SERVICES | twin-oaks-mm

Twin Oaks Medical Management Menu of Services

We know that each practice is unique and therefore, has their own strengths and areas of need when it comes to the non-clinical business operation. With our teams diverse expertise we are uniquely equipped to offer you and your practice exactly what it needs to be successful! You have the opportunity to select an all-inclusive service or choose a combination of services that fill your practices needs. Below are the services our team has industry expertise and experience in. We’ve provided a short description of tasks we are able to perform for each service. For a more comprehensive list please don’t hesitate to contact us.

BILLING CLINIC START UP CONTRACTING

CODING PRACTICE MANAGEMENT CONSULTING

COMPLIANCE CREDENTIALING EDUCATION

BILLING

Twin Oaks Medical Management provides 2 different levels of billing services based upon your specific need. Under the Billing Service we are able to provide:

Basic Billing Package:

Transmit your electronic claims and submit your paper claims accurately within a timely manner
Post all payments from patients and insurance companies as well as contractual adjustments and deductibles
Follow up on all unpaid claims aged over 45 days (Primary)
Provide your office with weekly batch reports of claims sent out
Provide your office with detailed monthly reports
Create patient statements for your clinic to mail out

Executive Billing Package:

Enter all your patient demographics, insurance information and daily charges for you
Transmit your electronic claims and submit your paper claims accurately within a timely manner
Post all payments from patients and insurance companies as well as contractual adjustments and deductibles
Follow up on all unpaid claims aged over 30 days (Patient, Primary and Secondary)
Provide your office with weekly batch reports of claims sent out
Provide your office with detailed monthly reports
Create patient statements for your clinic to mail out
One meeting up to 1 hour per month to review and discuss your financials

BILLING

CODING

Expert coding is one of the key components in making your practice profitable. Our team of skilled coders are AAPC certified and experienced in all specialty types. Under the Coding Service we are able to provide:

Review coding for accuracy to increase revenue
Decrease denials
Coding services that comply with CPT, ICD-10 and CMS guidelines
Review of your documentation to support coding

COMPLIANCE

We understand how overwhelming compliance can be. Here at Twin Oaks Medical Management we have industry experts with contacts that span all aspects of the compliance domain. Under the Compliance Service we are able to provide:

Standards of Conduct
Training and Education
Reporting Standards
Corrective Action Plans
Investigations
Monitoring and Auditing
Policies and Procedures

CLINIC START UP

Our step by step proven method has helped several independent practitioners to fulfill their dream of a successful practice ownership.

PRACTICE MANAGEMENT

With pressures of cost reduction, greater compliance, and technology implementation that are headlines in health care today, managing a medical practice is complex. We have the experience and expertise in managing all non-clinical business aspects of a medical practice including financials, human resources, information technology, compliance, marketing, and operations. Under the Practice Management Service we are able to provide:

Creating and maintaining various forms (registration, HIPAA privacy, waivers, etc.)
Scheduling
Referrals
Preauthorization’s
Benefit and eligibility checks with insurance companies
Human Resources
HR Manuals
Job Description Creation/Maintenance
Policies and Procedures
Staff Management
Management Support
Staff Training
Training Manuals
Hiring and Terminating Employees
Process Flow Enhancement
System Efficiency
Clinic Organization
On boarding new clinicians and providers
Clinic business accounts creation, monitoring, management and advisory

PRACTICE MANAGEMENT

CREDENTIALING

Credentialing is a detailed, time consuming process that reviews doctors’ qualifications and career history including their education, training, residency and licenses, as well as any specialty certificates. Credentialing must be completed upon the hire or enrollment of a new doctor and regularly afterwards to abide by the standards set forth by the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC). Under the Credentialing Service we are able to provide:

Setting up of Network management systems such as Optum and CAQH
Completion of state specific credentialing packet
Obtaining and organizing all additional pertinent information required by insurance companies for credentialing purposes
Obtaining NPI
Obtaining Medicare participation and PTAN
Submission of all credentialing requirements to all insurance companies and ensuring approval for next step contracting network participation

CONTRATING

CONTRACTING

Expert contract negotiation is another key component in making your practice profitable. Our in depth knowledge of all contracting methodologies and their impacts across commercial and government lines of business is extensive. These methodologies include, but are not limited to, DRG, Fee-for-Service, RBRVS, Per Diem, Per Case, CMS methodologies, Percent of Charges, risk model, medical home, episodic payment, shared savings bonus, ACO and CCO models and both full and partial capitation arrangements. Under the Contracting Service we are able to provide:

Practice specialty specific reimbursement methodology
Perform analysis of highly utilized services to maximize reimbursement for these specific services
Negotiate renewal terms where rates are current and updated regularly to ensure the highest level of reimbursement is achieved
Ability to negotiate and contract with all types of payers across commercial and government networks as well as one time agreements for special as needed cases

CONSULTING

Partnering with us as consultant allows you to utilize our 50+ years of combined whole healthcare environment expertise to ensure your organization is successful. Under the Consulting Service we are able to provide:

Review of practice operations efficiency
Billing audit reviews
Revenue cycle enhancement processes
EMR/EHR system efficiency review/rework
EMR research and selection
One time clean-up of accounts receivables

EDUCATION

Our subject matter and certified expert staff is available to provide the following Educational Services:

HIPAA

Yearly Fraud, Waste, and Abuse Compliance
Outstanding Customer Service
Provider specific coding and documentation accuracy
Efficient and Accurate One Health Port Utilization

EDUCATION