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  • To improve our patients' experience of care (including quality and satisfaction);
  • To improving the health of the populations we serve; and
  • To reduce the overall cost of healthcare
     
The Group was established fifteen years ago with the purpose of preserving the institution of private physician practice.  Our success is predicated on a simple physician-management model; practices are afforded the advantage of economies of scale for front and back office practice management services so physicians and their staff can focus on providing high quality patient care.  Practice management services are provided through an agreeement with Regional Women's Health Management (RWHM), a full service practice management services company. 

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RWHM has built a successful practice management infrastructure model for its client practices, which includes negotiating enhanced managed care contracts, faster and more efficient centralized billing and collection processes, specialized coding and compliance services, risk management compliance programs, competitive malpractice insurance premiums, access to the latest advancements in technology, electronic medical records, and more.

For Physicians

Regional Women's Health Group is a group practice of outstanding women's healthcare providers throughout New Jersey who have partnered together to achieve the Triple Aim in Healthcare:

Become a part of the Regional Network: (856) 669 - 6050

Centralized Services Provided to All Member Practices
IT Management

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The world of technology changes daily; the expertise required to manage constantly changing, complex computer systems and networks falls outside the core capabilties of most practices.  As a result, Regional provides IT management services to all of its member practices at no additional charge.   Our qualified technicians, developers, and IT help desk personnel are available M-F (and in emergency cases) to provide comprehensive remote connectivity capability or on-site technical assistance.   Our IT staff is certified to provide installation, maintenance, and training on the following components of a practice’s IT infrastructure:

 

  • Computer hardware

  • All Regional approved and installed software

  • Enterprise Practice Management and EMR software

  • Network connectivity

  • VPN / remote connectivity to office systems

 

Regional Women’s IT training center provides training through a variety of methods and modalities including hands-on classroom, video conferencing, and on-site training for the following computer applications which are provided to our practices:

 

  • eClinicalWorks practice management and EMR system training

  • Office suite training

  • Internet based payroll system

  • Coding and compliance training

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Value-Based Contracting
 

Insurance contracting is moving from a traditional fee-for-service model to a value-based system; Regional Women's Health Group is prepared for the transformation.  Regional has invested in data analytics tools and resources to demonstrate low-cost, high quality care opportunities for patients and insurance companies who fund this care.  Our data analysts and IT developers are among the best in the practice management industry.

 

Regional handles all aspects of managed care contract negotiations for all member practices.  Regional Women's Health Group participates has also been selected to participate in many major health plans' value-based contracting arrangements.

 

 

 

 

Billing Services

 

Managing medical billing effectively is an art that requires a refined level of professional expertise and persistence.  Member practices receive the highest level of service from trained, experienced staff.  Regional billers are knowledgeable about the entire practice revenue cycle, from charge entry to multiple level claims appeal. 

 

We boast the best statistics in the industry:

  • Average collection time of 18 calendar days in A/R

  • Average net collection ratio of 98% after contractual adjustments

 

Accounting / Payroll

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Regional practices are provided with routine accounting services - ranging from bill pay to balancing a practice's books.  Practices receive  monthly financial statements and productivity reports which tie back to the IT Practice Management/ EMR System.   The accounting department is also responsible for payroll processing for over 800 employees within our affiliated practices, and provides a custom online payroll system for employees to easily access their own records at any time. 

 

Accounting services include:

 

  • Productivity reporting

  • End of month and end of year financial statement reporting

  • Attractive financing rates

  • Accounts Payable / Bill Pay Services

  • Payroll processing

HR Management

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Member practices enjoy the benefit of access to an experienced staff of HR professionals. The labor environment is becoming increasingly more complex; mistakes or non-compliance with old and new laws can be costly.  By allowing Regional to manage these processes, you can rest assured that your practice will be in compliance.

 

HR Services include:

 

  • Physician recruitment

  • Mid-level practitioner recruitment

  • Provider employment contracting

  • Employee hire and fire processes

  • Legal advisement on employee issues

  • Benefits administration

  • Employee handbook

  • Procedure and policy manuals

  • OSHA / HIPAA compliance

  • FMLA administration

Coding Compliance

 

Regional's compliance department is committed to maintaining the highest standards of adherence to State and Federal coding guidelines.  Our Ob/Gyn certified coders and Compliance Officer are committed to:

 

  • Developing standardized policies and standards of conduct, which encourage a commitment to "doing the right thing"

  • Ensuring compliance with laws and regulations and thereby avoiding added cost for noncompliance

  • Ensuring that the organization meets its regulatory and contractual obligations.

  • Evaluating the future impact of regulatory and other industry proposals and initiatives

  • Preserving the level of integrity that Regional is known for, including patient safety and quality of care by maintaining effective internal controls which promote adherence to legal and ethical standards

  • Preventing, detecting, and responding to issues of noncompliance with state and federal laws and to organizational policies and standards

  • Providing education on standards, guidelines and coding initiatives including ICD-10

  • Providing on-going support to solidify documentation and coding standards.

  • Serving as resources for guidance about compliance and ethical issues

  • Supporting the organization in making business decisions that include communication and training on rules and the establishment of ethical standards

Credentialing
 

All practices affiliated with Regional have access to an experienced credentialing and payer relations team which ensures your transition into the Regional organization is as smooth and seamless as possible. We work on your behalf to make sure the insurance companies have complete, correct information on your practice’s providers.

 

Regional has built strong relationships with all of the major carriers in New Jersey which allow our staff to expedite credentialing and billing issues in a timely manner.   Because we have direct contact with contract executives at the major carriers, we are able to identify and resolve billing issues before they become major roadblocks to receiving payments.   All credentialing and payer relations services are offered to our member practices at no additional charge.

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