The Rise of Healthcare Management Services Organizations



How Do Healthcare Management Services Organizations Help Providers?

Healthcare management services organizations support providers by offering administrative business functions to their practices. These services encompass all aspects of the non-medical tasks that healthcare providers normally perform, such as:

Administrative Functions

• Physician referral services and management
• Clinical effectiveness
• Patient scheduling, monitoring, and maintenance
• Internet data security and privacy protocols

Revenue Cycle Management

• Payor Contracting
• Credentialing and Provider Enrolment
• Coding and Clinical Documentation
• Billing and Accounts Receivable Management



Healthcare Management Services Organizations Are Becoming More Popular

The current healthcare industry is still based on fee-for-service (FFS) models. The FFS model is consistently noted to be lacking in transparency, equality, accountability, and administrative efficiency. Many believe that the ongoing healthcare concerns are primarily caused by the complexity of the FFS model. 

As a consequence, providers and patients are frequently reconsidering alternatives when it comes to their healthcare future. Under this course, healthcare management services organizations are proving to be more valuable than ever. There are several factors that come into play that influence the rise of the empowered management services model, such as:

Providers Are Seeking More Value

The constant shifting of providers from FFS payment structures to value-based healthcare models is welcome news. The value-based movement suggests that providers are seeking out value over volume. This allows providers to offer transparency, and therefore benefit more patients. Healthcare management services organizations help lighten provider loads by offering non-medical administrative manpower. By doing so, providers and practices are allowed more freedom to focus on the health population.

Practices Are on the Lookout for Alternatives

Providers can be swamped with multiple administrative and operational tasks even when affiliated with larger practices. These practices often end up overwhelmed with paperwork and documentation that delay the business side of the company. Even with the integration of much-needed technology, business operations can still become costly and slow. This is attributed to the lack of objective corporate planning and design involved in the software development process.

Patients Are Intent on Flexibility

The online community is growing by leaps and bounds, particularly during the last few years. Technology has made it possible for patients to have virtual consultations from the comfort of home. Providers also enjoy the same privilege, with many dispensing teleconsultation sessions. This has led to more productivity in terms of patient care, care coordination, and care delivery. Consequently, healthcare management services organizations have been instrumental as liaisons between providers and patients. Further increase of online consultations have seen a rapid uptick for outsourced administrative and operational manpower.

Bridging Management Services Gaps with Technology

Building strong healthcare management services organizations require compliance with existing processes and policies. These can be easily overlooked when a practice or a provider has yet to transform their business operations through technology. These operational gaps can be instrumental in determining the success of the provider practice. And, in turn, indirectly influence the success of supporting service providers. When these gaps are addressed, both the provider and the healthcare management services organization enjoy efficient healthcare operations.

With an eye on supporting healthcare providers and their support partners, MedVision developed QuickCap 7 (QC7). Aimed at integrating technology with complementary healthcare support services, QC7 helps your organization transition seamlessly. QC7 lets you customize your application according to your business needs. Enjoy streamlined complex operational workflows efficiently through intuitive features that allow you to:

• Manage physician referrals and authorizations
• Monitor provider credentialing and enrolment
• Oversee payor contracting procedures
• Coordinate and collaborate on patient care and delivery
• Administer end-to-end claims processing and adjudication

For nearly thirty years, MedVision has dedicated its business operations to empower organizations like yours. MedVision believes in supporting your business goals through our dedicated teams of experts focused on your success. Experience seamless and automated workflows instead of complex and time-consuming processes. Change the way you operate and watch how much further you can go.

Create success on your own terms.

References:

1. Cohen Healthcare Law Group | Healthcare Lawyers | FDA & FTC Law. “When Using a Management Services Organizations (MSO) Is the Right Choice for Your Medical Practice.” cohenhealthcarelaw.com, October 8, 2019. https://cohenhealthcarelaw.com/2019/10/when-using-a-management-services-organizations-mso-is-the-right-choice-for-your-medical-practice/.

2. Shryock, Todd. “Stop Leaking Money.” Physicians Practice. www.physicianspractice.com. Accessed June 15, 2022. https://www.physicianspractice.com/view/stop-leaking-money.