Karen Zupko & Associates on LinkedIn
A practice management consulting and training firm working for and with physicians since 1985

Consulting - Reimbursement Process Analysis

"We have thousands and thousands of dollars in past due receivables!"

"We're not sure if the billing office is working efficiently."

"Charge posting is three weeks behind."

Controlling accounts receivable has never been more important—or more difficult. Hundreds of practices call KZA every year with concerns about skyrocketing receivables.

Accounts receivable problems are rarely the result of one or two issues; they usually indicate systemic failure and multiple system breakdowns. KZA understands how to isolate each broken link in the system and recommend proven solutions that go far beyond just "writing off charges."

Overall Description

The Reimbursement Process Analysis is a complete evaluation of your accounts receivable management process, and the service is limited to this system. KZA evaluates the operational processes and data collection tools that impact accounts receivable, and identify the problems that create receivables backlogs. Working with key decision-makers and staff, we develop solutions and prioritize activities that have the greatest financial impact on your practice.

The goal of the project is to decrease past due amounts and develop an efficient, effective receivables management system that prevents future problems.

Frequently Asked Questions

"How does this service work, exactly? How much time do you spend at the practice?"

Physicians and the staff complete a survey packet about current reimbursement processes in the practice, and provide key reports and data prior to the site visit. We work on-site for two to four days to observe systems, interview staff involved with the reimbursement process, and debrief key decision makers.

The Reimbursement Process Analysis focuses strictly on accounts receivable and reimbursement systems. Unlike the Practice Assessment, the Reimbursement Process Analysis does not address personnel issues, financial systems, leadership and governance, or practice enhancement issues. Consultants focus on only the people, systems, and leadership that surround the accounts receivable process. As a result of this service, a coding and documentation review is sometimes recommended.

"What is my investment in this service?"

The fee for this service depends on the number of physicians, billing staff, and satellite offices. We'll furnish a fee quotation based on the information you provide on the enclosed Prospective Client Information Sheet. After you fax or mail the form to us, you'll receive a proposal that outlines the project, recommended KZA associate(s) to work with you, number of days to be spent on-site, available scheduling dates, and a professional fee. In addition to the professional fee, clients pay for round-trip coach airfare, ground transportation, hotel, meals, gratuities, fax, and Federal Express.

If you are interested in having KZA perform a Reimbursement Process Analysis...

Download a Prospective Client Information Sheet (in .pdf format)-- you can mail or fax it in to us. Since fees are based on the complexity of the project, they can be accurately quoted only after this form is completed.

KarenZupko & Associates, Inc. • 625 North Michigan Avenue, Suite 2225 • Chicago, Illinois 60611 • 312.642.5616 • FAX: 312.642.5571

© KarenZupko & Associates, Inc. All rights reserved.