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Risk Management Evaluations
HMS offers a World of difference in reducing your Dental Practice’s Risk Management. We try to provide healthcare professionals with the latest academic and business information. Our clients highly respect and appreciate “peer-review” and recognize HMS’s dedication to helping them with their healthcare facility’s risk management efforts. We have a team of professionals, specialists from each discipline we serve—dentists, physicians, and business management; their combined years of teaching and professional experience contributes to our expertise and credibility. Furthermore, these professionals understand firsthand the healthcare provider’s business and ethical concerns. We look forward to being of service to your organization.
EVALUATION OF DENTAL PRACTICE’S STATE OF AFFAIRS
HMS will need to review the following:
- Billing Practices: identify missing/overlooked procedure codes.
- Credit practices: identify additional means of offering credit access to patients to maximize approval of treatment plans.
- Telephone practices: identify telephone techniques and recall practices.
- Evaluate existing marketing efforts and their results. Identify patient demographics.
- Examine insurance verification practices to identify deficiencies.
- Examine patients’ treatment planning presentations’ techniques.
- Evaluate patients’ credit financial assistance options.
- Evaluate current financial policy, or if there is none; create a written clearly defined financial policy.
- Review Personnel Files to verify required staff’s credentialing documentation.
- Revise and update existing written Job Descriptions.
- Evaluate staff utilization levels, to determine under or over utilization levels, and to ensure that the practices adhere to the require Florida’s Board of Dentistry’s regulations.
RISK MANAGEMENT PLAN
1. Improving profitability will be accomplished by implementing sales incentives to the entire staff to generate additional income from sales of treatment plan, cosmetic dentistry procedures and/or dental hygiene product related sales.
2. Improving aging account receivables and improving collection practices.
3. Ensuring that co-payments are collected when treatments are provided. The coordination of collection practices must coincide with completion of treatment, or prior to insertions of prosthetic appliances.
4. Introduce new revenue producing services and products to improve practice’s profitability.
5. Introduce specific and uniform dental documentation practices to improve Risk Management practices reducing liability risk and improving dental communications at all levels.
2. Create an organizational chart to visually represent the chain of command and administrative responsibilities of every staff member.
3. Create specific job descriptions to define delegable task to technical staff as defined by Florida’s Board of Dentistry; and require strict compliance which will be enforced through the Personnel Policy Manual Policy and Procedures.
4. Organize scheduling practices to significantly improve human resources utilization.
5. Conduct monthly general staff meetings.
6. Conduct administrative weekly meetings to review productivity, collection, marketing, and other administrative issues.
7. Establish uniform and clearly defined dental documentation practices to be followed by dental professionals, to reduce liability risks and improve risk management practices, and to adhere to Community Standards of Practices.
8. Implement HIPAA Policies and Procedures and make sure staff understand them as they pertain to their individual responsibilities.
9. Create a Professional Practice Presentation Folder with the purpose to enhance the practice’s image, explaining and clearly demonstrating to patients all the dental professional’s credentials, expertise and type of dental services performed by the practice.
10. Create and/or revise the dental practice’s Personnel Policy Manual.
11. Introduce and/or revise HIPAA Policies and Procedures Manual and ensure that complies with the High-Tech Act or Omnibus Rule.
12. Create and enforce OSHA’s required Blood-borne Pathogen Standard.
13. Create and enforce OSHAs required Globally Harmonized System of Classification.
14. Create and enforce OSHA’s requirements under the General Safety Rule of having a Protocol to document Violence in the Workforce.
15. Create and enforce –for those covered practices—OSHA’s required Covid-19 Emergency Temporary Standard.
16. Create and enforce a Human Trafficking Protocol with clearly defined staff training, reporting and documentation procedures.
17. Create and enforce a Domestic Violence Protocol with clearly defined staff training, reporting and dental professional’s documentation procedures.
18. Create and enforce the Health Department, required Biomedical Waste Operating Plan, as per Chapter 64E-16, FAC, with clearly defined staff training, biomedical waste spills instructions and waste removal procedures.
19. Create a Facility Security Plan to comply with the new High-Tech Security Standards.
20. Create a Dental Documentation Risk Management Protocol.
21. Conduct HIPAA Staff Training.
22. Conduct OSHA’s Blood-borne Pathogens Standard Staff Training.
23. Conduct OSHA’s Globally Harmonize System of Classification Staff Training.
24. Conduct Chapter 64E-16 FAC Biomedical Waste Staff Training.
25. Conduct OSHA’s Covid-19 Emergency Temporary Standard Staff Training
26. Conduct Dental Documentation and Record-keeping Staff Training.
2. Implement “An Outstanding Sales & Service Award”.
3. Offer tangible rewards, such as: a) profit sharing, b) movie or dinner tickets, c) a day at a Spa, sales commissions.
4. Daily verbal recognition for a job well done and a “thank you” goes a long way in managing any business.
5. Introduce and constantly re-enforce the “Team Effort” philosophy, which can be accomplished by empowering employees; improving accountability thru the enforcement of Job Descriptions and improve morale issues by recognizing their efforts.
6. Conduct an initial Risk Management course to explain technical staff and particularly dental professionals the importance of some of the documentation changes, and new management systems.
2. Weekly documentation audits from randomly selected patient’s files will show documentation deficiencies, dental diagnostic errors preventing and reducing the practice’s liability risk. This initiative will establish a constant reminder of accountability to required documentation practices, and community standards of dental practices.
3. Deficiencies will be addressed individually and in a professional manner–privately and with a dental professional and/or administrator professional’s presence–addressing issues with sensibility and tact, to explain required community standards of practice, and the sensibility of the practice’s liability exposure due to a multi-specialty dental practice.
- TO BE DISCUSSED BASED ON THE SCOPE OF SERVICES REQUESTED
- CONDITIONS: HEALTH MANAGEMENT SOLUTIONS expects a respectful professional and ethical behavior from the dental staff towards all of HMS’s officers, employees, and subcontractors. Likewise, we expect complete compliance from clients with all Local, State and Federal Regulatory requirements, after they have been brought to their attention. Failure to do this, will terminate our business relationship and contractual agreements effective immediately.
- A written service agreement is required