Since our Medicare Quality Payment Program journey began four years ago, Prosper Beyond has been an essential partner, contributing positively to our successful performance. From the initial organizational readiness assessment, to the engaging on-site stakeholder workshops, combined with regular check-ins and annual strategic planning-we could not have achieved our high-score outcomes in our MIPS performance years without their key partnership!
As a business owner of a small private practice, I must be careful where to spend my limited resources. Doral and her team at Prosper Beyond have been a great investment. They have been critical for negotiating better reimbursements. In addition to being effective, it is a delight to work with them.
Prosper Beyond (PB) promised to help us obtain insurance payer contracts that were more appropriate for the kind of care we provide and the results they achieved were beyond our expectations! Doral stated that she would not promise something she couldn’t deliver and her relationships with third party payers made all the difference for us in my opinion. My physicians are extremely pleased with our outcomes and I highly recommend PB services!
I have known Doral for approximately 20 years. Initially as a colleague and most recently as a representative for physician practices across the negotiation table. Doral is extremely astute in all aspects of managed care contracting and negotiation. She is intelligent, professional, a strong communicator and a stern negotiator. You will find that she is very knowledgeable in various forms of Value Based Contracting and collaborative arrangements. What impresses me most about Doral is her ability to keep progressively knowledgeable in the current healthcare market and her dedication to her clients.
Doral Jacobsen is a very insightful and effective advisor on Revenue Cycle Management opportunities. She has a unique ability to deliver her findings and recommendations in clear, actionable language. Definitely would retain her services again.
Doral, I wish to thank you for the professional help you provided Lake Norman Pathology with auditing the collections for our practice which you provided in the past. We also wish to thank you for your help negotiating managed care contracts. When we have a similar need we will certainly contact you.
The MACRA Readiness Assessment was very valuable for WNC Dermatological Associates. It’s the MACRA ‘cliff notes’ in practical terms that helped us understand the Quality Payment Program, identify the financial impact of the program and validate our measure selection for MIPS. We also gained insight and guidance on how we can work on ‘cost’ during 2017 through the Quality and Resource Use Report (QRUR ) analysis.
For a multi-specialty medical practice, our team renegotiated several payer contracts resulting in favorable economic impact constructed on a value based foundation. Our team also resolved several troubling contract language issues that resulted in a positive impact from an operational perspective. Additionally, we have many more payer contacting success stories and a long list of happy clients.
For a large primary care medical practice, we developed an impactful value proposition that supported the group as they worked with payer partners on alternative payment models. This framework clearly articulated how the group compared to peers relative to ‘total cost of care’ enabling the organizations to consider innovative payment models. The result was three-fold: improved payer/practice relationships, movement toward alternative payment model execution and reimbursement to the practice for sophisticated population health investment.
For this large hospital based health system’s medical practice, our team evaluated their Quality and Resource Use Report data and developed a customized MACRA Action Plan. Our team provided comprehensive MACRA education, feedback regarding measures optimization and a strategic MACRA Action Plan. Our team was instrumental in preparing the group to be successful under MACRA and maximize opportunities based on your strengths, capabilities and vision for the future.
For a 40-physician surgery practice with an ASC, performed an initial assessment and subsequent re-engineering of revenue cycle processes including establishing a monitoring system, standardizing policies and procedures for all satellite offices, and staff training resulting in an estimated $2,000,000 in added practice revenue within a six-month time frame.
For an ENT practice client, streamlined front-desk collection activities resulting in reducing “days in accounts receivable” by 26 days and doubling practice front-desk collection revenues. Physician income also increased 35% as a result of successful implementation of best practices.
For a hospital system, developed comprehensive dashboards for associated physician practices. Dashboards informed leadership regarding practice performance compared to peers within the region. It included qualitative and quantitative metrics uniquely framing performance demonstrating environmental factors impacting the practice and pinpointing opportunities for improvement.
Assisted a hospital system with an operational overhaul including organizational structure, credentialing, revenue cycle optimization and managed care contract negotiations. Adjusted collections for their medical group increased over 200% and revenue by 64% within 12 months of project initiation.