By understanding the processes that comprise the healthcare experience, we take the first step in making it the best we can for patients, doctors, staff, and all other stakeholders.
We use Medicare guidelines to determine when your patients are indicated for key services provided by your practice.
Errors in Eligibility and Authorization are the only ones that cannot be remedied downstream. We ensure no defects occur.
We eliminate operational and financial determents caused by overworking, or underworking your clinical team.
Maximize the efficiency of your revenue cycle by pinpointing bottle-necks and analyzing your most lucrative services.
Your Healthcare Practice is a System...
Using “systems-thinking” for your practice can improve both patients’ experience and financial performance. Looking through this lens allows you to understand how everything connects, or “flows”, together. In many cases, analytic platforms and strategies provided by your EMR will cause you to silo performance areas, which will hinder your ability to achieve a state of optimization, or “flow”, for your practice.
Achieving flow comes from identifying and improving the performance area that is bottlenecking a practice’s system. If you are a specialist practice, there are 4 key performance areas that form the overall practice operation: patient population, eligibility & authorization, schedule saturation, and revenue cycle.
Learn more about each key area, along with providing good KPIs for your practice to monitor HERE. Also, learn more about bottlenecks within your practice HERE, where we will discuss different scenarios to highlight the importance of systems-thinking and achieving flow.
Whether you operate a clinic, surgery center, or any other outpatient facility, there are four main areas that determine the flow and quality of your practice:
1) Patient Treatment
2) Eligibility and Authorization
3) Schedule Saturation
4) Revenue Cycle (AR)
If you are a healthcare provider, it's your responsibility to ensure the proper diagnoses and treatments of your patients. Your training and experience has equipped you to do so, but what about when these other processes get in the way?
Our solution streamlines how your practice monitors these processes, allowing you to pinpoint bottlenecks and potential areas of improvement while doing what matters most: patient care.
With this level of oversight, you will be empowered to achieve an optimal state for your practice by ensuring that each of these processes are flowing in a "homeostasis". This prevents these processes from causing patient attrition or having a negative effect on your bottom line.
Without a strong data analytic structure, understanding the operational performance of your practice is very difficult. Looking at any one of these four process steps independently doesn't give you the full picture. There are many moving parts, and if you're a practitioner, you (potentially alongside other providers in your practice) see a multitude of patients everyday.
To solve this, CareFlo has developed a proprietary analytic dashboard solution that monitor's all of your Key Performance Indicators in one user-friendly place. The dashboard is interactive and allows the user to draw key insights and monitor performance on a regular basis.
CareFlo provides end-to-end contracting and credentialing services with maintenance. We charge a flat rate per provider per payor. The rate is determined by what level the provider is, and by whether or not they require individual credentialing or they are just being linked to your group. The rate is also affected if contracting is needed.
If our clients require hands-on assistance to resolve bottlenecks or any other practice management challenge, we can create a custom scope of work for them. This includes but is not limited to workflow design, provider and staff recruitment, documentation, compliance, and EDI enrollment. Whatever the need, CareFlo can assist via a Special Project.