Downey Medical Consultants specialize in healthcare consulting by partnering with doctors opening solo, group or specialty practices, Ambulatory Surgery Centers (ASC), and LNR’s. Our healthcare consultants specialize in anesthesia, pain management, and ambulatory surgery. Clients are assisted specifically in contract negotiation, financial management, and onsite practice management which includes:
- Feasibility and demographic studies
- Lending and wealth management services
- Building or leasing
- Cash flow monitoring
- Budgeting, Compensation, Contracts
- Negotiating insurance contracts
- Staffing and training
- Short and long term practice goals
- Letter of Non-Reviewability (LNR)
- Billing and revenue cycle models
- Policies and procedures manuals
- State and federal regulation requirements
Specialties
Downey Medical Consultants are proficient in providing onsite practice management, financial management, and contract negotiation and physician credentialing for the following Specialties:
- Ambulatory Surgery (ASC)
- Facility & Non-Facility Pain Management/Anesthesia
- Orthopedics
- Neurology
- Urology
- Internal Medicine
- Pediatrics
- Urgent Care
- Executive Health Care Practice Designs
- Interventional Radiologist
Our President
Karen Downey
President/Owner
Contract Negotiator/Medical Practice Management Consultant
For the past 18 years Karen of Downey Medical Consultants has held a leadership role as a medical consultant. Karen has worked for the past 18 years in the Southeast Region but has clients all over the United States. Her goal is to help practices develop their analytical planning and strategic budgeting. She designs successful business models for specialty medical practices and holds key relationships with insurance providers for most commercial payers. She negotiates excellent returns on insurance contracts.
Karen is a member of the MGMA/GMGMA & ACMPE
OUR SERVICES
Onsite Medical Practice Management
Downey Medical Consultants offer Onsite Medical Practice Management for Existing and Start Up Practices.
- HIPPA
- Managed Care
- EHR (Electronic Health Record)
- Feasibility studies
- Target market area
- Work closely with bank lending services and medical wealth management leaders
- Building or leasing
- Monitoring cash flow
- Start up budgets
- Physician compensation and contracts
- Negotiating insurance contracts
- Initial staffing plan
- On site training-practice management and CEO
- Financial management services
- Short and long term practice goals
- Billing and revenue cycle models
- Policies and procedures manuals
- State and federal regulation requirements
Health Care Financial Management
Downey Medical Consultants offers Financial Management Services for Medical Practices that include:
- Strategic planning and budgeting
- Knowledgeable of Medicare and Medicaid
- Health Insurance
- Operational analysis and production review
- Financial data analysis
- Physician productivity
- Recommendations for creating new revenue generators
- Change agents for higher reimbursements
- Strategic planning
- Vision of growth for your practice
- Preferred vendors for adding new services
- Short and long term planning
- Benchmarking and meeting milestone markers
- Budgeting for today and the future
Contract Negotiation and Credentialing
Our expertise in contract negotiation allows us to reach realistic objectives while defining the contributions that each party brings to the partnership.
New Practices
Laying the foundation: New practices need to be sure they are getting the best contract!
MYTH – A new practice has to accept the boiler plate contract because they have no room to ask for higher rates.
TRUTH – If you can provide the insurance company with information about the community you plan to serve, reference practices and show that relationships have been established, you can ask for better rate reimbursement.
Downey Medical has 18 years of experience representing new practices and physicians that decide to break away from group practices to start their own private practice. We do a complete financial review of projected business models to help you capture the higher paying contract.
Established Practices
We have not reviewed our contracts in years…does it really make a difference?
Myth-You assume your contracts rates are the rates you have to accept: Wouldn’t the insurance company give me at least a FMV (Fair Market Value) increase?
Truth-After a review of contracts, we find that the practice has been paid at the same rate for years when they haven’t been represented by an established negotiator.
Downey Medical specializes in representing your both Facility/Non Facility & IPA’s for significantly higher return on the increase. Our Clients usually see a range from 5% to 15% increase depending on the size of the group, the specialty and distance you provide service.
Karen Downey and her team will represent your group or IPA directly in a one on one environment with the network managers for your State. She has established relationships throughout the United States and is well known as both local and national contractor. We represent our physicians in scheduled meetings with each commercial payer representative. We also will assist our clients with credentialing to ensure accurate data is connected to the contracts and to the appropriate physician owners.
TESTIMONIALS
Preferred Vendors
Charity
