Healthcare Consulting

The LBA Group is well known in Northeast Florida as a leading provider of consulting services to physician practices, hospitals and hospital-owned physician groups.   Our team of healthcare consulting professionals have decades of experience with strategic planning, regulatory and compliance issues, revenue enhancement and cost controls, office staff evaluation and optimization and operational assessments.

As healthcare professionals backed by a highly accomplished financial and management team, we are dedicated to providing the highest quality personalized services and the most innovative financial and practice management advice to our clients. We are always ready to help, whether your need is to ease the burden of finding the right physician or staff person for your practice, to sharpen the skills of your office staff, or to analyze current operations and receive recommendations that will help you boost your bottom line.

The LBA Group has all of the experienced and knowledgeable resources to help you with the most challenging issues that confront you in our highly regulated and constantly changing business environment, and you can be assured that you will receive the individual and personal attention you deserve. Working with you and your staff, we will clearly identify your needs and focus the correct expertise and tools on providing effective and efficient solutions with the least disruption to your business.

Your patients expect quality care from you. Why should you expect any less from us?

 

Services to Physician Practices

Strategic Planning

  • Practice mergers and acquisitions
  • Contract review/negotiations
  • Due diligence and practice valuations

Regulatory & Compliance

  • Medicare coding and compliance (training, audits and reviews)
    • Chart audits (by Certified Coders) including:
      • Physician education and training
      • E&M and procedure code guidelines
      • Medical necessity rules
      • Incident-To rules
  • HIPAA compliance review and training
  • Compliance program development and implementation

ICD-10

A certified trainer is available to provide targeted training to staff and physicians to ensure documentation and coding complies with ICD-10 guidelines. Training can be conducted in a group setting or on a one-on-one basis.

Revenue Enhancement and Cost Controls

  • Accounts receivable management
  • Fee schedule analysis
  • Payer mix analysis
  • Overhead and production analysis
  • Budgeting and cash flow analysis
  • Revenue enhancement
  • Benchmarking

Office Staff Evaluation and Optimization

  • Employment recruiting and interviewing
  • Job descriptions
  • Performance appraisals
  • Salary reviews and employee compensation evaluations
  • Staffing ratios
  • Effective team building
  • Management skills training

Office Operational Assessments

  • Practice reviews for workflow efficiencies
  • Internal cash control audits
  • Billing department/billing company reviews

Outpatient Coding Review

Review hospital outpatient coding for accuracy and compliance.  Generally, we would look at a sample of claims to include Emergency Room, GI, Chemotherapy (if applicable) and outpatient surgical coding.  We would indicate if additional revenue opportunities exist or if there are needed changes in coding for compliance.

Loaned – Staffing

  • Coding Assistance – Certified Coder will code charges from documentation prior to charge entry, eliminating the need for a Certified Coder on staff and ensuring charges are accurate prior to submission to carriers.
  • Temporary coding & billing –  assist coding & billing staff with edit resolution, claim back log, or other key positions in the coding & billing department that needs filling while permanent hiring is in process.

Compensation

  • Physician compensation Design and Modeling
  • Calculation or review of Physician Compensation Calculations

Additional Services

  • Internal Control Review and Design
  • Third Party Administration of 401 (k)/Profit-sharing and other retirement plans
  • Retirement Plan Audits and Preparation of Form 5500
  • Concierge Services for physicians to include:
    • Benefits
    • Tax Planning
    • Financial Planning
    • Asset Protection Strategies