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Performance Analysis Solutions
Practice performance analysis
Comprehensive Performance Analysis for Physician Practices
We enhance revenue cycle management for medical practices, offering data-driven insights and targeted solutions that optimize billing and operations for sustainable growth.
At Accredited Billing and Consulting, we provide performance analysis services for medical practices that function to optimize revenue and improve financial health. Our expert team evaluates key performance indicators (KPIs), billing processes, and operational workflows. By identifying areas for improvement and implementing data-driven solutions, we help healthcare providers enhance cash flow, reduce claim denials, and ensure sustainable growth while ensuring compliance with industry standards. Our customized solutions focus on effective billing and efficient operations to drive overall success.
Improve Your Profitability with Performance Analysis
Our accredited Billing & Consulting team utilizes an intelligent performance report system to evaluate your practice and your practice’s operations, identifying inefficiencies and areas for improvement. By focusing on revenue cycle management, we are committed to discovering hidden opportunities and can greatly enhance your practice‘s revenue and overall operational performance.
Through comprehensive RCM support for providers, we produce custom performance reports for every specialty, from internal medical and urgent care to pain management. Additionally, our performance reports are invaluable tools that will help your practice forecast growth, achieve new strategies, meet compliance goals, and set your practice up for long-term success.
Comprehensive Performance Evaluation
We collect critical metadata from your organization, evaluating your practice’s revenue cycle management performance. This includes:
- Front office medical records
- Billing and coding data, including ICD-10/CPT coding compliance.
- Reimbursement rates from various payers
By analyzing these data points, we can pinpoint any gaps in your process. With our medical billing services for healthcare providers, we provide actionable recommendations to increase revenue generation and streamline your practice’s workflow, ensuring improved insurance claims management and HIPAA compliance.
Key Performance Indicators (KPIs) and Statistical Analysis
At Accredited Billing & Consulting, we understand that healthy revenue cycle management requires consistent monitoring and improvement of Key Performance Indicators (KPIs). By setting benchmarks, such as a 30–35-day claim payment cycle for Accounts Receivable, we ensure your practice maintains a consistent and healthy cash flow.
We also monitor key areas such as:
- Clean Claims Ratio: Ensuring that claims are processed on the first attempt, minimizing the time and resources spent on denied claims.
- Denial Management: Analyzing claim denials and examining the root causes to avoid future delays.
- Payer Requirements: We keep track of fee schedules and contract renewals, ensuring all claims are HIPAA compliant and meet payer requirements.
Our Mission is to help you avoid common pitfalls and optimize your revenue cycle performance for maximum profitability.
Reliable Quality Metrics for Long-Term Success
Quality is the key essential element of a successful medical practice, and Accredited Billing & Consulting provides advanced clinical performance analytics to ensure your practice meets the highest standards.
We generate detail-oriented reports based on various clinical quality standards, including:
- Meaningful Use (MU)
- Provider Quality Reporting System (PQRS)
- Pay for Performance (P4P)
- Patient-Centered Medical Home (PCMH)
- Accountable Care Organizations (ACOs)
These quality metrics allow us to assess both the financial and operational performance of your practice, ensuring that quality care is always delivered.
Provider Productivity Metrics for Improved Outcomes
We compile detailed reports to analyze and enhance the productivity of your providers. With the help of healthcare consultants and analysts, we evaluate:
- Individual provider performance and its impact on overall practice efficiency
- Benchmarks against other similar practices
- Strengths and weaknesses in provider performance
These reports provide valuable insights that encourage providers to embrace a culture of high-quality care.
We also help providers avoid the misuse of evaluation and management codes, which leads to revenue loss for the practice. We help maximize reimbursement and enhance the financial health of your practice.