Several specialties, one tax ID, and one set of rules that does not fit any of them.
A multi specialty group is billed as though it were one practice, by coders who know one or two of its specialties well. The blocks that underpay are the ones nobody on the account bills every day.
One group, several specialties, and a coder for each of them
A multi specialty group billed by one generalist pays for it in the specialties that generalist does not work daily. The coding has to be assigned specialty by specialty, and the reporting broken out the same way.
Assign by specialty
Report per block
Check the contract
One coder covering specialties they do not work daily
A coder strong in internal medicine is guessing at orthopedic globals and dermatology lesion counts. The claims pay, just for less than they should.
The group total hides the weak block
A specialty collecting badly is averaged into a healthy group number and reads as normal until the year end comparison.
One fee schedule across different work
Contracts negotiated for the group are rarely checked specialty by specialty, so the block with the worst rate subsidises the rest.
How the account runs for multi specialty groups
Here is what the work looks like, from the first review to the next action.
A defined task.
A documented action.
A visible next step.
Free 90 day audit
We read ninety days of your claims and tell you where revenue is stopping for multi specialty groups. If your billing is already healthy we will say so, and there is no charge either way.
A coder per specialty, not one generalist
Each specialty in the group is assigned to somebody who bills it every day, and the reporting is broken out the same way so no block hides inside the total.
Payer rules loaded
Your payer mix, their edits and their authorization requirements are set up before the first claim goes out.
Parallel run
We run alongside your current process for the first cycle so nothing is dropped in the handover.
Steady state and reporting
Monthly numbers at the right level of detail, and the aged A/R worked oldest first from day one.
Billed and worked for multi specialty groups
Agree the scope with your practice, then keep the day-to-day work organized around it.
- Coders assigned by specialty
- Per specialty and per provider reporting
- Full revenue cycle management
- Credentialing across the group
- Contract and fee schedule review
- Denial management by reason code
- Aged A/R worked oldest first
- Monthly reporting per specialty
The block the group average hides
A specialty collecting badly is averaged into a healthy group total and reads as normal. Per specialty reporting is the only thing that surfaces it while the claims are still inside filing windows.
What changes when the whole cycle has one owner
None of this is a criticism of your staff. It is a question of what happens to the queue on a busy day.
| Situation | In the practice today | With iFocusRCM |
|---|---|---|
| A claim is returned | Reassigned to whoever picks it up | Reason coded, next action assigned the same day |
| A payer changes a rule | Found out by getting denied | Picked up in the edit set before submission |
| A balance starts to age | Statements go out when someone remembers | On a fixed statement and follow up cycle |
| One person is away | The queue waits for them | The queue does not know they were away |
| Two sites disagree | Argued at month end | One aging, one process, one report |
A few things to know before we start
The right scope starts with a clear conversation.
Ask it directly. You will get an answer from somebody who works accounts, not a sales script.
Monday to Friday, 8am to 5pm Central TimeWe have eight specialties. Do you cover all of them?
Tell us the eight during the audit. We will confirm support for each of your specialties and identify any we cannot staff appropriately before agreeing to take on the work.
Can we see numbers per specialty?
Yes, and that is the point of the reporting. Per specialty and per provider, because a group total is where a weak block goes to hide.
Do you review our contracts?
We check what payers actually allowed against what the contract says, per specialty. Underpayment is a larger number than denial in group billing.
We are adding a specialty next year.
Credentialing and payer enrollment for the new providers is part of the work, and the coder is assigned before the first claim goes out.
An account of this shape uses the whole cycle. These are the pieces most often in it.
Find the specialty your group total is hiding
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.