Empowering Healthcare Providers
Discover how Providers Health Management can streamline your operations, optimize your payer contracts, and enhance your technology infrastructure. We're dedicated to providing tailored solutions that allow you to focus on what matters most: patient care.
Concierge Provider Support
Navigating licensing and credentialing, compliance can be overwhelming. That’s where we come in to help. Our concierge-style support is designed for individual providers who want to simplify administrative tasks associated with licensing and credentialing so that they can stay focused on what matters most—caring for patients.
Services Provided:
•Streamlined licensing and credentialing services
• Ongoing monthly support tailored to your needs
• Friendly, professional guidance every step of the way
Payer Contract Review
We review contracts line‑by‑line to surface revenue opportunities and hidden risks. For value‑based agreements, we clarify attribution, quality metrics, risk corridors, and reporting so you enter with eyes wide open.
Services Provided:
Fee‑for‑Service Contract Review: fee schedules & modifiers, timely filing, audit/recoupment, medical necessity, termination, most‑favored‑nation, change‑notice clauses
Value‑Based Care Contract Review: attribution rules, quality/Star/HEDIS measures, risk adjustment (HCC/RAF), shared savings/loss, stop‑loss, benchmarking, coding/documentation expectations, data rights & reporting
IT Consulting Services
Providers Health Management provides IT consulting services, including EMR and other IT solutions tailored to the needs of independent healthcare providers and provider groups. Overcome your IT challenges with our expert guidance.
Services Provided:
- Technology Strategy: Develop IT roadmaps that support growth, efficiency, and compliance.
- Process Optimization: Identify gaps and streamline workflows to improve performance and reduce risk.
- System Planning: Provide recommendations for infrastructure, applications, and integrations that fit your organization’s needs.
- Vendor Coordination: Assist with vendor selection, contract review, and implementation planning.
- Governance & Best Practices: Establish policies and frameworks to ensure security, reliability, and scalability.
"Providers Health Management has been instrumental in optimizing our payer contracts and streamlining our credentialing process. Their expertise has allowed us to focus on delivering the best possible care to our patients."
Dr. Emily Carter, MD