient payment strategies
- Automated payment posting and reconciliation
- Monthly A/R closeout reporting
- Lock Box service
CODING AND COMPLIANCE
- Certified coding (CPT, HCPCS Level II, ICD-10)
- Compliance program development and audits
- Automated Machine Coding Assistance System (AMCAS)
- Claims Loss Recovery (CLR) pre-claim coding auditing process for maximum charge capture
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
- Credentialing
- Contracting
- Payor billing performance tracking
- Physician advocacy
- MIPS/Alternate Payment Models (APMs)/Pay for Value (PFV) program development
- Complimentary practice PFV assessment
MIPS
- Analyze client practice 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
Practice Management Services
Reimbursement Optimization
- Complimentary assessment of opportunities to maximize practice revenue
- Focus on clinician education, awareness and behavior
- ConsensioHealth Information for Providers (CHIPs)
- Documentation Deficiency Tracker (DT)
- Expert in reimbursement trends and strategy
- Service line development:
- Moderate Sedation
- Ultrasound
- Critical Care
- Observation
- Telehealth
- Physician/Advance Practice Clinician shared visits
- Medication Assisted Treatment (MAT)
- Medical Decision Making (MDM) documentation strategies
ConsensioHealth Practice Solutions
- SensER practice data analytics dashboard
- ShiftBuilder clinician staffing and scheduling tool
- ConsensioHealth Information for Providers (CHIPs)
- Documentation Deficiency Tracker (DT)
- Automated Machine Coding Assistance System (AMCAS)
- Claims Loss Recovery System (CLR)
- OIG compliance audits
- HCAHPS performance analysis
- Physician advocacy
- Strategic planning and practice growth
Financial and Accounting Services
- Entity formation
- Financial analysis (budgeting, forecasting, Pro Forma)
- Comprehensive financial statement reporting (analysis, KPIs)
- Month-end close and general ledger management
- Tax planning and strategies
Human Resources Outsourcing
- Employee onboarding, paperwork and handbooks
- Hospital credentialing
- Compliance program development and management
- Payroll processing and tax administration
- Benefit management
- ShiftBuilder Physician and APC staffing and scheduling tool
- APC program development
“Over the years, Consensio has been an excellent partner to work with. They have helped us improve our billing levels through provider education, and kept us current with changes in regulations and reimbursement. We really appreciate the proactive approach that the team takes in addressing the challenges that face our practice.”
“The service we have experienced with Consensio has been outstanding with the transition from our previous medical management services company. The relationship began with Consensio sitting down with us and learning about our medical practice and understanding our business needs. This resulted in improvements in our documentation which has delivered on significant improvement in our collections. The Consensio team are responsive and professional, I highly recommend.”
“Working with Consensio, we are confident that we are no longer leaving revenue on the table. Their billing education and feedback system for our clinicians has resulted in significantly improved documentation and increased collections. Krissy is very responsive, and has even advised our physicians on documentation issues while they are on shift.”
10625 West North Avenue, Suite 101
Wauwatosa, WI
(414) 858-2200
contactus@consensiohealth.com
Participating AAEM-Practice Group Service Provider
