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Pay for Performance Consulting

Medicare's new Pay for Performance (P4P) model for hospitals and physicians has significant implications for healthcare organizations, the most relevant of which involves your revenue. With Medicare's new model, hospitals will be required to submit quality data based on clinical indicators that have been identified by Medicare, aligned to JCAHO and reviewed by the National Quality Forum.

A hospital's performance will directly affect its level of Medicare reimbursement. Simply put, in order to fare well, you must score well. That requires processes and cooperation between medical staff and administration-all in a manner that is conducive to a quality care environment.

BSA Healthcare provides a unique P4P Consulting Service that helps healthcare executives and medical staffs better understand and prepare for P4P. Our physician consultants will work closely with you and your staff to assess your organization's performance on the P4P clinical indicators and help you develop P4P strategies that will work given your operating environment.

P4P Consulting Services for hospitals and physicians includes:

  • Assessment/Evaluation of P4P readiness
  • Recommendations to improve P4P performance
  • Implementation of improved processes
  • P4P educational activities
  • Ongoing monitoring and improvement of P4P performance

BSA Healthcare Services

EMERGENCY MEDICINE & PHYSICIAN SPECIALTY SERVICES

Billing and Coding Operations Evaluation
Emergency Medicine E/M Code Choice Reference Material
Billing Reports Review
Documentation and Coding Seminars
External Chart Audits
Emergency Department Operations Analysis
Practice Management
Accounts Receivable Review and Evaluation
Compliance
Risk Services
Internal Collection Agency Startup and Implementation
HOSPITAL SERVICES

Pay for Performance Consulting
Quality Improvement and Patient Safety
Risk Services
Operations Analysis
Inpatient Services
Outpatient Services
Medical Record Audits
Revenue Cycle Analysis
EMTALA