Boost Advisory Group has a team of proven DME experts that have amassed over 50 years of combined and proven experience, spanning numerous product lines, such as; diabetes testing, insulin pump therapy, continuous glucose monitoring, diabetic shoes, surgical/wound care supplies, urology, ostomy, incontinence, bowel management, pharmacy, breast pumps, wheelchairs, walkers, orthoses, and CPAP.
Boost Advisory Group prides itself as being performance improvement and business optimization experts through our commitment to achieving operational excellence, compliance and privacy excellence, and financial excellence.
Operational Excellence is achieved when people, processes, systems, and performance is optimized. Boost Advisory Group can conduct a comprehensive assessment of the following:
1. Intake to Posting Process
2. Marketing Strategy
3. Bad Debt Drivers
a. ERL
b. Denials and Appeals
c. Insurance Errors
d. User Errors
4. Patient Retention
5. Referral Source Retention
6. Reorder Processes and Performance
7. Staffing Plans Based on Historical Performance
8. Critical to Quality Metrics, Performance, Areas of Improvement
9. Systems-Phone, Fax, EMR, Servers, etc.
10. Business Continuity/Emergency Plans
11. Scripting Compliance & Effectiveness
12. Communication Strategies
a. Patients
b. Manufacturers
c. Referral Sources
d. Health Care Providers
e. Insurance Companies
13. Documentation & Medical Records
14. Forms
15. Training
16. Payor Contracts & Guidelines
17. Referral Source Mix
18. Payor Mix
Compliance and Privacy Excellence is achieved when processes, training, people, quality, and systems are optimized to be effective, compliant, and quality-driven, without putting performance at risk.
Boost Advisory Group focuses on the following key elements when assessing a client’s Compliance and Privacy level of excellence:
Annual Training Plans and Compliance to Medicare Requirements
BAA, NDA Forms and Management
OIG Requirements
Comprehensive HIPAA Assessment
Sample Programs
FHAP programs and scripting
Compliance Program Requirements & Compliance
Internal Audits and Compliance Reviews
Denial and Recoupment Processes
Quality Review/Control Programs
Medicare Appeals & Audit Response Times and Win Rates
Medicaid & Commercial Payor Audit Response Times and Win Rates
DME companies cannot achieve financial excellence without first achieving excellence in compliance-privacy and then operations, however, financial excellence includes such areas of focus as follows:
Labor Utilization to ensure staffing levels are effective and efficient
Bad Debt Management
COGS Management and Book of Business Financial Optimization
Medicine Cabinet Penetration; Revenue Per Order Optimization
End of Month, Quarter, Year Protocols to Drive Work in Process Down
Work Plans; Daily, Monthly, Quarterly, Annually/Customized Success Plans at Rep & Dept. Level
Accountability Tools and Management
Growth Strategies
Robust Reporting Package- you can’t manage what you can’t measure
Error Rate Management
Vendor Contract/Rebates/ Joint Venture Marketing Opportunities
Boost Advisory Group will help you identify areas of improvement via our assessment and GAP analysis process and provide to you action plans to drive improvements. Our plans are customized to your needs and budget and can include any of the following services:
Assessment and Action Plan
Project Management
SOP Writing
Brightree Systems Optimization
Training
Executive Cost Sharing to Provide Oversight and Daily Management
Monthly Consulting Plan Utilizing us as needed
About the Author: Michael Breslin is a seasoned and proven healthcare executive who has led, improved, grown, bought and sold numerous DME businesses since 2009. He is viewed as a performance improvement and change management expert with a deep understanding and success in creating Centers of Excellence. Michael is currently the Executive Vice-President at Boost Advisory Group.
www.boost-llc.com 888-304-2480 Michael.Breslin@boost-llc.com
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