Mosaic Health Services: Comprehensive Solutions for Surgery Centers and Surgeon Practices
At Mosaic Health Services, we specialize in delivering tailored solutions that drive the success of surgery centers and surgeon practices. Our services cover a broad spectrum of needs, from strategic planning and operational management to financial performance optimization and mergers & acquisitions. Below, we outline our key services and provide an in-depth explanation of each offering:
ASC Strategy and Planning
ASC Financial Performance Review
What We Do: We evaluate the financial performance of ASCs, focusing on revenue cycle operations and identifying areas for improvement and optimization.
Why It Matters: Financial health is the backbone of any ASC. Our reviews help you identify inefficiencies and opportunities to enhance profitability.
Surgery Migration and Site-of-Service Assessment
What We Do: We evaluate your current surgical practices and develop strategic plans for migrating surgeries to the most effective site-of-service, whether it’s an ASC or another setting. Our goal is to optimize patient care and financial outcomes.
Why It Matters: Understanding where and how surgeries should be performed is crucial for maximizing efficiency and reimbursement. We ensure that your site-of-service choices align with both clinical best practices and financial viability.
ASC Feasibility Study
What We Do: We conduct thorough feasibility studies to assess the potential success of a new ASC. This includes market analysis, financial projections, and risk assessment.
Why It Matters: Before investing in an ASC, it's essential to understand its potential for success. Our feasibility studies provide the data and insights needed to make informed decisions.
ASC Management Structure Development
What We Do: We design and implement management structures that allow health systems to efficiently operate multiple ASCs. This includes governance models, management teams, and operational protocols.
Why It Matters: A well-organized management structure is key to optimizing operations and maximizing return on investment across your ASC portfolio.
ASC Industry Advisory Panel and Whiteboard Sessions
What We Do: We collaborate with pharmaceutical and implant vendors to establish industry advisory panels. These panels provide insights and guidance on key products, implants, and strategies relevant to ASCs.
Why It Matters: Staying ahead of industry trends is crucial for maintaining a competitive edge. Our advisory panels offer the latest intelligence and strategic advice.
ASC Contracting and Reimbursement
Payer Strategy Development
What We Do: We develop payer strategies that account for value-based reimbursement, clinical integration, and payer readiness for new contract methodologies.
Why It Matters: With the shift towards value-based care, it’s crucial to have a payer strategy that aligns with these models. Our expertise ensures that your contracts are both competitive and sustainable.
Value-Based Readiness Assessment
What We Do: We assess your organization’s readiness for value-based payment structures and help transition from traditional models to value- and risk-based models.
Why It Matters: As healthcare moves towards value-based care, being prepared is key to maintaining financial viability. We guide you through this transition to ensure success.
Price Transparency Advising
What We Do: We advise on price transparency initiatives, helping you comply with regulations while maintaining competitive pricing.
Why It Matters: Price transparency is increasingly important to patients and payers alike. We help you navigate this complex area to stay compliant and competitive.
Contract Modeling and Reimbursement Analysis
What We Do: We conduct detailed analyses of your reimbursement structures and model potential contract outcomes to optimize financial performance.
Why It Matters: Understanding the financial implications of your contracts is essential for maximizing revenue. Our analyses ensure that you’re getting the best possible terms.
Managed Care Department Design
What We Do: We help design or redesign your managed care department to better handle
ASC De Novo Development & Launch
Comprehensive ASC Launch Services
What We Do: From initial proforma analysis to partnership structuring, blueprint design, construction, credentialing, contracting, and billing, we provide end-to-end solutions for launching new ASCs.
Why It Matters: Launching a new ASC requires careful planning and execution. Our comprehensive services ensure that your ASC is built on a solid foundation for long-term success.
ASC Billing & Cash Flow Optimization
Comprehensive Billing Audit & Review
What We Do: Nearly all the center we work with healthy or otherwise have an opportunity to reduce their total Account Receivable to dramatically improve cash flow or have the opportunity to improve profitability by running our missed revenue optimization program.
Why It Matters: ASC often overly focus on only profitability or billing days. We’ve seen under optimized business sink from poor cash flow management. We’ve help save centers from sinking negative cash flow and helped heathy centers build additional cash reserves to continue to grow. See our case studies for more examples of the benefits of this service.
Surgery Center Operations
ASC Operations Management
What We Do: We review all aspects of ASC operations, including clinical processes, quality assurance, business office functions, and performance against industry benchmarks. We identify opportunities for improvement and help implement changes.
Why It Matters: Efficient operations lead to better patient outcomes and financial performance. Our comprehensive reviews ensure that your ASC operates at peak efficiency.
ASC Licensure and Accreditation
What We Do: We guide you through the licensure and accreditation process, ensuring that your ASC meets all regulatory requirements. We also provide ongoing oversight to maintain compliance.
Why It Matters: Regulatory compliance is non-negotiable. We help you navigate the complexities of licensure and accreditation, so you can focus on patient care.
Mock Surveys
What We Do: We prepare your ASC team for the accreditation survey process by conducting mock surveys. These surveys simulate the actual accreditation process and highlight areas for improvement.
Why It Matters: Being well-prepared for accreditation surveys can make the difference between success and costly delays. Our mock surveys ensure that your ASC is ready for the real thing.
Policy and Procedure Development
What We Do: We evaluate existing policies and procedures within your ASC and provide recommendations for improvement or modification. We can also create new policies and procedures tailored to newly developed ASCs.
Why It Matters: Clear, effective policies and procedures are essential for consistent operations and regulatory compliance. We help you develop the right frameworks to support your ASC.
ASC Interim Management
What We Do: We provide on-site interim management services for new ASCs or during leadership transitions in existing ASCs. Our experienced managers ensure continuity and stability.
Why It Matters: Leadership transitions can be disruptive. Our interim management services keep your ASC running smoothly during these periods of change.
KPI Dashboard Development
What We Do: We create custom operational and financial KPI dashboards to help you monitor, benchmark, and improve all aspects of your ASC’s performance.
Why It Matters: Data-driven decision-making is critical for success. Our dashboards provide the insights you need to make informed, strategic decisions.
Surgical Case Costing
What We Do: We review surgeon preference cards and conduct case costing analyses to identify cost variations and opportunities for reduction.
Why It Matters: Understanding the true cost of surgical cases allows you to manage expenses and improve profitability. We help you identify areas where costs can be controlled without compromising care.
Cost Management: Staffing Optimization
What We Do: We analyze staffing levels and roles to ensure optimal workforce utilization, reducing costs while maintaining high-quality care. This includes assessing shift patterns, staffing ratios, and role distribution.
Why It Matters: Staffing is one of the largest cost centers in an ASC. Optimizing staff utilization without compromising care quality can lead to significant cost savings and improved operational efficiency.
Cost Management: Vendor Cost Optimization
What We Do: We review and renegotiate vendor contracts to ensure that your ASC receives the best possible pricing and terms. We also identify alternative suppliers and cost-effective procurement strategies.
Why It Matters: Vendor costs can significantly impact your bottom line. By optimizing vendor agreements, we help you reduce expenses and improve profitability without sacrificing quality.
Business Office Training
What We Do: We create and deliver training programs for business office staff to ensure that your operations meet ASC industry standards.
Why It Matters: A well-trained business office team is essential for efficient operations and accurate billing. Our training programs ensure that your staff is equipped to perform at the highest level.
Surgery Center Surgeon Recruitment
Surgeon Recruitment and Retention Strategies
What We Do: We develop and implement recruitment strategies to attract top surgical talent to your ASC. This includes creating compelling value propositions, optimizing recruitment processes, and designing retention programs to ensure long-term commitment.
Why It Matters: Attracting and retaining skilled surgeons is critical to the success of your surgery center. Our tailored strategies ensure that you build a strong surgical team that drives high patient satisfaction and excellent outcomes.
Practice Enterprise Services
Group Acquisition and Valuation
What We Do: We assist in the acquisition of physician groups, providing valuation services and ensuring that transactions are beneficial for all parties involved.
Why It Matters: Acquiring the right group can significantly enhance your practice’s capabilities. Our valuation services ensure that you pay a fair price and make sound investment decisions.
Physician Alignment
What We Do: We develop strategies to align physicians with organizational goals, improving collaboration and patient care outcomes.
Why It Matters: Effective physician alignment leads to better clinical outcomes and more cohesive practice management. We help you build stronger, more productive teams.
Health System & ASC Alignment
Strategic Alignment and Collaboration
What We Do: We partner with health systems to align their strategies with ASC operations, ensuring mutually beneficial outcomes.
Why It Matters: Effective alignment between health systems and ASCs enhances patient care and operational efficiency. We help you build strong, lasting partnerships.
ASC Partnerships and Joint Venture (JV) Development
What We Do: We assist health systems and physicians in exploring, evaluating, and establishing partnerships in existing ASCs or the development of new ones. This includes structuring joint ventures that are mutually beneficial and sustainable.
Why It Matters: Effective partnerships can enhance resource sharing, reduce costs, and improve patient care. Our expertise helps you navigate the complexities of partnership agreements to secure the best possible outcomes.