Services

Your practice is unique, and your services should be too

Navigate your Business plan today

Revenue Cycle and Practice Management Services

Scaled to your Practice

We can help you navigate your business plan to implement new services, systems, processes, and reimbursement needs at your preferred pace. We can recommend ways to reduce overhead costs and sustain growth, proper resource planning, and development.

Take back your time

Practices thrive when able to focus on patient satisfaction. Allow us to educate and provide valuable feedback on the workflows impacting your revenue cycle. We offer on-site consultations and site visits to assist in scheduling, eligibility, and authorization related functions, as well as provider meetings to discuss payer trends, documentation updates, and coding/compliance related changes.

Front and Back-End Solutions for:

Proper Patient Registration

  • Assistance in workflow improvement, education and training proper processes:
  • Scheduling, eligibility/ verification of benefits, authorizations & referrals, Good Faith Estimates

 

Revenue Collection Acceleration

  • Time-of-Service Collections
  • Unsigned encounters & reduction of provider sign-off lag
  • Incident-to compliance and payer reimbursement opportunities
  • Telehealth scheduling, documentation, and billing workflows (distant site)

 

Reduction of First-Pass Denials

  • Assessment of services, denial rates, DSO days and payer mix to eliminate delays in:
    • Charge Entry
    • Medical Coding
    • Timely claim filing

 

Claims Management

  • Full-service Accounts Receivable & denials management
  • A/R follow-up of unpaid claims
  • Denial management: appeals, records, corrections
  • Monitoring uncollectible AR for accuracy (capitation, bundled services, fee schedule exclusions)
  • Monthly aging and denial reporting for each practice, by specialty and payer.
  • Payments and posting

 

Financial Reporting

  • Proforma’s, P&L statements
  • Assistance with credit balance, cost report, wrap reports (FQHC)

 

Credentialing Services

  • New Practices
  • New Locations
  • Payer Contracting
  • Provider Enrollment

 

One-Time, Monthly, Quarterly, Yearly Analysis:

Coding and documentation

  • Compliance-driven
  • Provider, specialty and payer-specific

 

Accounts Receivable

  • Full review of charge capture and billing/coding processes
  • Assessment of DSO, aged trial balance and ACR (collection rate)
  • Analysis of denials by specialty, payer, reason, and resolution rate

 

Practice Experience (not limited to):

  • Family Practice
  • Pediatrics
  • Internal Medicine
  • OB/GYN
  • Orthopedics
  • Podiatry
  • Pain Management
  • Dermatology
  • General Surgery
  • G.I.
  • Hospitalist
  • Cardiology
  • Behavioral Health (office and facility-based)
  • Radiology (in-house and freestanding)
  • DME (HME and specialty based DMEPOS)
  • Lab/ Pathology (in-house and freestanding)
  • FQHC, RHC (primary care and multiple sub-specialties, dental, telehealth, 340B pharmacy, and more)

 

Payer Experience (not limited to):

  • Medicare
  • Managed Medicare
  • Commercial
  • Medicaid
  • Managed Medicaid
  • Third Party
  • Work Comp/DOL
  • Auto
  • Accident/Legal (LOP, litigation, Auto/PIP claims)

 

EMR/ EPM Experience (not limited to):

  • Athenahealth
  • NextGen 
  • Athena IDX
  • Centricity
  • Epic
  • Cerner
  • Kareo
  • eClinicalWorks
  • EZClaim
  • Practice EHR
  • MediTouch
  • AdvancedMD
  • CollaborateMD
  • CureMD
  • PracticeFusion
  • GehriMed
  • ModMed
  • TherapyNotes

Credentialing Services

Credentialing and provider enrollment can be one of the most frustrating jobs for individuals who are unfamiliar with the process. Each payer has its own set of rules and missing just one step in the process can cause weeks or months of delays before you are even notified that you’ve missed that step. Let Vibrant Medical Professionals get the job done quickly and efficiently.

We offer state-of-the-art provider enrollment and credentialing services to assist our clients and maintain compliance with state and federal regulations that may also include contract renegotiation, and accreditation. This allows healthcare providers to focus on their patients and provide quality care rather than worrying about the administrative tasks of credentialing.

Our physician Insurance Credentialing Services include the following:

  • Credentialing (physicians and provider)
  • Re-credentialing (renew your credentials) 
  • Licensing (verifying medical licenses, accreditations, and certifications)
  • Enrollment for Electronic Transactions (EDI, ERA, and EFT)
  • IPA Enrollment (accreditation)
  • Contract Renegotiation
  • Medicaid Program Enrollment for Group & Individual
  • Individual & Group Medical Enrollment

Collect Revenue Faster

Medical Billing for Independent / Group Practices

One of the biggest challenges a practice can face is collecting what is owed to them. See how you can collect more revenue faster with less work by using integrated services like authorization management, medical coding, and denials resolution. Our skilled staff will handle all of your billing needs including: 

  • Claims Submission and Management: We ensure that all claims are submitted promptly and accurately, and we follow up with payers to ensure that you receive timely payments for your services.
  • Denial Management: Our team is experienced in handling denials and appeals, and we work tirelessly to ensure that you receive the maximum reimbursement possible for your services.
  • Payment Posting: We post all payments promptly and accurately, and we reconcile all payments against your accounts receivable to ensure that you’re receiving the correct payments for your services.
  • Patient Statements: We generate patient statements and handle all patient inquiries related to their accounts, freeing up your staff to focus on patient care.
  • Monthly Reports: We provide detailed monthly reports that track your financial performance, so you can make informed decisions about your practice’s revenue cycle management.

Let Us Help You Get Started

New Practice Start-Up

Starting a private practice can be overwhelming.  We’ve guided plenty of physicians like yourself who want to make the switch from working for someone else to opening their own practice. Our job is to make your transition smooth and painless. Our team will assist with every aspect of start-up from planning to ongoing operations. We’ll guide you along the way through the complicated stages of medical practice launch and operations. You don’t have to do it alone!

Our services include:

  • Market Analysis
  • Prepare Feasibility Analysis and Business Plan Summary
  • Assess Risks and Competition
  • Estimate Startup Costs and Prepare Financial Projections
  • Secure Financing and Lines of Credit from Lenders 
  • Establish Tax ID and Professional Corporation
  • Credential and Contract with Government Payers and Commercial Insurance Companies
  • Establish Best Practices for Day-to-Day Operations
  • Ensure OSHA and HIPAA Healthcare Compliance
  • Establish Practice Fee Schedule
  • Develop Healthcare Marketing Plan 
  • Assist with Ongoing Medical Practice Management
  • Project Management for Facility Renovations/New Construction

We've helped countless physicians

Consulting

Success Begins with Well-Informed Business Decisions.  We’ve helped countless physician practices over the years, giving us insight and experience to help physicians generate profits faster while minimizing long-term overhead costs.

Our experienced operations and management team draws on a wide variety of resources to analyze and resolve problems that arise within your practice.

We provide consulting on all aspects of private practice operations, including:

  • Operations
  • Compliance
  • Human resources
  • Billing
  • Payer / contract management
  • Asset Management (facility maintenance, remodels, and construction)
  • Finances
  • Marketing
  • Information technology
  • Provider credentialing
  • Practice Expansion (locations and services)
  • Accreditation
  • Project management for facility renovations/new construction

 

Our team’s expertise is always available to you as part of the healthcare consulting services. Call us today for a free consultation.

EMS Medical Billing & Management

We offer full-service EMS/Ambulance Supplier billing and management including:

  • ePCR software selection, billing integration, training & documentation templates for better (faster) workflow
  • 100% management of ‘services’ related to documentation, billing, follow up, and reconciliation
  • Payer enrollment, contract negotiations, and Medicare mandatory reporting requirements
  • Patient balances and managing collections

Correctional Healthcare Services

We offer comprehensive auditing, assessment, and evaluation of Correctional Healthcare services including:

  • Analyzing healthcare workflows and patient care
  • Reviewing policies & procedures, staff competencies/qualifications, infrastructure and facilities to ensure compliance with accreditation standards
  • Comprehensive reporting including recommendations for improvement

Our Happy Customers

What They Say About Us