-
Physicians owned and operated since its inception.
-
Opportunity to participate in various Medicare Advantage plans (participation is never mandatory).
-
Rapidly growing presence throughout Central Florida.
-
Operations Managers for day to day operational support to include claims review, specialist contracted rate and hospital contracted rate analysis. Review of health plan benefits and coverage issues.
-
IT software for claims/funding/MRA/membership reporting
-
Marketing strategies and initiatives via television, internet, and multiple print mediums. This includes annual appreciation functions to enable networking opportunities between the health plan marketing team and all IPA Primary Care Physicians.
-
Quarterly physician and manager meetings to discuss and educate on all pertinent changes and revisions affecting the IPA with regards to health plans. Reports and reviews of performance via statistical peer-to-peer comparisons.
-
Weekly updates published and disseminated via fax and email in an effort to inform all Primary Care Physician providers of the most recent news affecting them.
-
Continuous MRA analysis and audits by nurses and certified coders in conjunction with health plan personnel to include customized reports derived from PrimeCare proprietary software as compiled from health plans' raw data.
-
Nurses available for clinical intervention, disease management to include CHF program, and utilization/case management.
-
Well developed relationships with key health plan executives and directors, i.e. regional plan CEO's, direct access to plan Medical Directors, direct access to all marketing directors and managers.
-
Transparency with regards to review of financials and performance indicators. Availability of service fund analysts to offer understanding and overview of service fund reporting in succint and concise format.
-
In-house monitoring and capturing of all potential Cost Reallocation claims and prospective review of daily claims for purposes of avoiding over/erroneous payments.
-
Own Hospitalists Program available in certain areas to control inpatient and Skilled Nursing Facility utilization.