Coding and Medical Practice Consultants & Physician Consulting
Serving Doctors and Healthcare in Texas
J. Claypool & Associates | Spicewood,
800-227-4594 (in Texas) or 512-264-3323 (Austin)
Practice Management Consultant
J. Claypool Associates Inc. is a physician practice
management consulting firm. We specialize in helping private and
hospital based physicians in the areas of practice operations,
billing, financial management, coding, practice start ups,
marketing and compliance.
With growing concern of fraud, abuse and the constraints of
managed care, you need to seek the help of a healthcare
professional who can:
- Help you to comply with current reimbursement laws
- Reduce and eliminate billing problems
- Improve Coding efficiency
- Evaluate your practice for continued growth
Medical Billing/ and Documentation Audit Services
A billing/compliance audit is an in-depth analysis of a
medical practice’s billing, coding, and documentation
procedures. It is done to determine if the medical practice is
following the Centers for
Medicare and Medicaid services and other payer’s guidelines
for appropriate, medically necessary, billing.
This educational review will address any deficit or weakness
within the billing area that may expose the practice to problems
with government and other payers. The review addresses coding
accuracy and can help determine under-coding as well as over
coding. Verbal and/or written reports are provided. These
reviews are entirely educational and confidential.
Medical Billing Review Services
A billing review is an in-depth analysis of a medical
practice’s billing, coding, and follow- up, collection and
accounts receivable procedures. Most all reviews result in not
only enhanced reimbursements to the practice, but new
efficiencies from procedure modification. Work flow of the
billing staff and an assessment of the positions, job tasks, and
functions of the billing staff is a major component of the
billing review. Want to learn more? Read "Is
Your Medical Billing Department Efficient?"
Work Flow and Medical Practice Operations Consultation
A work flow consultation is a review of relevant data to
assess practice operations including:
- Patient volume statistics
- Practice production
- Overhead expenses
- Non-physician staffing
- Employee salaries
- Financial and operational reporting .
Physician Practice Evaluations
A practice evaluation is an operational and financial study
of an existing medical practice. This study will provide the
physicians or the hospital with information vital to the growth
and productivity of the practice.
This evaluation also provides a comparative analysis of the
practice to other practices of the same specialty nationally.
Encounter or case data is reviewed and compared as well as
financial ratios. Staffing efficiency and work-flow is a major
component of a practice evaluation, as is review of the
A practice evaluation will allow a practice to realize
operating and billing efficiencies that will have a positive
impact on the bottom line. A practice evaluation includes the
following components .
Fee Schedule Consulting and Analysis
Is your practice charging enough? Are you over-charging? Are
payers not paying you according to your contracts? If you
answered yes to any of the above, a fee schedule analysis can
assist you in determining how your fees compare to market rates
and if you are being paid according to your managed care
Medical Practice Establishment Services
Are you starting a new practice or looking to leave a
group? J. Claypool Associates Inc. has over 25 years of
experience in practice start up. Advice and guidance is what
most physicians need when they endeavor to go out on their own,
our clients have not only succeeded in the practices we have
helped them start up, we have helped them exceed their
expectations. Doing it correctly the first time is the key. We
can help you get there.
Healthcare Marketing Services
Whether it is an engagement for a new practice or for an
existing practice needing a revenue boost, marketing is a
crucial function. J Claypool Associates Inc can assist
physicians in reaching their financial goals through a tailored
marketing effort and appropriate plan. Our marketing specialist
has years of experience in the marketing and public relations of
physician practices both small and large.
HIPAA Audits and HIPAA Training Services by Experts Certified in the Field
Non-compliance with HIPAA laws can bring steep fines and penalties. Your risk assessment and gap analysis is of high importance, as is HIPAA training for your staff. Let the experts at JCA conduct a gap analysis and hold HIPAA training to help you stay in compliance.
Managed Care Contracting
The need for adequate reimbursement is crucial today and many
times negotiations with payers are difficult. The senior
consultants at J. Claypool Associates Inc can negotiate
contracts that will boost your bottom line.
Is Your Practice Ready for the Recovery Audit Contractors
The CMS, after a pilot study over the last 3 years involving
3 states, will now contract permanently with Recovery Audit
Contractors, better know as the “RACS." To learn if you are
ready, read this
Guide to RACS.
For physician recruitment, we can assist with your recruitment and retention strategy, as well as refer to a number of trusted firms with whom do business quite frequently. If you endeavor to recruit a physician, you should call us so we can put you in touch with the very best, as we have an entire network of both retained and contingency firms that we have come to rely upon. Specifically, however, when it comes to recruiting psychiatrists, we have found that the very best for psychiatric recruitment is Monroe & Weisbrod , a sister company of ours, that can be reached by calling 516-92-PSYCH (927-7924). Call us at 800-227-4594 (in Texas) or 512-264-3323 in Austin.
L. Claypool CMPE
J. Claypool Associates Inc.
5009 Little Creek Trail
Spicewood, TX. 78669