Building measurable growth through experience, expertise, and a dedication to results.
FOCUSED ON STRATEGIES THAT BUILD TRUST, CREDIBILITY, AND SUSTAINABLE GROWTH
COre Operational Management
Billing, Collections, Insurance, Human Resources, Appointment Setting, Front Office, Clinic, Accounting, and Accounts Receivables.
Proven Marketing Strategies
Referral Networks, Internal Marketing, Corporate, Grassroots, Social Media, Online, Traditional.
Team Building Structures
Communication, Goal Setting, Culture, Identifying and Implementing Roles.
Medicare Physician Fee Schedule (MPFS) Recap
The Centers for Medicare & Medicaid Services recently released its final Medicare Physician Fee Schedule for 2023. How does it impact your ophthalmic practice specifically?
Download the SMCG MPFS Recap today to learn more. Opt-in for updates and we’ll email you if and when any changes are made.
SMCG Focuses on revitalizing practices to achieve organizational transformation and sustainable growth.
Healthcare practices today are operating in a challenging, highly competitive, and constantly evolving environment. This demands clear organizational vision and a laser-focus on process and maintaining the bottom line.
Justin Sullivan
Justin Sullivan, managing director of the Sullivan Management & Consulting Group, has worked in the healthcare industry since 1997. As a Senior Health Care Executive, CEO & Practice Administrator he has over 16 years of experience managing and revitalizing practices nationwide.
Justin has built a reputation for building industry-leading, highly-profitable organizations. The Sullivan Management & Consulting Group leverages his extensive background leading ophthalmic practices with an analytical, data-driven approach to decisions on staffing, providers, locations, and equipment.
Justin has earned a reputation for consistently building industry-leading and highly-profitable organizations.
KEY STRENGTHS / COMPETENCIES
Unique solutions provide extraordinary results.
Practice Transformations & Turnaround Operations
Strategic Acquisitions & Integrations
Facility Openings & Expansions
Marketing Research & Program Development
Quality & Value Improvement
Partnership Development
Budgets, Pro Forma Financials, P&L Management
Credentialing
Practice Transformations & Turnaround Operations
Healthcare practices can all too easily fall into a cycle of bad organizational habits which stunt growth and prevent opportunities. Through our unique approach, we help organizations correct those bad habits and implement new services and revenue streams, as well as the structure for ongoing sustainable growth. Whether you are looking to improve your existing practice, push for growth, or position your business for private equity or merger, we can develop and implement the processes that will drive your practice to success.Service Highlight
Medical Billing Solutions
You work hard to balance the demands of medicine and business. It’s no easy task ensuring your practice delivers quality patient care, higher productivity and increased cash flow, all while trying to comply with ever-changing regulations and payer guidelines. The Sullivan Management & Consulting Group can help. Our medical billing service is a hassle-free business solution for physician practices of any size. The full range of our practice management solutions will liberate your staff from tedious physician billing and remittance tasks, allowing you to focus on patient care and practice growth. We will work with you and your team to create a solution that best suits the needs of your medical practice.
Complete practice management and physician billing solution:
- eliminates all charge entry, claim submission, payment posting and much more
- Claims submission and tracking helping ensure timely payment
- Remittance advice posting, including EOB scanning and payment verification
- New payer rule development helping to monitor changes and keep payments on track
- Advanced claim scrubbing resulting in clean claims the first time
- Fully customizable reports available 24/7 in real-time, providing in-depth visibility into practice performance and trends
A Comprehensive Solution for Healthcare Provider Verification of Credentials
- Initial Credentialing and Recredentialing
- Provider Enrollment
- Hospital and ASC Appointment and Reappointment
- Negotiating and Renegotiating of Payor Contracts
- Establishing and maintaining NPIs
- Establishing and maintaining CAQH
- Reporting Demographic and Tax ID Changes
- Reporting of Expiring Certifications, Licenses and Liability Insurance
- Record Keeping of Continuing Education
Service Highlight
Credentialing
Provider credentialing is the process of organizing and verifying a healthcare provider’s professional record. Provider contracting (or provider enrollment) is the process of linking healthcare providers to a healthcare panel so they will be reimbursed for services rendered. With over 15 years of credentialing and provider enrollment experience, we understand the importance of how credentialing impacts your bottom line. Whether you are starting your own practice or just simply in need of assistance in managing relationships, we can make these tasks easier and more efficient for you. Allow us to remove the headache out of the most complicated, sensitive, and error-prone process in healthcare administration.
Our services provide initial credentialing and recredentialing for numerous specialties across the medical spectrum. Our healthcare clients include medical doctors, nurse practitioners, physician assistants, physical/occupational therapists, as well the credentialing and provider enrollment of ambulatory surgery centers (ASCs).
In the past 15 years we have completed thousands of appointments and reappointments for hundreds of hospitals and ASCs across the country. With the extensive knowledge of NPPES, Medicare/Medicaid, NPDB, OIG, NCQA, and JCAHO accreditation services, our goal is to streamline your onboarding process and enhance the profitability of your healthcare organization so that your practice can become a leading healthcare provider in the community.
Our services provide initial credentialing and recredentialing for numerous specialties across the medical spectrum. Our healthcare clients include medical doctors, nurse practitioners, physician assistants, physical/occupational therapists, as well the credentialing and provider enrollment of ambulatory surgery centers (ASCs).
In the past 15 years we have completed thousands of appointments and reappointments for hundreds of hospitals and ASCs across the country. With the extensive knowledge of NPPES, Medicare/Medicaid, NPDB, OIG, NCQA, and JCAHO accreditation services, our goal is to streamline your onboarding process and enhance the profitability of your healthcare organization so that your practice can become a leading healthcare provider in the community.
YOU FOCUS ON PATIENTS.
LET US WORRY ABOUT YOUR MEDICAL BILLING
Our mission is to be your practice’s secret weapon. No healthcare provider has all the pieces they need to implement successful internal processes, increase new patient volume, and grow at a sustainable rate. Our goal is to partner with your business to allow your team to leverage our experience and knowledge of practice management to help your business grow.
