Physician Consulting & Medical Practice Consultants
Serving Doctors and Healthcare in Texas

J. Claypool & Associates | Spicewood, Texas
800-227-4594 (in Texas) or 512-264-3323 (Austin)

Jamie Claypool CMPE President and Founder

Mike Claypool Vice President

Ronda Hostetter Marketing Consultant

Bradley Reiner Senior Consultant

Beth Hopping Administrative Associate

Heidi Henderson 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/Compliance 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
• Collections
• 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 reimbursement area.

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 contracts.

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 then 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.

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 (RACS)?

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.

Call us at 800-227-4594 (in Texas) or 512-264-3323 in Austin.