Practice Management and Coding Consultants Since 1999

Helping private and hospital-based physicians in the areas of practice operations, billing, financial management, coding, practice startups, marketing and compliance.

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J. Claypool Associates Inc. is a physician practice management and coding consulting firm. We specialize in helping private and hospital based physicians in the areas of coding, compliance, and managed care contracting.

With growing concern of fraud, abuse and the constraints of managed care, you need to seek the help of a healthcare professional who can:

  • Help you to comply with current reimbursement laws
  • Reduce and eliminate billing problems
  • Enhance revenues through accurate coding
  • Improve Coding efficiency
  • Evaluate your practice for continued growth
  • Maximize reimbursement through contract negotiation

Services

Customized Practice Management Consulting

Medical Billing and Documentation Audit

Managed Care Contracting

Workflow and Medical Practice Optimizations

Chart Audits and Coding Reviews

Attorney Support Services

Medical Practice Establishment

Physician Recruitment

Meet Our Consultants

Customized Practice Management Consulting

Jamie Claypool

Jamie Claypool

CMPE, CPC, CPMA

President and Founder

 

 

Diane Cook

Diane Cook

Senior Practice Management Consultant

 

 

Bradley Reiner

Bradley Reiner

BA

Senior Practice Management Consultant

 

 

Georgia Parsons

Georgia Parsons

Practice Management Associate

 

 

Ronda Hostetter

Ronda Hostetter

Senior Practice Management Consulting, Marketing and Analysis

 

 

What if a professional documentation review turns up bad news?

There are a number of ways to conduct an educational audit. We recommend the prospective Audit. In the process the review is completed before the charge is submitted so that charges are not submitted with errors or over-coding that can prompt a recoupment effort.

What’s the most important thing to remember in contracting?

Don’t give up! Don’t ever give up! Persistence is the key.

Why do a coding review?

A coding review by a professional team of independent, certified consultants can help physicians and hospitals determine if they have exposure in the situation of a payer documentation audit. Following a review, education is provided to each individual provider based on their own documentation. The educational component will allow providers to avoid poor outcomes and future coding errors as payers request documentation and perform mandated random payer audits.

Another benefit from a documentation review is revenue enhancement, as educational reviews allow providers to find missed opportunities to bill, an ot bill correct codes that may involve higher values.

What are the keys to successful contract negotiation?

Knowing your practice and demonstrating it

Knowing the contracting environment and the leverage you bring to the table

Knowing the payers and developing a relationship for success