Services

 Ambulatory Care Business | Strategic Services | Operational Analysis | Pre-Development | Development | Ambulatory Centers Mgmt | Specialty Hospitals | Assessment Services | Retroactive Contract Analysis

AMBULATORY CARE BUSINESS
W/ASD offers practical experience in developing ambulatory care businesses. We have helped clients in 45 states become successful. Clients have benefited from our operations experience, feasibility studies, strategic planning, turnkey development, marketing and management of various ambulatory care businesses.

Multi-Service Ambulatory Care Centers (MACCs) responsive to local marketplace needs. May include primary care offices, optical, dental, shared spaces for subspecialists, diagnostic services, women’s centers, rehab and rental space for other physician practices.

• Outpatient Surgery Centers
• Diagnostic Imaging Centers
• Occupational Medicine Facilities
• Pain Management Centers
• Wellness, Executive Exam and Fitness Centers
• Woodrum/ASD Can Assist in All Phases of Ambulatory Care Development: strategic services, operational analysis, ongoing periodic management, predevelopment, turnkey development.

STRATEGIC SERVICES

• Develop integrated networks of outpatient and free-standing, ambulatory practices and services.
• Reengineer existing integrated networks of hospital outpatient and free-standing ambulatory practices and services.
• Evaluate and develop market strategies to position, locate and operate cost-effective outpatient and free-standing ambulatory practices, making them even more attractive to payers and managed care organizations. Evaluate feasibility of managed care contracts for ambulatory services and capitation contracts for primary care physicians and specialists.
• Evaluate business plans and financial feasibility of new outpatient or free-standing ambulatory services.
• Develop physician organization options for physician and hospital groups. Assist in determining the feasibility of acquiring or developing the organization in compliance with Safe Harbor, appropriate legal structures and successful financial modeling.

OPERATIONAL ANALYSIS

• Perform operational analysis of existing hospital outpatient or free-standing ambulatory businesses and practices with the goal of increasing profitability--such as ambulatory surgery centers, primary and specialty care, occupational medicine and pain management.
• Provide predevelopment, turnkey development and ongoing management support for new ambulatory services: Multiservice, free-standing ambulatory centers working to gain market share and serve payers and managed care organizations. Surgery centers. Specialty practices endeavoring to service primary care physician organizations. And others.
• Perform valuations for acquisitions or joint ownership opportunities for ambulatory surgery and other ambulatory businesses.
• Provide evaluation and conversion of hospital surgery units to operate as successful same-day surgery units.
• Negotiate managed care contracts for practices and ambulatory care services.

PRE-DEVELOPMENT

• Financial feasibility analysis with preparation of preliminary floor scheme and design.
• Financing buildings, land and improvements, equipment
• Assist in preparation of all required legal documents and offering materials necessary for joint ownership ventures
• Develop appropriate legal structure for jointly owned ventures
• Market syndications or joint ventures to local partners
• Business financial structure
• Architectural and contractor specifications with submissions to proper authorities for preapproval.

DEVELOPMENT

• Operating policies, procedures, manuals and systems for licensing and Medicare certification
• Systems for the business office (billing and receiving, general ledger, computer, financial and managerial control)
• Equipment and furnishings planning and acquisition
• Group purchasing of medical supplies and drugs
• Produce advanced opening and other promotional materials and patient information
• Develop personnel policies and employee compensation packages, recruit and train staff
• Establish insurance, risk management and continuous quality improvement programs
• Develop first year opening budget with goals and performance objectives
• Operational audits
• Budget preparation and review
• Set standards and monitor performance of management, recommend intervention as needed
• Manage staff issues
• Review and renegotiate fees with third party payers
• Monitor collections
• Identify and introduce new services for business enhancement
• Monitor regulatory matters
• Update manuals, procedures and protocols

AMBULATORY CENTERS MANAGEMENT 

• Operational audits implementing turnaround strategies to improve financial performance
• Monthly review of all costs and recommendations for adjustments
• Help assure profit margins are met or exceeded
• Develop and manage annual budget, goals and objectives
• Review of contractual relationships to ensure they are necessary, lucrative and appropriate levels of services
• Work with site manager to review personnel and staffing issues, improve conditions and relieve physicians from routine involvement in these matters
• Expand service mix by introducing market-driven new services
• Keep board up-to-date on relevant state and national regulatory issues--handle board designated issues
• Provide monthly reports to the board
   

SURGERY CENTER AND OPERATING ROOM OPERATIONAL ASSESSMENT SERVICES

The operational performance of the Surgery Department and its related entities is critical to the overall financial health of the hospital. Inefficient policies and procedures, case delays, lack of capacity or inefficient utilization of operating rooms, personnel, equipment and supplies can adversely effect the economic health of the organization, turning the center or department into a "cost center" rather than a "profit center".

Woodrum/ASD (surgery center and OR experts) and Canter Associates (healthcare performance improvement specialists) have combined resources to provide comprehensive operational audit and assessment approach for improving the performance of hospital-based surgical services and freestanding surgery centers.

Our projects have included the development, marketing, assessment and management of numerous freestanding surgery centers. Additionally, we have improved the utilization, staffing and profitability of several operating rooms and surgical settings. 

Our operations assessment for surgical services addresses all major processes and areas, including: Personnel, Systems, Management, Equipment, Supplies and Medical Staff.

Our comprehensive approach involves a participative and thorough interaction with surgical services team. We conduct extensive interviews, observe operation, document and compare existing performance to our database of critical surgical department performance indicators and present recommendations and expected financial benefits.

We typically undertake the following activities during a Surgical Services Operations Assessment:

• Review existing statistics, reports and financial statements
• Interview administrators, managers, surgeons and staff
• Document room utilization across the day and over the week
• Analyze case scheduling techniques, procedure times, start times
• Assess personnel utilization and staffing levels by skill level 
• Evaluate equipment and supply inventory, usage and costs
• Review management and supervisory structures
• Assess patient flow and interdepartmental communication
• Identify inefficient polices, procedures, practices and cost drivers
• Observe operational, technical and clinical activities

Following the operational assessment, a detailed action plan is completed presenting each recommendation and listing the specific worksteps. agreed upon completion deadlines, expected outcomes and delegated responsibilities.

RETROACTIVE CONTRACT ANALYSIS™

Want to increase net revenue per case?

Become a Winner in Contract Negotiations!

Have you been frustrated in contract negotiations by payers who have all the information and dictate the terms to you? Have you felt coerced into accepting lower fees that are just a hair above Medicare reimbursement by payers who perceive that you need them - more that they need you? Have you settled for reimbursement that is lower that what your surgeons deserve, with inadequate payment for necessary surgical devices?

Now you can level the playing field. Armed with Retroactive Contract Analysis™ data, you gain the vital tools for negotiating terms that maximize your reimbursement. In a market where all your costs continue to rise, imagine the effect on your bottom line.

Retroactive Contract Analysis™: Finally, the Data You Need!

Born in the field and proven effective in surgery centers across the nation, Retroactive Contract Analysis™ gives you an objective report of your center's payment history per payer per procedure. It enables you to compare those procedure payments among all your payers, and with payers in your region. You'll be able to evaluate the return you are getting on the discounts you are giving, based on the volume that each payer is generating.

Armed with that information, your management team will be able to recommend to you:

• Procedures to carve out
• Contracts to re-negotiate
• Contracts to cancel
• Contracts for participation & those to be made non-par before the contract signing
• Terms that must be negotiated to improve your net revenue

Retroactive Contract Analysis™ was developed by Woodrum/ASD, a leading surgery center company that has owned and operated 175 surgery centers in 45 states. The firm's impetus for developing Retroactive Contract Analysis™ came from the same dilemma you face as a surgery center owner-increasing profitability by maximizing managed care reimbursement. Now, Woodrum/ASD is offering this remarkable tool to fellow surgery center owners.

Build equitable relationships with payers. Maximize your profitability. Take greater control of your future.

As a subscriber to Retroactive Contract Analysis™, you receive comprehensive data analysis of your reimbursement from payers 1, 2 or 3 times a year, as you choose. You also receive management recommendations and strategies for increasing your net revenue.

Your analysis comes from information collected from your center, including:

• Most frequent CPT codes
• Reimbursement rates from your top 5 payers (other than Medicare)
• Average net revenue per case in the last 12 months
• Caseload volumes by specialty in the last 12 months
• Contract terms of your top 5 payers
• Average net revenue 6 months later - to measure effect of your re-negotiations

The Most Valuable Reimbursement Data You'll Ever Receive

Gain a thorough understanding of your reimbursement: Are you earning a profit on each procedure? How do current terms compare to what the payer is reimbursing regionally?

Be certain which contracts are not working and swiftly decide whether to continue, re-negotiate or cancel them.

Have more confidence in negotiations - and, as a result of re-negotiating contracts, your net revenue per case can increase an average $20 - $50. If you do 2,000 cases a year with an increase of $35 each, your profitability goes up by $70,000!

Make better business decisions about changing specialty mix, and about recruiting specialists for high yield procedures to increase your profitability even more.

Special Introductory Offer

• 1 time per year: 
  A baseline report and strategies customized to your trends. Also includes free 6 month follow-up data to show the return on your contract re-negotiations.

• 2 times per year: 
  A baseline report and strategies to aid you in contract re-negotiations plus a second thorough data intake and analysis, as well as new strategies for the second half of your subscription year.

• 3 times per year: 
  Complete data intake, reports and strategies every 4 months plus free access to our data base of comparative fees.

If you would like additional information regarding any of our services or are interested in a quote for a specific service, please Contact Us