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MRI Medical Management Services, LLC (an MSO organization) |
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MRI International, Inc., through an affiliation agreement, is the exclusive funding agent to purchase medical claims that are generated by MRI Medical Management Services, LLC from its network of multi-specialty physicians.
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MSO administration techniques tend to be very attractive to small multi-specialty groups because of a diversity of needs by clinical based physician practices. For example, the following are some of the major challenges that the MSO will offer.
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The goals of an MSO are:
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1. To reduce the risk for participating physicians.
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2. To support and enhance growth of the physician practice and improve market share.
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3. To provide operating efficiencies for the group which ultimately stabilize or reduce overhead costs.
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4. To provide an opportunity to enhance revenue streams for the physicians through collective contracting efforts coupled with service
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development.
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5. To stabilize the professional practice in order to provide for stability of admissions to system hospitals form this referral source.
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6. To expand services available in a variety of environments through expansion and diversification of the physician membership.
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Claims Servicing of America, LLC www.csanevada.com
Servicing:
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Given the nature of the healthcare business, MARS servicing is clearly of paramount importance. Accurate and proper billing practices and a consistent track record to collect medical claims is equally as important as billing practices.
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Therefore, what is the primary function of Claims Servicing of America, LLC? The primary functions are:
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1. To reduce administrative expenses associated with the collection of medical
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receivables.
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2. To increase cash flow through the prompt and accurate submission of claims
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for reimbursement and investigation of rejected claims for resubmission.
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3. To maximize client’s revenues by identifying and generating claims for the
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reimbursable components of provider profitability, and hence more receivables
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that could be purchased by the investor.
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4. To measure and analyze provider profitability.
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The ability of the organization to provide reimbursement expertise and flexible claims processing systems, i.e. main frame computer systems, proprietary software and properly trained personnel that are able to pre-certify, process, electronically file and efficiently track medical claims is essential to the business of purchasing medical receivables as a profitable investment.
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Menu of Services:
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- IT Technology
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- New Claims Billing that meet HIPPA Regulations
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- Proprietary Collection Software
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- Regulatory Audits for Medical Records
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- Billing and Collection Services
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- IT EMR Systems that are in compliance with all HIPPA regulations
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- Medical Coding audits
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MED-HEALTH Medical Supplies, LLC www.medhealthmedical.com
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Med-Health Medical Supplies is a leading supplier of quality, cost effective medical supplies. With the rising cost of clinical care, Med-Health is committed to helping physicians control their medical supply cost. The company is a wholesale distributor of medical supplies to surgical centers, urgent care facilities, physician offices, skilled nursing facilities, and hospitals.
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MED-HEALTH Pharma
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Med-Health is committed to being an emerging and significant force in controlling healthcare costs by advancing enhanced quality of patient care through the use of appropriate cost effective pharmaceutical products.
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Harmon Medical Center, LLC www.harmonmedicalcenter.com
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Harmon Medical Center is structured as a group practice. The doctors on staff are salaried employees of the HMC medical center professional corporation, a group of physicians that provide medical services, exclusive to Harmon. Core specialties are a 24/7 urgent care and workers’ compensation for larger corporations. The center currently treats approximately 40,000 patients per year and is based in Las Vegas, Nevada.
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CSA Surgical Centers of America, LLC
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CSA Surgical Centers provides clients with a complete and comprehensive menu of services for the management of a physician owned surgery center. Our mission is to show others how to operate efficiently a surgical center to maximize productivity or to integrate provider networks. Our ideas, analysis, and recommendations have been derived from day-to-day, hands on experience with real patients, real physicians, and real situations. We are committed to being a leader in providing high quality treatment to patients that is fully integrated to our philosophy of “The Power of Caring”.
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Four Seasons Surgery Centers www.fs-sc.net
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The Four Seasons Surgery Centers are a network of facilities that are strategically located in Southern California. Its core business is to provide out-patient surgical services to the community. These centers are positioned to provide care to patients covered under managed care contracts and PPO medical insurance plans. A new center is planned for the Las Vegas market and is scheduled to open sometime in 2009.
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FOUR SEASONS MEDICAL GROUP DBA FSMG HEALTH SYSTEMS, INC.
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A Group Practice consists of Office Based physicians, in private practice, which performs their services primarily out of their own offices. It includes all major specialties. The majority of office-based physician practices are small, generally consisting of 5-10 physicians. However, over the years, these practices have developed into large group practices that may have as many as 20-40 members.
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The leadership is elected by the group and the members not only accept but expect their elected leaders to speak for the group. The attraction of group practices is that certain members shoulder the burdens of policy making, which allows the other physicians to practice medicine.
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Group practices also take a long term view with all relationships. Because of its size and complexity, a multi-specialty group rarely has the opportunity to pick up and move its practice.
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The advantages of a group practice are summarized as follows:
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Centralizing their administrative operations by standardizing billing and collection systems, IT technology, and skilled personnel employees. |
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Sharing a wide range of equipment and services such as telephone systems, computer technology, central supply services, maintenance services, and clinical personnel. |
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A greater share of a patient referral base by location because of the availability of many sub-specialty services. |
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One stop shopping for multi-specialty physicians, imaging centers, pharmacy services, and a greater access to out-patient surgery centers and hospitals. |
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A group practice is vertically integrated to provide a single location for a larger selection of multi-specialty doctors as well as other ancillary services.
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