Our Managed Services for Healthcare Providers
Physicians Management Partners offers comprehensive managed services to healthcare providers and payers. Our innovative tools and technology, combined with administrative and clinical support services, help achieve value-based clinical outcomes. Our managed services include but not limited to revenue management, medical billing and coding, compliance and regulatory services, and clinical support.
Provider Relations
Our Managed Service Organization (MSO) offers comprehensive provider relations services designed to enhance collaboration and communication between healthcare providers and health plans. We assist with provider contracting to ensure favorable terms and smooth negotiations, while also providing vital health plan credentialing support to facilitate timely onboarding of new providers. Our onboarding process includes thorough training on health plan processes, ensuring that providers are well-equipped to navigate the system effectively. We also offer access to provider portals, accompanied by dedicated training to optimize their use. In addition, our team is committed to issue resolution, acting as a liaison between health plans and providers to address concerns and streamline operations, ultimately fostering a supportive environment that empowers providers to focus on delivering quality care.
Data Management & Reporting
Coding & Billing Services
PMP provides robust data management and reporting services that empower healthcare providers to make informed decisions and enhance patient outcomes. We specialize in Medicare Risk Adjustment (MRA/RAF) score analysis, enabling providers to understand and improve their risk profiles effectively. Our comprehensive MLR reports offer insights into financial performance, while inpatient hospital census data helps track patient admissions and resource utilization. We generate detailed membership and disenrollment reports to assist in managing patient populations, alongside HEDIS gap reporting to ensure compliance with quality care measures. Collectively, these data management services enable our partners to optimize performance, enhance operational efficiencies, and deliver high-quality care.
Our coding services encompass comprehensive chart audits and tailored recommendations designed to enhance the accuracy and compliance of medical coding practices. We conduct thorough reviews of clinical documentation to ensure that codes assigned align with the services provided, identifying any discrepancies that may impact reimbursement and compliance. Our team of certified coders analyzes charts for completeness, accuracy, and adherence to payer guidelines, providing actionable insights to improve documentation practices. After the audit, we deliver detailed reports that highlight areas for improvement, along with strategic recommendations for optimizing coding processes. . We handle the complete billing process by utilizing advanced billing software and adhering to the latest regulatory guidelines, we streamline encounter billing processes and enhance operational efficiency.
Dedicated Software
PMP offers a dedicated software platform designed specifically for healthcare providers, providing a comprehensive solution to streamline operations and enhance patient care. This powerful software includes critical data components such as membership information, chronic conditions, and utilization management metrics, enabling providers to efficiently track and manage patient populations. By leveraging our dedicated software, healthcare providers can enhance their operational efficiency, optimize resource allocation, and ultimately deliver higher quality care to their patients.
Sales & Marketing
PMP provides comprehensive sales and marketing support to help healthcare providers expand their reach and optimize patient engagement. Each client is assigned a dedicated sales agent who works closely with them to develop a customized growth plan tailored to their specific goals and market dynamics. We offer marketing recommendations that target the local patient demographics and their healthcare needs, empowering clients to enhance their visibility and attract new patients. Additionally, we provide health plan support for marketing activities, ensuring alignment with payer requirements and maximizing the impact of outreach efforts.
Contract & Payment
PMP prides itself on offering a seamless contract process that simplifies the onboarding of healthcare providers. We understand the complexities involved in contract negotiations, so our team is dedicated to ensuring a straightforward and efficient experience from start to finish. Once contracted, providers can rely on our dependable monthly capitation payments, which are processed accurately and punctually.