Nephrology Practice Solutions
Streamlining RCM and Clinical Operations

Practice management is crucial in running day-to-day operations for better patient satisfaction and administrative efficiency. However, each medical specialty poses different operational intricacies that mandate extensive expertise to drive better business results and patient experience.

Nephrology Practice Solutions (NPS) offers a portfolio of practice management tools and services that enable physicians to reduce administrative burden and increase clinical efficiency. Their subject matter expertise help address the industry pain points around revenue cycle management (RCM) services, as well as the expansion of value-based care culture for clients.

“We bring together the team, tools and services to holistically address every aspect of practice administration—including billing and collections, contracting, recruitment, finance, compliance, credentialing, and licensing—so that nephrology practices can concentrate on the clinical side of operations and growth strategies for maximizing their efficiency,” says Lia Pennington, Head of MSO Operations, NPS. This creates the opportunity for physicians and practices to transition from fee-for-service to value-based care, such as integrated care delivery, population health, and improved patient experience at every site of care— including in patients’ homes.

NPS’ RCM bundle encompasses proven procedures and cutting-edge technology for clean claim management, including patient check-in, claims resolution, complex claim scrubbers, and extensive claims denial management processes.

The company adopts a data-driven approach to identify the gaps and key areas for improvement in the revenue cycle and operations, including point-of-service collections, deductible monitoring, and value-based care enrollment and execution. They also implement a dashboard and customized reporting tools to keep tabs on the health of the revenue cycle and practice operations.

“Our RCM services include monthly reporting packages that benchmark client results against their internal goals as well as national ‘MGMA best performing practices.’ Everything from cost-to-collect, net collection rate, and A/R performance are measured and reported with the expectation of driving on-going improvement” adds Pennington. The company ensures a significant increase in collections, payer relations, and operational efficiencies without compromising quality care for patients.

Unlike their competitors, NPS’ strongest value proposition is their holistic approach that focuses on RCM while improving a practice’s administration and clinical operations side. To that end, the company has partnered with a leading healthcare tech company to develop a kidney care-specific EHR that will ensure measurable financial improvement and more importantly, industry leading patient outcomes.

NPS’ physician-centric model is rooted in a culture for driving better outcomes for practice operations and bottom lines. For one of its clients, NPS improved the net collection rate by 35-percent during the first year of collaboration.

In another instance, a practice observed a 34-percent year-over-year increase in their new patient encounters. The client’s front office team had been burdened with time-of-service collections and couldn’t focus on driving growth. NPS implemented automation technology outside of the billing system that allowed the client more bandwidth for front office operations. The company also established a system to track call abandonment rates, as well as wait time, delivering the necessary tools to drive time-of-service collections without compromising the overall growth of new patient demographics.

Backed by similar client success stories, NPS continues to focus on enhancing measurable business outcomes while providing outstanding clinical and integrated care to patients.