Profitability, Quality and 

Medicare-Medicaid Compliance Programs

You’ve always given your patients the best level of care possible.  For many years, the business side of the medical professions virtually ran itself, allowing you to focus on what you do best: delivering quality health care.

Whether you are a small rural family practice or a large urban hospital, times have changed, however.  The medical professions and health care institutions are under increasing business pressure from a variety of sources.

The economic pressures of managed care have dramatically reduced profitability for many health care providers.  For some providers, especially rural hospitals, profitability is less the issue than merely surviving and continuing to meet the needs of their communities in the future.

As if these economic woes are not enough, there are  Medicare/Medicaid and other federal and state regulations that can turn innocent mistakes or benign neglect into substantial financial penalties.  Criminal prosecutions can result from the more egregious violations of law.

The drastic changes in health care have intensified the need for practice management and business operations to be efficient and add to your profitability rather then just being an added expense the practice or institution can ill afford.  Many health care providers have groped with a variety of purported solutions to these challenges, only to find they have merely increased their staff, bureaucracy and overhead, none of which are acceptable in the current market for health care services.

One system does it all!

We have chosen to present both profitability, quality and Medicare-Medicaid compliance solutions on the same page. Why?  Because the nature of the Integrated Solutions allows us to use essentially the same systems and procedures to provide these solutions! 

The Roster Network Integrated Solutions to your business needs are based on the same principles as good medical practice: state-of-the-art documented systems and procedures.  You wouldn’t think of delivering health care on a “trial and error” basis; yet that’s what often happens when systems and procedures are not used to manage the business side of health care. 

The Roster Network’s process starts with identifying the reality of what your staff does and how they do it with the Position Matrix Communication System.  Once this information is identified, the Systems and Procedures Documentation Plus process is used to create one system of documented business systems and procedures that with only small enhancements can be used for many purposes in addition to Medicare-Medicaid compliance and profitability enhancement and managed care compliance.  ISO 9000 facilitation and registration for health care providers is but one example.  Other applications are found among the Integrated Solutions listed for general business needs.

Ease of Staff Training

With the Roster Network systems, individual administrative staff members do not need to be experts in the full range of compliance requirements.  The knowledge transfer as respects compliance is built into the system and not into face to face consulting service.  Under other consulting models, it is necessary to develop considerable internal expertise through elaborate and extensive training and the creation of an internal bureaucracy to administrate the compliance effort.

With this approach, individual staff members only need to be trained on their particular role in the overall system.  If and when requirements change, it is much easier to change the system than to retrain a dedicated administrative staff in the new requirements!

Independent Professional Expertise

The systems, procedures and documentation comply with all AMA and OIG recommendations as respects Medicare-Medicaid compliance.  Further, a compliance team is created for each practice.  This team consists of the compliance officer for the provider, an experienced health care accountant or business consultant and an experienced health care lawyer from Roster Network Member firms to provide independent professional expertise and advice as needed.  Your own staff or independent consultants can also be licensed to implement our systems.

Please see our other pages featuring Integrated Solutions for
Health Care:

ISO 9000 for Health Care:

[ISO 9000 for Health Care]

[ISO 9000 White Paper]

Risk Management:

[Risk Management for Health Care]

Additional information on Medicare-Medicaid Compliance, including specific information on our documentation systems, is found in: 

Business Solutions:

All of our technologies and services, from business and facilities planning to HR related services are applicable to Health Care providers.