IPA MANAGEMENT
Optimally functioning IPAs can offer many benefits such as efficient practice administration and management. IPAs must be able to demonstrate their incremental value to obtain contracts with health plans and other payers for covered lives. The financial benefit of increased covered lives from the health plans are the end results from an IPA's ability to provide care efficiently and effectively
JMA offers a wide range of business-management services to help you attain your IPA goals. Please contact us for more information.
Recruiting
JMA can help you source and hire the best available providers for your Practice. We work with Clients to develop a position descriptions, recommend minimum credentials, and develop compensation and benefit structures for needed positions. We then use a mix of public and proprietary databases to find a variety of options, initiate contact with preferred candidates, and collect CV's or other application documents.
Practice Management
Facilitating strategic planning and marketing to attract more patients and help the practice thrive
Safeguarding the practice by complying with all healthcare laws and regulations to avoid legal issues
Establishing effective human resources management by hiring competent staff, providing necessary training, and fostering a positive work environment
Handle billing and collections, ensuring timely payments from patients and insurance companies
Management of Prior Authorization requests for services ( patient referrals, pharmacy refill requests and authorizations)
Manage patient records effectively, ensuring accuracy and confidentiality
Implement and manage efficient patient scheduling systems to minimize wait times and improve patient satisfaction
Delegation Oversight
Delegation Oversight plays a pivotal role in safeguarding the integrity and quality of healthcare services. This ensures that all partner organizations strictly comply with the necessary regulations and contractual agreements. Through the execution of comprehensive audits and meticulous evaluations, the auditor verifies that every operation aligns with your health organization's commitment to excellence in quality and efficiency.
JMA will:
Conduct in-depth and systematic audits of delegated entities, ensuring they adhere to all relevant regulations and standards, such as CMS guidelines, state laws, and your health organization's policies. This includes reviewing and evaluating administrative procedures, healthcare services, and data handling practices.
Design and implement comprehensive audit strategies and plans, including defining scope, objectives, and timelines. This involves identifying key areas of focus based on risk assessments and regulatory priorities.
Analyze a wide range of data and information gathered during audits. Interpret complex datasets to identify trends, irregularities, and areas of non-compliance. Prepare detailed audit reports, presenting findings clearly, concisely, and actionable for stakeholders at various levels.
Oversee the implementation of corrective action plans in response to audit findings. Monitor the progress and effectiveness of these plans, ensuring that they adequately address identified issues and lead to sustained improvements.
Regularly review and suggest improvements to your health organization's policies and procedures related to delegation oversight. Ensure that these policies effectively manage risks and align with current industry best practices.
Conduct follow-up audits to assess the effectiveness of corrective actions and continuous compliance.
Maintain a high standard of quality in all audit activities. Ensure that audit processes are thorough, unbiased, and adhere to professional auditing standards.
Perform additional responsibilities as assigned to support the organization's evolving needs.