In today’s uncertain healthcare environment where reimbursements are decreasing, insurance companies regularly process claims inaccurately and the need for Compliance is at an all time high.  Our team concentrates on partnering with you to institute your organization’s level of need for practice efficiency and profitability through Best Practices, Managed Care Contract maximization, Staff Involvement, Policy and Procedure standardization, Revenue Management and the understanding that we would treat your practice just as if it was ours.

BIRG & MLETSER is your "silent" partner in achieving maximum level of efficiency and profitability for your organization through:

Managed Care/Health Plans
Contract negotiations
Health plan disputes
Silent PPO's
Contract Viability/analysis
Fee Structures

Compliance
Stark & Anti-kickback
Corporate Compliance Policy
HIPAA, Red flags, PHI
Accreditation Process
Risk Analysis (checks and balances)

Revenue Cycle Management
A/R Analysis
Appeals (ERISA, Urgent appeals)
Refund Recovery
Usual, customary, and reasonable disputes
Revenue Analysis
Collections

Practice Management
Efficiency Improvement through Best Practices
Policy/Procedure development
Staff training and education
Job descriptions, Expectations, Performance Evaluations
Review of Internal Process

Quality Improvement
Surveys
Quality Improvement plans
Internal audits
Measures of Best Practice
Reporting