Pathology

HealthOne, Inc. provides customized billing and accounts receivable management services to pathologists. Pathology billing is both unique and complex. Leaving pathology billing, including coding, claims filing, and account follow-up, in the hands of professionals who are specialists can lead to a positive financial impact for your practice.

Today’s pathologist faces many pressures in the healthcare environment, including managed care, decreasing reimbursement, compliance, and increasing costs. Given these pressures and many more, HealthOne understands that it has become increasingly difficult to both practice pathology and manage the business operations of your practice. For this reason, HealthOne has assembled one of the brightest and most experienced management teams in the industry. HealthOne’s management professionals have years of pathology billing and accounts receivable management experience to effectively oversee the daily operations.

For more information please contact David Purvis at: David Purvis or 865.934.0501

 

Scope of Services

 

Billing & Accounts Receivable Management

Ø      Reimbursement and Lost Revenue Audit (ie a full practice financial and operations review)

Ø      Fee Schedule Review

Ø      CPT Coding

Ø      Third Party Insurance and Patient Billing

Ø      Managed Care Contract Review and Contract Negotiation

Ø      Cash Collections, Controls, and Processing Review

Ø      Procedure Volume (by Modality) Trending

Ø      Charge Capture Controls

Ø      Physician Education Regarding Rejected / Denied Claims

Ø      Physician Credentialing

Ø      Physician Recruiting and Physician Scheduling

Ø      Legal and Political Advocacy relating to Reimbursement

 

Financial Transaction Management

Ø      Practice Accounting including Accounts Payable, Payroll, and Financial Statement Preparation

Ø      Entity and Individual Tax Planning (in coordination with external CPA)

Ø      Practice Budgeting and Forecasting

Ø      Practice Benefit Plan Design and Review

Ø      Practice Retirement Plan Assessment & Coordination

Ø      Physician Compensation Modeling and Bonus Calculations

Ø      Shareholder Stock Purchase and Sale Calculations

Ø      Practice Expense Tracking and Analysis

Ø      Review Physician Contracts, Hospital Contracts, and Service Agreements

 

Strategic Management

Ø      Practice Expansion Planning

Ø      Joint Venture Assessment (including Technical Income Opportunity Assessment)

Ø      Referring Physician Trending

Ø      Business Entity Review and Initial Formation

Ø      Equipment Purchase Consultation and Structuring

Ø      Facilitate Regular Client Business Meetings*

Ø      Design Custom Practice Reports*

Ø      Assist with Special Projects as needed

 

Other Services

Ø      Facilitate and assist in development of Practice Compliance Plan

Ø      HIPAA Education and Planning

Ø      Website Hosting (including setup of group email, intranet, website development)

 

*Part of all service models