Medical Practice Management

The Changing Role of the CPA in Health Care
Recent months have seen a lot of changes in health care, not only in terms of practice management, but also in terms of coding, billing and new regulations. Increasingly, physician practices and other health care providers are looking to CPAs to guide them through and keep their practices profitable. APEX combines expertise in both Accounting and Health Care in order to help you stay on top of these changes.

Help in Fraud and Abuse Prevention
As health care fraud and abuse regulations increase in complexity, so does the potential for medical practices to face civil and legal problems. Whether intentional or accidental, mistakes that result in investigations and prosecution can devastate a practice. As a result, more and more CPAs find themselves involved in litigation support for their medical clients, as auditors, financial experts and business professionals. APEX is prepared to participate in the legal process and assist their medical clients.

Physician Practice Valuation
The value of a physician practice can be unusually difficult to determine. Not only are there the usual tangible factors, but intangible factors that patient population and provider reputation bring. APEX brings to the table valuable experience in areas such as understanding how medical reimbursement affects practice value, sources of data for benchmarking and analysis, strategies for normalizing practice revenue and valuing accounts receivable, "Senior Doctor Rights" and more. APEX also can present to you methods for valuing hospital-based practices and, how regulatory issues will affect the valuation process.

Benchmarking using RBRVS
Just as basic accounting is the heart and soul of a CPA firm; the resource-based relative value scale (RBRVS) is the heart and soul of a medical practice because it determines much of its insurance payment amounts. APEX can take you step by step through the process of understanding and applying RBRVS to your practice. APEX can show you how to use RBRVS to develop specific internal benchmarks for physician productivity, fee schedule analysis and reimbursement validation, and procedural and global cost analysis.

Managed Care Contracting
Understanding and negotiating effective managed care contracts can mean the difference between life and death for a medical practice. We can take you through the process from a basic understanding of the managed care maze to the positive results of negotiating effective managed care contracts. We can show you how to determine what costs to include for different payment methods, how to be proactive in approaching payers, what negotiating techniques work and more. We have the skills necessary to assist you in negotiating beneficial managed care relationships.

Physician Practice Protection through Internal Controls
Even the most successful medical practice can experience sudden death from a major financial hemorrhage. Others just lose lifeblood over time. Embezzlement, lost claims and improper financial controls can be devastating to an otherwise efficient and successful practice. We will help to ensure that your practice has the proper financial internal controls in place. APEX has the techniques and procedures to ensure that optimum profitability can be a reality within your practice.