Practice Management Consulting

Our healthcare environment has drastically changed over the last 20 years. Healthcare organizations and practices continually face challenges in operational areas, such as scheduling, patient flow, revenue cycle management, reimbursement pressure, and more. To address these operational challenges, GoSoft’s practice management consulting services can collaborate with your organization to build a foundation for strategic growth by identifying Key Performance Indicators (KPI) and implementing operational improvements.

Medical practices across the country are being burdened with declining reimbursement, payers’ reduced fee schedules, value-based reimbursement, bundling of services and large patient account receivables. We provide a comprehensive analysis of your revenue cycle management to provide solutions to improve cash flow and provide patients with an exceptional experience.

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65% OF PHYSICIANS SEE DECLINING REIMBURSEMENTS AS A TOP ISSUE NEGATIVELY IMPACTING MEDICAL PRACTICES

If you are making less money per patient, a natural solution is to treat additional patients to make up for the loss. Another solution is to decrease your office overheads to prevent erosion of profit. GoSoft can help increase productivity by incorporating technology to automate processes, as well as provide customized solutions that substantially decrease overheads.
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Our Process

Identify

Our healthcare environment is constantly changing, and navigating through this transition is critical to providing quality care. To remain in a financially healthy state, it is imperative to identify KPIs, analyze them, and respond by implementing the necessary changes.

Analyze

GoSoft’s technology driven approach enables practices to analyze KPIs and help respond to issues impacting their financial and operational performance. With instant access to KPIs that effect revenue cycle management, the practice gains a new level of clarity into the workings of administrative and back office functions.

Implement

Once we evaluate the entire revenue cycle—from scheduling, eligibility verification, prior authorizations to financial resolution, we will be able to make recommendations and provide solutions. We take a collaborative approach to ensure that our solutions are viable for the organization.

Areas of Expertise

Revenue Cycle Performance Analysis

GoSoft can do a thorough analysis of your revenue cycle management.  We can look into all procedures adopted by the office and suggest ways to increase revenue.  Also if given access to certain reports, we can evaluate all aspects of the revenue cycle.  This includes eligibility verification, prior authorization, charge entry, payment posting, and accounts receivable workflows.

Implementation of Technology and Automation

In many offices, many repeatable processes, such as filling out patient demographic information on forms are not automated.  This results in the office using labor to fill out forms, print them and then fax to the appropriate person. With the help of software and automation, GoSoft can write software that will fill out forms automatically, and fax them without printing.  Proper Implementation of software will increase productivity and save labor costs.  We will do a thorough analysis and make suggestions to increase efficiency.

Set Up Procedures / Workflows for All Departments

A successful medical practice will have documented procedures and workflows for every staff member.  For example, front desk staff should be properly trained in check in and check out procedures, telephone etiquette, and how to create an exceptional experience for patients.  Very few medical practices invest in basic training for their staff which results in patients leaving the practice due to poor service.

Productivity Reports and Analysis

We work with CEOs of medical practices to help them optimize payments to providers and manage their costs. An example is through custom software that can project revenue and predict salary trends. This way, the company will be able to anticipate expenses and minimize surprises.

Online Presence and Reputation Management

It is becoming increasingly important to have an online presence and manage your reputation.  Many medical offices have not yet invested in a modern website with links to social media.  In addition, responding to online reviews and managing the office brand online is paramount in attracting new patients.  This is specially true for patients with PPO insurance who get to choose their provider.

What Our Clients Say

If we have any cumbersome reports, GoSoft finds a way to automate the process. GoSoft does an excellent job doing our office productivity reports. We have about 8 providers and we needed to run multiple reports to figure out their productivity and compensation. It was taking us about 10 days to complete the report on MS Excel. GoSoft’s software team automated this process, which gives us this report fully completed in 30 minutes. It saves a tremendous amount of time and since the software is programmatically designed, it is 100% accurate and error free. It certainly saves the practice a lot of time. We also use GoSoft to run reports by payer to find out reimbursement amounts for certain CPT codes. These reports are useful during negotiating contracts to find out which contracts are worth renewing or cancelling.
R Saldana, San Diego Arthritis Medical Clinic