Practices Made Perfect

 
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20 years of experience

Since 1999, MEDEX has collaborated with hospitals, employer-based practices, health systems and County Health Service Agencies to to improve efficiency and drive revenue, while improving the overall patient experience.

Practice start-up

MEDEX is particularly adept in assisting hospitals and health systems to successfully launch newly recruited physicians into solo or group practices.  We have helped thousands of physicians start quickly, onn time and on budget.  MEDEX guides clients in developing realistic business plans, establishing new professional corporations, implementing effective contracting and health plan enrollments, equipping, furnishing, and staffing the office, and providing effective financial and marketing services.

Contracting, credentialing and insurance enrollment

MEDEX has over 25 years of experience helping physicians, mid-level and allied professionals of every specialty obtain effective dates with almost every carrier serving the California market.  For many carriers we have personal relationships with insurance enrollment associates who will take our calls, answer our questions, and help to ensure our applications are approved quickly.  We submit enrollment documentation accurately so that approvals are not delayed.  We have worked with practices, clinics, and hospitals throughout the state to enroll the following types of entities:

  • Physicians of every specialty

  • Chiropractors

  • Mid-level providers including Physician assistants and Nurse Practitioners

  • Occupational and Physical Therapists, other allied health providers

  • New practices, growing practices, and groups of significant size

  • Hospital owned clinics (1206 (d), Rural Health Clinics, FQHC's and 1206 (a) foundations)

  • Ongoing re-credentialing and re-attestation

  • Creation and maintenance of CAQH profiles

  • IPA and Government enrollment (Medicare & Medi-Cal)

  • Changing tax identification numbers and other demographic changes

  • Adding rendering providers who are joining a group practice

  • Hospital privileging

Our commitment for credentialing and enrollment - Accuracy, confidentiality, excellent communication with the client and detailed follow-up with the carriers.  Our #1 priority is attention to detail.  MEDEX understands that proper credentialing is critical to generating revenue and meeting critical business plan projections.

Practice assessment and improvement audits

For established practices that may be struggling, a fresh pair of eyes can make a huge difference.  MEDEX can spot roadblocks, and recommend strategies to better streamline workflow, enhance cash flow and revenue, as well as improve regulatory compliance.  By taking the pulse of a medical practice, MEDEX identifies ways to build staff morale and improve the overall patient experience.  

Practice and Asset valuation

As healthcare continues to evolve and physicians consider alternative employment models like hospital-based 1206 (d) clinics, 1204 (a) community clinics, foundations, and MSOs, MEDEX can help manage that change.  We offer extensive experience in developing, licensing and certification of 1206 (d) clinics, profiling practices, valuing practices including practice assets (furniture and equipment), as well as helping to re-position and transition medical staff to improve retention. 

Physician compensation and sharing model

Dividing the financial pie can be a challenging an sensitive task for physician group members.  MEDEX guides clients through the many options and strategies for designing a fair and equitable partnership model for sharing reimbursements and expenses.  We have worked with many legal professionals over the years to draft physician employment and expense sharing agreements that work for all parties. 

Comprehensive operations support

MEDEX has the ability to come in and provide full operations support or we can provide just one or a combination of our services.  We customize programs for unique one-off projects or longer more involved engagements.

Revenue cycle management and coding audit/review services

MEDEX had operated a revenue cycle management (RCM) service located in Oakdale California for twelve years employing 100 personnel and serving physicians and groups throughout California.  We sold the RCM service to a large San Diego firm in 2010 so we could focus on delivering consulting services. 

During the years MEDEX provided RCM service, we learned a great deal about the importance of correct coding, urgency of capturing accurate data (CPT codes), posting and submitting charges in a timely manner, providing consistent and timely follow-up on Accounts Receivable and providing useful monthly reporting.  Personalized service is the key to success.

MEDEX has since teamed up with several outstanding RCM companies in California that provide a full array of services and have consistently produced excellent results for over 30 years.  These companies use a variety of fully integrated software platforms that integrate scheduling, billing/collection and EHR into a seamless, affordable solution.  MEDEX can provide guidance in selecting an outstanding RCM company that will meet your needs. 

Branding & Marketing

Effectively communicating your company’s value proposition to candidates is crucial for finding and retaining the best talent.  MEDEX can provide branding, website development, social media assistance and practice assessment.