Services
Gulf South Healthcare Management, LLC (GSHM) was founded summer 2009 by Kristi Andrew and Wendy Wood. Our goal was to use our extensive knowledge and experience to assist Urgent Care clinics and medical Providers with full revenue cycle management. GSHM also offers new clinic development for Providers who have the ambition to open their own medical clinic.
GSHM has experience in specialties including, but not limited to: Urgent Care, Occupational Medicine, Emergency Medicine, Internal Medicine, Family Practice, Asthma/Allergy, Podiatric Medicine and Surgery.
New Clinic Development
Assisting clients with all phases of Clinic Development. Including:
- Hiring of Personnel
- Implement efficient work flow processes
- EMR Selection
- Credentialing with Managed Care Organizations
- Establish Internal Controls
- Chart of Accounts
- Policies & Procedures Handbooks
- Advertising / Marketing
Billing and Collections
- Develop collections and billing timetables
- Conduct billing Audit
- Analyze A/R monthly and prepare financial reports
- Update fee schedules
- Involve Providers from the very beginning
- Develop a Collections policy
- Maintain close communication with Business office
Provider Credentialing & Insurance Contracting
- Contact and complete all necessary applications for providers
- Maintain all Provider?s credentials up to date
- CAQH utilization
- Negotiate facility reimbursement rates
Clinic Support
- GS works as an extension of the clinical business office. Patients and clients are always treated with utmost professionalism which further promotes patient satisfaction
Medical Coding & Compliance Education
- Certified coders review Provider documentation
- Share updates of annual Procedure and Diagnosis code changes
- Random chart audits to avoid Provider over-coding and/or under coding
- Assist in educating Providers with requirements of documentation for proper reimbursement
- Follow all billing requirements of Medicare, Medicaid, Managed Care, Commercial Insurance, Worker?s Compensation and all other government programs
- Insurance Credentialing & Contracting
- New Clinic start-up
- Insurance Negotiations
- Reporting and Benchmarking
- AR Management
- Managed Care Services
- Coding and Compliance
- Monthly Reporting
- Physician Credentialing