Healthcare Facilitators is a physician practice
management healthcare consulting firm
dedicated in assisting its health care clients to enhance their medical practice through
Practice Assessment, Management Consulting Services and Benchmarking.
Healthcare Facilitators
820 Grovesmere Loop
Ocoee, Florida 34761
407-654-2284
info@hcf.net
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Healthcare Consultants Case Study Two
Healthcare Facilitators was asked by a Hospital to take over the management functions of a practice that was the hospital’s largest admitting practice. The practice was in total disarray and desperately in need of a healthcare consultant. Payroll taxes had not having paid in almost three-quarters. Expenses per month were greater than revenues generated and several accounts payable had been sent to collection agencies.
The practice a few years prior to this situation had hired an office manager who, without the physicians’ knowledge, signed a local lab agreement which provided a kickback for patient referrals. The kick back went to the office manager. The Office of the Inspector General was made aware of the situation and its healthcare fraud division filed charges against the physicians. The legal bills as a result of this situation would eventually result in the practice being sold.
Healthcare Facilitators' first actions were to create relationships or improve relations with vendors from whom the practice needed supplies to operate. It hired a billing service to conduct the billing since there was no trained staff and the computer equipment was so obsolete that the vendor would not even maintain it.
The elimination of unnecessary office services and reducing staff through attrition cut expenses. The healthcare practice was placed on a budget and cash flow management was established to insure certain expenses such as payroll taxes were covered.
The practice’s revenue had become fixed because the practice had signed capitation contracts and these capitated patients filled many of the appointment slots. The staff was telling patients it would be six weeks for a new patient appointment.
To increase revenues, the practice schedule was opened up to fit in two new non-capitated patients per day for each provider. Appointments were confirmed and slots made available were filled with non-capitated patients from a newly created waiting list. The practice also froze all capitated panels to stop growth in this area.
As a result of these changes, revenues increased by 20% within two months and expenses were reduced by 20%.
The practice was on the road to recovery until the legal actions previously described forced the physicians to sell the practice to pay the attorney bills for the case. Working as consultants and through its efforts Healthcare Facilitators was able within six months to generate an appropriate income for the physicians and eliminate a $80,000 accounts payable debt.
The IRS via non-payment of payroll taxes was paid an additional $68,000 through working old account receivable. The sale of the practice covered the tremendous attorney bills.
The physicians were found not guilty of health care fraud charges and now work as employees of a large physician network company.
See Healthcare Consultants Case Study One
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