The Process

Practice management solutions can empower staff by providing patient-centric care, team building, payer denial engagement, revenue cycle focus. DeMelo Practice Management can assist and provide guidance in the following:

Practice Assessment

A thorough assessment of a medical practice can provide tools to optimize performance. Process assessment includes methods of identifying systemic satisfaction from patients, providers and staff. Another approach of assessing healthcare practice is through audits in many areas of the practice such as financial, medical record audits, documentation review, productivity, accounts receivable review and many other evaluations within the practice. Workflows can have errors and gaps, but a comprehensive assessment can detect loss of revenue, insurance verification processing, fee schedule updates, required staff training, financial analysis and other strengths and weakened areas. Ultimately, goals of what DeMelo can help your healthcare practice achieve is to improve revenue, increase staff morale and productivity, reduce AR time, increase collections, refine the patient experience and many other modifications that will enhance your practice.

System Utilization Review & Process Improvement

The process of ensuring high quality patient care while providing effective and appropriate services is known as healthcare utilization review. It is necessary to review process in association with payers and patient care as it helps manage cost in alignment with services provided. This entails assessment of revenue cycle by performing prospective review, concurrent review and retrospective review. As a result of utilization review, your medical practice can offer optimal processes by improving system workflows and touch points.

Development of Operating Policies & Procedures

Healthcare policies and procedures provide standardized operational activities by providing guidance and communication from management to employees. It is vital to have robust policies and procedures as healthcare regulations and laws continue to transform. It sets a foundation for decision making in a safe and effective manner. There are many considerations such as HIPAA, Meaningful Use, technological advances, education, and many updates that occur within the elements of healthcare system delivery. It can be difficult to communicate and disseminate to staff which is why development of operating policies and procedures is another service DeMelo provides. 

Assessment of Outsources Business Services

Many medical practices are willing to outsource some services to save time, reduce practice cost and optimize financial management. An assessment on services in which your practice can potentially outsource can assist with pressures of healthcare demand. The market of outsourced services is expansive and DeMelo can help determine efficiencies and burdens. Outsourcing can include coding and billing, human resources, revenue cycle management, electronic medical records management and other services but is it right for your practice? DeMelo can analyze cost, delivery, patient engagement, administration, clinical operations enhancement and effectiveness. As healthcare evolves, your medical practice might need assistance in managing your services.

Business Intelligence & Reporting Analytics

Leveraging healthcare expenditures is a challenging role in a medical practice but managing costs is imperative to patient care. Business intelligence is the analytics portion of healthcare that can help gain insight on financial operations by identifying revenue disparities. This can be achieved by performing data diving by use of applications to determine financial allocation and claims management. DeMelo can develop reporting analytics demonstrating ROI while producing involvement from management, stake holders and staff.

Special Connection

DeMelo can assist with developing that special connection within your practice. Get to know your patients and employees so that you can provide the utmost reputable practice.

Comfort Level

It is vital to cultivate an atmosphere where your staff and patients are comfortable. This can be achieved by developing methods of communication to fit any learning style and DeMelo can assist.

Culture Style

Let DeMelo help evaluate your practice to determine your culture style that best suits your needs.