
Accounting Services
Efficient, accurate record keeping is an essential ingredient to the success of any business enterprise. As owners and managers, you are well aware of the importance of an adequate financial record keeping function that will allow you to plan, monitor, and control your business activities.
Record keeping and accurate reporting are also necessary to meet the demands of government regulatory agencies, banks and creditors, insurance companies, and other third party users. At HORNE LLP, our approach is to assist you in determining the management information you and/or third party users of your records will require. We'll structure your reporting system tailored specifically to meet your needs. In other words, we'll start with the output you desire to determine the input.
We offer a variety of services you can choose from including:
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Bookkeeping (Tax planning and consulting)
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Performance Measurement (Audit and assurance services)
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Budgeting and profit planning (Business and consulting services)
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Cost accounting, internal controls, record retention
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Cash/working capital management
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Investment analysis
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Payroll processing and Tax filing
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Claims
The process for adjudicating medical claims has grown increasingly difficult in recent years. At the same time, many health care organizations have entered risk sharing agreements and assumed claims management responsibilities.
HORNE Health Care Services has developed a diagnostic examination of the claims paying process. This special procedure audit, which can be modified to your own specific needs and interest, is designed to test the following areas:
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Accurate handling of claims from the entry point into the organization through the termination point (payment, denial, appeal, etc.).
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Proper administration of reinsurance, coordination of benefits and subrogation.
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Eligibility management.
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Proper calculation of incurred but not reported claims (IBNR).
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Appropriate internal controls related to the claims payment process.
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Effectiveness and capacity of claims payment system.
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Effective support of contracted providers by the customer service function.
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Whether you are performing these functions internally or using a third party, an independent review of this process can be very valuable. HORNE Health Care Services has the experience to analyze your claims adjudication process.
Fee Schedules
Are you receiving full market value for your medical services? A fee schedule analysis can
help you answer "yes" to this question.
The professionals of HORNE Health Care Services can analyze your fee schedule based on current third party reimbursement, relative value scales, market value of your services, and other factors. After a thorough analysis, you will receive a report on our recommendations for adjustments to your fee schedule, which will more accurately reflect the market value of your services. These recommendations will assure consistency of pricing and closely follow third party reimbursement methods. We can also estimate the financial impact of the implementation of our recommendations based on your current and projected payor mix.
NCQA
What is NCQA certification?
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Why should a physician organization pursue NCQA certification?
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HORNE Health Care Services
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What is NCQA certification?
NCQA is the fast becoming the gold standard in the health care industry for evaluation of health plan quality and performance. Its accreditation program has recently been extended to include physician organizations, with two stated goals:
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Efficiency – a streamlining of the annual provider review process by managed care organizations. A NCQA certification review takes the place of numerous reviews conducted by individual health plans.
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Accountability – identification of areas within physician organizations on which to focus future quality initiatives. The NCQA certification process includes a practice review, which will highlight ways to deliver better care and service.
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Why should a physician organization pursue NCQA certification?
NCQA certification gives providers the following benefits:
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Demonstrable quality
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Identification of potential areas for improvement
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Strategic advantage with managed care organizations
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Greater efficiencies through reduced paperwork and administrative efforts
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Elimination of need for multiple managed care organization reviews
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Refocus of clinical staff on delivery of care and service
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Adds credibility to compliance program
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HORNE Health Care Services
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Organizational assessment to determine readiness for the certification process
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Identification of potential areas of certification and establishment of timelines for completion
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Preparation for the survey through record review, staff training, data collection and administrative preparation of survey presentation
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Implementation of a "mock survey" as a training exercise
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Participation in the certification survey to insure accessibility and accuracy of data to maximize the opportunity for a successful outcome
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Strategic Planning
A Strategic Plan helps your organization define its direction in an ever-changing environment. Strategic planning empowers you to take control of your future by setting goals and objectives and following them. HORNE Health Care Services can help you develop and navigate a path for change and growth by engineering a tailored strategic planning process that includes:
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Customized stakeholders' questionnaire
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Internal environmental analysis
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External environmental analysis
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Mission, vision and values statement development
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Education / Kick-off meeting
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Retreat facilitation
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Post-retreat consultation
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Building consensus and focus within your organization is vital to future success. By facilitating an off-site retreat with your physicians, stakeholders and administration, we can assist you in addressing difficult issues, identifying opportunities and moving ahead progressively to compete in the marketplace of the future.
We follow up the retreat with a detailed Plan of Action that serves as a guide to keep you focused on your goals. As the market continues to change, you will have to be agile to capture new opportunities. While the Plan is a future blueprint, it does have to be flexible enough to meet the demands of the economy. Therefore, we also recommend a six-month follow-up consultation to review the status of the plan, make needed changes, and move forward with continuing implementation.
Tax Planning and Consulting
In today's economic atmosphere, you can find income tax services virtually anywhere. Yet, often you need more than just basic tax preparation services. You need someone who will help you achieve your financial goals through planning.
At HORNE LLP, we understand that tax planning is a year round job. Our goal is simple, saving your hard-earned dollars from unnecessary taxation. Our tax experience extends over a wide spectrum of industries. Although many of our tax professionals concentrate on specific taxation areas to develop specialized experience, we emphasize teamwork when solving your needs.
Keeping up with the changes in the tax laws is a job we take seriously. At HORNE LLP, we constantly assess the potential impact of major tax law changes, not only in the compliance area, but also in our tax planning so you can take advantage of the tax savings. With access to national and international resources, we are also able to extend our services in areas such as international tax services and legal assistance in Washington, D. C.
We offer a wide variety of tax services which can be tailored to your industry including:
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