Improve billing performance and financial outcomes.
2–3 months + annual review
This service focuses on a deep, data-driven assessment of your practice's current financial health and operational efficiency to identify opportunities for revenue enhancement and process improvement.
Financial Report Card with KPIs: Generation of a comprehensive financial report card, establishing key performance indicators (KPIs) to track revenue and collections performance over time.
Payer Mix & Utilization Analysis: Detailed analysis of payer mix, CPT frequency by payer, and overall utilization patterns to understand revenue distribution and volume trends.
E&M Benchmarking: Evaluation and Management (E&M) utilization benchmarking against peer and national Medicare averages to ensure appropriate coding and maximize payment integrity.
Fee Schedule Analysis: In-depth review of your current fee schedule to ensure it is strategically priced and aligned with payer contracts for maximum allowable reimbursement.
Insurance Contract & Payer Mix Review: Strategic analysis of existing insurance contracts and payer mix to inform negotiation strategy (in conjunction with the "Payer Contract Management" service).
Accounts Receivable (A/R) Analysis: Comprehensive reporting on outstanding debt, including Aged Account Analysis (e.g., >90 days old), calculation of the Net Collection Ratio, and Days in Accounts Receivable (DAR).
Patient Balance Analysis & Reporting: Dedicated analysis of outstanding patient balances, providing actionable reports to optimize patient collections.
Denials & Rejections Analysis: Detailed investigation and reporting on claim denials to identify root causes and patterns, which is critical for implementing effective denial prevention systems.
The insights gathered from this extensive review and analysis are designed to directly inform and enhance your billing, payment, adjustment, collection, and appeals protocols for sustained financial strength.
| Phase | Service Category Name | What We Do (A Summary) |
|---|---|---|
| 1. | Starting a New Medical Practice | Starting a new medical practice requires careful planning, compliance, and operational setup. PractiCons provides full-service startup support including licensing, credentialing, billing, compliance, and systems setup—ensuring your practice launches smoothly, efficiently, and revenue-ready from day one. |
| 2. | Consulting & Practice Management | PractiCons provides expert medical consulting and practice management services to help healthcare providers improve operations, control costs, and increase profitability. We analyze workflows, financial performance, and systems to optimize efficiency, compliance, and long-term practice growth. |
| 3. | Credentialing & Contracting | PractiCons provides comprehensive credentialing and payer contracting services to ensure providers are properly enrolled, compliant, and reimbursed without delays. We manage CAQH, Medicare, commercial payers, and contract negotiations to optimize reimbursement and maintain uninterrupted revenue flow. |
| 4. | HR & Payroll | PractiCons provides comprehensive HR and payroll services designed for medical practices. We manage hiring support, employee documentation, compliance training, payroll setup, and ongoing processing—helping practices reduce risk, support staff performance, and maintain full state and federal compliance. |
| 5. | Marketing & Digital Growth | PractiCons delivers data-driven marketing and digital growth services for medical practices. We help providers attract new patients, strengthen brand visibility, and grow online through SEO, websites, paid advertising, reputation management, and ongoing performance-driven digital strategy. |
| 6. | Virtual Call Center | PractiCons provides virtual call center services for medical practices, delivering reliable front-office and administrative support. We manage patient calls, scheduling, authorizations, documentation, and RPM/CCM coordination to reduce staff burden, improve efficiency, and enhance patient experience. |
| 7. | Revenue Cycle Management | PractiCons delivers end-to-end Revenue Cycle Management services that optimize billing, reduce denials, and accelerate payments. We design compliant workflows, manage claims and collections, and provide financial oversight to help medical practices improve cash flow and long-term revenue performance. |
| 8. | Compliance | PractiCons provides comprehensive compliance and licensing management services to help medical practices meet all state and federal requirements. We manage provider credentials, licenses, permits, renewals, and documentation to prevent penalties, reduce risk, and ensure uninterrupted operations—so providers can focus on patient care. |
| 9. | Closing a Medical Practice (Retirement, Relocation, Disability) | PractiCons provides end-to-end medical practice closure services to ensure a smooth, compliant, and well-managed transition. We handle regulatory notifications, patient communication, records retention, financial closeout, and HIPAA compliance—reducing risk, protecting patients, and easing the administrative burden for physicians. |
| 10. | Special Projects | PractiCons Special Projects provide expert support for high-value, non-routine compliance, IT, and administrative initiatives. We manage audits, coding transitions, HIPAA programs, reporting, and technology coordination—reducing risk, strengthening documentation, and ensuring projects are completed accurately and on time. |
Looking to simplify billing, improve collections, or reduce admin stress? Get in touch for a free consultation with PractiCons — trusted experts in medical billing and healthcare business management.
Disclaimer: PractiCons Inc. is not a law firm and does not provide legal advice. All materials and communications are for informational purposes only. Please consult your attorney for advice specific to your situation.
