Prior Authorization, Patient Access & RCM. Designed by Experts, Informed by AI | GoHealthcare Practice Solutions - Practice Management and Prior Authorization for Interventional Pain and Orthopedic Spine Surgery. Patients Access and Healthcare Financial Management Consulting Company

GoHealthcare Practice Solutions
call us: (800) 267-8752

Our mission is to enable healthcare practices and facilities to operate more efficiently, enhance patient care, and achieve financial success. With extensive expertise in orthopedic and spine surgery, interventional pain management, physical medicine and rehabilitation, ambulatory surgery centers and and a wide array of healthcare services. You can only trust the expert healthcare professionals from GoHealthcare Practice Solutions. Call us today!

Services

Utilization and Prior Authorization

98% Approval Rate and Fast Turn-around Time
Eliminates Unnecessary peer-to-peer process
Reduce Denials and Appeals Process
Handles in-network and out-of-network cases
Workers Comp and Motor Vehicle Injury Cases
Serving 50-U.S. States
100% HIPAA Compliant
Experts in Payer Utilization Policies and Guidelines

Clinical Operations Support

Practice Management: Enhance the efficiency and quality of your musculoskeletal practice's operations.
Prior Authorization and Utilization Management
Surgical Coordination and Scheduling
Workflow Optimization: Improve clinical workflows to boost productivity and patient outcomes in musculoskeletal care.

Surgical Coordination

Preoperative Planning: Assist with scheduling and coordinating preoperative assessments and preparations.
Surgery Scheduling: Manage surgical schedules to optimize operating room utilization and reduce wait times.
Postoperative Care Coordination: Ensure seamless transitions to postoperative care and rehabilitation services.

Patient Access

Appointment Scheduling: Optimize appointment scheduling processes to reduce wait times and improve patient flow.
Patient Registration: Streamline patient registration and intake processes to enhance efficiency.
Insurance Verification: Ensure timely and accurate insurance verification to prevent delays in care.
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Financial Management

Budgeting and Forecasting: Assist with budgeting and financial forecasting to ensure financial stability.
Financial Reporting: Provide detailed financial reports and analysis to monitor financial health.
Cost Reduction Strategies: Identify and implement cost-saving measures without compromising quality of care.

Revenue Cycle Management

Billing and Coding: Our team ensures precise and timely billing and coding, maximizing revenue while maintaining compliance in musculoskeletal services.
Claims Management: We handle all aspects of claims submission and follow-up, reducing the burden on your staff.
Denial Management: Our experts identify and address claim denials, improving reimbursement rates and reducing revenue loss.
Patient Collections: We implement effective patient collection strategies to enhance cash flow.

Technology Integration

EHR Implementation: Assist with the selection, implementation, and optimization of Electronic Health Record (EHR) systems tailored for musculoskeletal practices.
Telehealth Solutions: Implement and manage telehealth platforms to expand access to musculoskeletal care.
Data Analytics and Reporting Performance: Leverage data analytics to make informed decisions and provide detailed performance reports to monitor and improve practice performance.

Marketing and Patient Engagement

Marketing Strategies: Develop and execute marketing strategies to attract and retain patients in musculoskeletal practices.
Patient Communication: Enhance patient communication and engagement through various channels, including digital and social media.
Patient Experience Improvement: Implement initiatives to improve the overall patient experience in musculoskeletal care.
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Project Management

Strategic Planning: Align musculoskeletal practice operations with business goals through long-term strategic planning.
Project Coordination: Manage specific projects, such as opening new musculoskeletal practice locations or expanding service lines.
Performance Improvement: Identify and implement strategies to enhance practice performance.

Payer Credentialing,

Contracting and Negotiations

Contract Negotiation: We negotiate favorable terms with insurance companies, maximizing reimbursement for your musculoskeletal services.
Contract Management: Our team oversees and manages payer contracts, ensuring compliance and optimal performance.

We always take pride with our clients' patients outcome.

Educational Background

60% Nurses (BSN)
11% Other Health Sciences
25% Business and Information Management

Years of Work Experience

75% with 5+ years
20% with 12+ years
5% with 15+ years

Job Roles

65% Clinical / Surgical Prior Authorization & Patients Access and Documentation/Coding Audit Compliance Review
35% Experts in Full Revenue Cycle, Healthcare Financial Management and Data Analytics

The Technology infrastructure and HIPAA Compliance that we have in our organization is 100% compliant with the Federal and Local Government's Rules, Laws, Guidelines, Security and Regulations as well as with the Payers. Our Team Members are HIPAA Trained and Certified. We take Privacy and Compliance very seriously.

You can focus more on Patient Quality Care

Our team is dedicated to helping you create a more efficient and streamlined workflow that will not only maximize your reimbursement, but also accelerate your payment turnaround time with fewer errors. With our expertise, you can confidently focus on what matters most - providing exceptional care to your patients.
By eliminating unnecessary peer-to-peer requests during the prior authorization process, we enable you to concentrate on your patients, particularly when they're anxiously awaiting their surgeries. Our customized solutions are designed to reduce administrative burdens and enhance the overall efficiency of your practice, ultimately leading to improved patient satisfaction and a healthier bottom line.

Read Our BLOG

Our Blog Posts constantly rank on Google because of the valuable contents that we put out on the internet that serves the Medical and Hospital Industry.

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READ WHAT OUR CLIENTS SAY ABOUT US

Our Mission is to Serve the Medical Practice Industry with our outmost integrity, wealth of knowledge and years of expertise.

We consistently have exceeded our Clients' Goals with their Outcome and Result!

We have an incredible 99% Retention Rate!

READ WHAT OUR CLIENTS SAY ABOUT US

Compliance

We take it very seriously.

Standards
Practices
Laws
Risks
Audits
Regulations
Strategy
Policy
Control
Requirements

Revenue Cycle Management Company in New Jersey

20+ Years of Well-Kept Promise

You can trust a Team of Highly Skilled and Knowledgeable Medical Coders, Billers, Utilization Analysts and Project Management Consultants serving in the Medical Practice Industry, Hospitals and Facilities
Reduce patients complaints and increase patients satisfaction
You have 100% in-control of your data