CODING & REIMBURSEMENT.

For us, this is where it all began - supporting medical specialty societies in obtaining CPT codes, and guiding them through the subsequent valuation by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS). Since 2009, we’ve successfully supported a number of medical specialties in this realm, including Nuclear Cardiology, Otolaryngology and Applied Behavior Analysis.

Our expertise in this space extends beyond the development of CPT and HCPCS codes. The Proactive team is also well-versed in day to day claims processing for providers and practices. This includes authorization management, claim review, claim submission, payer follow-up, and appeal support.

WORKING WITH HEALTH PLANS.

Relationships are key in every industry. We support our clients in both establishing relationships with health plans where they may not have existed previously, and supporting clients in improving relationships where they may be strained. Specifically, we have experience guiding clients in the following areas of payer advocacy: crafting correspondence and requests specific to your practice; gaining access to payer leadership; and negotiating revisions to payer policies, contracts, and fee schedules.

COMPLIANCE, ACCREDITATION, & AUDIT SUPPORT.

Hate reading contracts? We bet you dislike audits even more. At Proactive Strategies we pride ourselves on bringing a “hard hat mentality” to the finer details and welcome the opportunity to dig into the “nitty gritty” on your behalf. We are ready and willing to help you carefully review your contracts and set up effective systems that achieve full, and ongoing, compliance with their terms. We’re also familiar with the ins and outs of health plan audits and accreditation requirements, and would be happy to support you at any level; be it planning for future audits / accreditation, preparing submissions for an active audit or accreditation visit, responding to findings, drafting plans of correction, or preparing for audit appeals.

STRATEGIC PLANNING.

To be proactive, you need vision. From there, you need a plan. Strategic planning is the best way to keep your company on track to achieve your greater goals. At Proactive Strategies we’re here to guide your organization in developing a strategic plan that keeps your company focused, and sets you up for success and growth.

SUCCESSION PLANNING.

Do you have a great team, but worry that some of them may not be in the “right roles?” We’re here to help guide you in the process of evaluating the strengths of your existing team; ensure staff are in the proper positions, and identify areas where new team members may be needed, to help your organization thrive.

EDUCATION.

Who doesn’t love a great visual? At Proactive Strategies we’re here to help you develop needed resources. Whether it’s materials for a membership organization, or presenting at a national conference or webinar, we love to find new, and effective, ways to create and communicate educational content on the topics above to end-users who seek it.