Smart Medical is the premiere Outsourced Clinical and Management Services Partner. Our number one goal is guiding health care providers to develop strategies to improve workflows in different sections, identifying current and future information needs
An Introduction
Smart Medical would like to introduce ourselves as the leading Independent Healthcare Management Services. As a visionary leader in the industry, SM specializes in guiding health care providers to develop strategies to improve workflows in different sections, identifying current and future information needs.
Our goal at Smart Medical Alliance is to meet legal, professional, ethical and administrative records-keeping requirements of health care delivery. One of the core tenants of our highly professional work is based on clinical, demographic, financial healthcare data, a value-added benefit which has been said to “play a critical role” in the delivery of healthcare in the United States. In addition, SMA applies the science of informatics to the collection, storage, analysis, use, and transmission of information across all aspect of the healthcare delivery system.
Preventive Care
At Smart Medical. we believe in building relationships with our clients. Understanding our clients’ needs and long term goals is essential to developing a successful partnership. We would like to propose the incorporation of new services for each provider group. As a progressive organization, SMA understands that one pricing solution doesn’t fit all, and as such, SMA will work with your company to provide to the most aggressive pricing possible to match the specific needs of the company.
Services / Departments
Administration Services
At Smart Medical Alliance, we strive to provide complete and total support services for all of our clients’ administrative needs. We provide the following support: administration and practice management; developing, implementing,and monitoring practice policies and procedures; inventory management; preparing budgets and financial statements; managing overhead and revenue; accounting and auditing; developing and managing practice protocols and clinical policies;administration of a physician income distribution model; negotiating, monitoring,and managing contracts; business development and marketing, sales, public relations, and provider relations; obtaining insurance/reinsurance, risk management, Utilization Management / Quality Assurance
**Special administrative contracts required
Data Information Management Services
At Smart Medical Alliance, we strive to provide complete and total support services for all of our clients’ administrative needs. We provide the following support: administration and practice management; developing, implementing,and monitoring practice policies and procedures; inventory management; preparing budgets and financial statements; managing overhead and revenue; accounting and auditing; developing and managing practice protocols and clinical policies;administration of a physician income distribution model; negotiating, monitoring,and managing contracts; business development and marketing, sales, public relations, and provider relations; obtaining insurance/reinsurance, risk management, Utilization Management / Quality Assurance
Unlimited Electronic Billing submission
Unlimited electronic billing is the cornerstone of any successful healthcare provider. SMA ensures that you, as the provider, can bill accurately and timely so that your reimbursements arrive in a timely and consistent manner. We provide such services as:monitoring and implementing policies and programs for proper billing and coding; providing billing systems, coding personnel; monitoring and training on regulatory compliance, claims submission,and claims timeliness guidelines;monitoring claims status; managing accounts receivable; establishing and maintaining lockbox; collections or collection agency coordination; monitoring and educating on reimbursement changes; monitoring and assistance with eligibility determinations and prior authorization, third party liability, coordination of benefits, and overpayments; providing billing support; reporting; claims audits; appealing denials; pursuing claims recoveries; maintaining payment logs; providing customized billing reports.
Consultation Services
Risk Improvement Services
Risk management is not primarily about avoiding or mitigating claims, rather, it is a tool for improving the quality of care delivered by providers. SMA provides providers with risk improvement services to assist with risk analysis and evaluation and risk treatments. The cost of prevention is compared with the individualized risk analysis to control the use of health-care resources in chronic disease treatments.
Data Information
Internal Audit Services
SMA also ensures that each of our clients stays informed about current legal and ethical internal operations by providing Workflow Evaluation; preparing, implementing, and monitoring policies for compliance with requirements such as fraud and abuse, HIPAA Privacy and Security, disaster planning, CLIA, OSHA, FMLA, and other federal and state statutes and regulations.
Staffing Services
SMA knows just how vital the proper staffing is to ensure that each aspect of the healthcare delivery systems carried out accurately. As part of our unique approach to making this possible, we provide: trained staff,each of which is thoroughly screened prior to hiring (both clinical and nonclinical); Medical Assistant and Front desk employees; customer service representative; billing and coding personnel, as well as IT personnel. SMA will also provide each client with human resources policies and/or perform human resources functions, leadership training, staff training, and educational staffing programs.
Clinical Documentation Improvement program
Clinical documentation is at the core of every patient encounter. In order to be meaningful, it must always be accurate, timely, and reflect the scope of services provided.Successful clinical documentation improvement (CDI) programs facilitate the accurate representation of a patient’s clinical status, which translates into coded data. Coded data is then translated into quality reporting, physician report cards, reimbursement, public health data, and disease tracking and trending.
The convergence of clinical documentation and coding processes is vital to a healthy revenue cycle, and more important, to a healthy patient. To that end, CDI has a direct impact on patient care by providing information to all members of the care team, as well as those downstream who may be treating the patient at a later date.A CDI program involves a myriad of people, processes, and technology that must all work in sync to ensure success. Organizations need a well-rounded individual who can effectively articulate all the pieces, including documentation requirements, code assignment, coding guidelines, and quality reporting.
SOLUTIONS
- Schedule Patients for
- Annual Check-ups
- Allergy Testing
- Preventive Care
- Advertise other services
- Lab Testing
- Optometry
- Imagining
- Weight Loss
- Medical Marijuana
- Increase/Maintain Patient Base
- Aging Recruitment
- Open Enrollment Campaigns
- Cold Calling Potential
- New Patients in the area
- Open House
- Direct Response to Advertising
- Patient Satisfaction
- Reminders and Follow Ups
- Pre Appointment Preparation
- Post Appointment Follow Ups
- Update Patients about Insurance Changes
OUR ADVANTAGE
- Cost Effective: A fraction of the cost of employees
- Flexible: Extended Hours, Weekends
- Convenient: Do not occupy costly office space
- Reliable: No Sick Time, No Vacations, No Days Off
- Effective: Our Agents are highly trained in dealing with patients with a Sales Mentality
- Confidential: We adhere to the highest standards of information protection
SERVICES PROVIDED
- Inbound/Outbound Calls
- Chat Customer Service
- Service Desk
- Cold Calling
- Advertising Response
- Lead Generation
- EHR Scheduling