Financial Pro Forma's  back to top
Providing the necessary reports to determine the physician's financial contribution to the practice is critical in justifying the need for additional health care providers. A pro forma will provide the necessary financial outlook to determine the net profit and loss variances of the practice. PPDG will:

• Produce a specialty specific pro forma illustrating productivity standards, charges, payments and account receivable formulations;
• Illustrate detailed operational expense allocations, payer mix data; physician compensation for 12 to 24 months and physician compensation & bonus calculations; and
• Monitor month to month variances and provide reasons for influxes (in concert with practice's accounting firm).  back to top

Physician Statistical and Productivity Reporting  back to top
A monthly financial report will be provided for the shareholder's identifying the production of physicians. These key indicators allow for:

• Financial forecasting;
• Monthly trending variances;
• Developing benchmark standards;
• Data comparisons to relative specialties;
• Using the report as a mechanism to determine partnership and/or shareholder potentials.  back to top

Compensation and Physical Integration Initiatives  back to top
Developing a sound financial plan for physician compensation ensures a win-win situation. Identifying the needs of the partners and a newly recruited physician sets a good faith effort to forge a long term professional and personal relationship. In developing the compensation model we address:

• Quality of life issues;
• Productivity expectations;
• Various non-competes and restrictive covenant clauses;
• Compensation and bonus structure;
• Partnership/shareholder buy-in requirements.  back to top

Provider Credentialing  back to top
The credentialing process requires that the provider participation be added, amended, or terminated from an insurance plan(s). This process takes between 60-90 days and entails the following:

• Completion of universal credentialing application to submit to relative insurance carriers associated with the practice's current insurance participation structure;
• Submit copies of various physician licensures to comply with credentialing requirements;
• Obtain provider numbers and plan product types as indicated by the current plan participation structure;
• Conduct weekly follow up on credentialing status and completion with various insurance carriers;
• Submit carrier plan acceptance letters to practice to ensure valid plan participation;
• Provide Credentialing Matrix illustrating plan participation and effective dates by carrier and product;
• Communicate credentialing progress to physicians to ensure timely progression of PPDG's service.  back to top

Practice Start-Up  back to top
We work in junction with the physicians on:

• Site location;
• Capital equipment needs;
• Lease agreements, ergonomic office and furniture design;
• Employee Full Time Equivalency (FTE) needs analysis;
• Employee interviewing and recruitment of employees, development of employee job descriptions, performance reviews, and staff training & development;
• Office policy and procedure design and implementation;
• Select and negotiate pricing with various business vendors;
• Develop Information system needs;
• Work with staff to get providers credentialed with various insurance plans, negotiate reimbursement rates, and design payor reimbursement matrixes;
• Design and develop operational forms; Determine need for in-house or out-sourced billing departments/companies;
• Interview billing companies to insure optimization of receivables;
• Implement revenue cycle protocols to properly manage the practice's Accounts Receivable (A/R);
• Compile financial pro forma's to monitor monthly cash flow variances;
• Meet with physicians on a weekly basis to provide PPDG progress updates.  back to top