Why 28 Management Solutions?
Payor Feasibility Reports
Did you know that getting credentialed isn't as simple as picking the payors you want? There are only a certain number of providers most insurance payors will contract within a certain demographic area. By conducting a payor feasibility report, we can evaluate the payors you want to determine the feasibility of opening a new healthcare organization within a certain demographic area in regards to payor credentialing and contracting. The benefit of conducting this report is to eliminate the large expense and investment of starting a new healthcare organization in an area that does not have a sufficient amount of open payor panels.
"Start-Up" Consulting Services
We offer consulting services to help build your organization from the ground up. By helping providers and investors understand what is actually required to open a new healthcare organization, we can help navigate all the ups and downs of starting a new healthcare organization. This includes, but is not limited to, credentialing/contracting with healthcare payors, staffing, equipment, location (place of service), EMR/Clearinghouse evaluations based on the needs and wants for any particular provider, organization classification (i.e., medical office vs. urgent care), etc.
EMR/Clearinghouse Consulting Services
Our EMR and clearinghouse consulting services can help determine whether or not the provider would benefit from outsourcing or keeping billing in-house for your particular organization by helping you to evaluate the positives and negatives of claims billing. Our consulting services also effectively help with EMR/Clearinghouse EDI/ERA set-up on the backend as well, so that claims can be processed effectively and efficiently to the payors from the providers' EMR & Clearinghouse.
Annual Credentialing Maintenance
Once your credentialing is complete, providers and organizations will require annual maintenance to ensure continued service. Our annual credentialing maintenance includes upkeep of CAQH and re-credentialing/updating payors currently credentialed/contracted with. (Re-credentialing is required on either a 90/120/180 day or annual basis depending on the payor.)
Organization Building Consulting
In addition to the explicit healthcare-related services we offer, we also offer a wide range of consulting services to help build and strengthen your business. Through our in-house resources and thoroughly vetted strategic partners, we can also help you with finding a space (location), bank for funding, malpractice & business insurance, webpages, staffing assistance, policies & procedures, new patient documents, healthcare attorney, performa, "from start-up to opening day", compliance, customizable educational platforms for staff of the organization, marketing, etc.