Physicians Practice Management Associates

Specializes in complete practice management and is a division of IHR

ABOUT PHYSICIANS PRACTICE MANAGEMENT ASSOCIATES, LTD

Physicians Practice Management Associates, Ltd. Is a leading provider of innovative Practice Management Consulting Services.

PPMA was formed to provide “boutique” Practice Management Services to a select group of Healthcare Providers. PPMA will devote 100% of our time to maximize their practices in all areas associated with running the facility.

We provide business solutions from full services administration to various individual practice components. With a proven track record and result driven approach, we are committed to building efficient, quality-oriented operations for our clients.

Physicians Practice Management Associates, Ltd. Offers a wide range of services including:
  • State of the Art Elctronic Billing (including Workers Comp and No Fault)
  • Billing and Practice Management Seminars
  • Credentialing and Re-credentialing Services
  • Practice Administration
  • Coding and HIPPA Reviews
  • Contract Negotiation with Payers (if applicable)

PPMA is available to provide support and expertise to our clients and their patients. This allows our physician clients to concentrate on their patients well-being.

With a combined expertise of over 30 years in Medical Billing, Collections and Practice Management, PPMA should be your choice for all your outsourcing requirements.

OUR EDGE

PPMA’s edge lies in our ability to provide clients with innovative solutions to help them excel in the dynamic and ever changing healthcare industry. PPMA’s strength is built on the broad range of experience of our management team. We are a boutique management firm with a focus on providing quality answers to your questions.

Each account is individually handled by a member of the management team to insure the best possible results in all areas. Site visits to clients are performed on a regular basis to secure open communication and interaction between vendor and account. “Doing things right the first time costs less forever” is our motto. This will allow the practitioner the extra time needed to provide the best possible care to his or her patients.

PRACTICE MANAGEMENT SERVICES OFFERED BY PPMA

  • Accounts Receivable Review
  • Coding and Chart compliance review by Certified Coders
  • Collection Services for patient balances
  • Contract Negotiations with Major or Minor Insurance Carriers
  • Credentialing & Re-Credentialing Services
  • Electronic Medical Billing Services at very competitive rates
  • Practice Management Evaluation & Seminars

ADDITIONAL SERVICES OFFERED BY PPMA

  • Credit Card and check processing services (lowest rate available)
  • Electronic Payroll Services
  • Healthcare Insurance for the practice
  • IT & Networking Solutions
  • Medical Equipment Solutions
  • Mobile radiology services (patient convenience and increased revenue)
  • Physicians Disability Insurance

WHAT EXACTLY DOES PPMA OFFER?

PPMA can assess your practice from the front desk to the back office looking specifically at your Registration, Charge Capture, Coding and Documentation, Billing Process, Reimbursement, Follow Up, and the Age and Health of Your Accounts Receivable.

WHAT DOES PPMA CHARGE FOR ITS SERVICES?

Physicians Practice Management Associates, Ltd. works on a consultant basis and bills a reasonable hourly rate for Review and Recommendations. Our ancillary services are billed by an hourly rate, flat fee or percentage depending on the particular service provided.

CONTRACT NEGOTIATIONS WITH CARRIERS

Do you know where or what your fee schedule is ? I think not. The majority of today’s practices are unaware of what they are getting paid and what formula is being used by the insurance companies. For evidence, check the percentage of Medicare you are being paid by Empire Blue Cross and United Health care. You would be shocked to find out that instead of paying Medicare plus a percentage (Medicare 2004 RVU’s times 125%), you are getting paid Medicare 2007 minus a percentage. In the case of Empire Blue Cross the percentage is 70% of Medicare and United Healthcare it is even lower at 62%. With the new Medicare cuts coming, your reimbursement will dwindle lower. PPMA has the experience and knowledge of having negotiated over 350 healthcare contracts with both major and minor insurance companies.

Not all practices qualify to renegotiate but there are different scenarios to help those practices increase reimbursements. We believe “if you don’t ask how do you know you can’t get it”.

*Not all specialties and practices will be eligible for contract negotiations.

PPMA PRACTICE MANAGEMENT CONSULTANT SERVICES

Why do I need a Practice Management Consultant? The truth of the matter is that while there are certain areas in which your practice excels, and providing quality medical care is one of them, there is always room for improvement in your day-to-day office workflow and practices. Improving your Workflow and Practice Management will lead to Higher Reimbursements and Reduced Overhead for your Office.

CREDENTIALING & RECREDENTIALING SERVICES

Physicians Practice Management Associates, Ltd. Enables physician practices to realize the operational and financial benefits associated with outsourcing their credentialing needs. PPMA will provide a substantial cost savings over internal processes and significantly reduce practitioner interruption. We provide flexible, customized solutions to fit your unique requirements.

PPMA OFFERS:
  • Insurance Carrier Credentialing (Medicare/Medicaid/HMO)
  • Service Location Credentialing
  • Professional (Societal) Credentialing
  • Annual Re-Credentialing

ABOUT PPMA’S CREDENTIALING DEPARTMENT

PPMA’s credentialing department specializes in providing state of the art credentialing and re-credentialing services to your office. PPMA completed all required forms and provides data entry and follow up services. PPMA tracks the progress of your application and reports to you in a timely manner of the application status. This allows your practice to realize operational and financial benefits associated with outsourcing your credentialing needs.

EXCLUSIVE OFFER TO POTENTIAL NEW CLIENTS

A complimentary $2,500.00 retail value practice management evaluation of your current practice. The following areas of practice management will be meticulously evaluated:

  • Patient Intake & Demographic Information
  • Insurance Verification
  • Charge Master Review
  • Service Level Review
  • Coding Review
  • Accounts Receivable Review
  • Aging Report Review
  • Denial Management Review
  • Insurance Follow Up Review
  • Patient Discharge Review