Harrisburg Accountants Aid Healthcare Practices, Partnerships, LLCs, and Corporations

Detailed guidance on issues affecting efficiency, compliance and liability

Today more than ever, healthcare providers need reliable and sophisticated accounting services. As the U.S. population ages, the need for quality medical services increases. Yet, government programs, such as Medicare and Medicaid, offer less and less reimbursement. In addition, healthcare providers are under pressure to respond to myriad crises, such as COVID-19, the opioid epidemic, rampant obesity, heart disease, street violence, and mental health emergencies. As providers attempt to respond with competent and compassionate care, they face the specter of litigation in every patient interaction. These circumstances mean that healthcare providers are operating on narrower margins with little room for error, whether in their medical protocols or their accounting practices. At Breon & Associates, Accountants and Advisors in Harrisburg, PA, we believe that healthcare providers must optimize efficiency in every area to deliver quality care, maintain positive patient and public relations, retain talented practitioners, and turn a profit. We provide advanced accounting services that target areas of concern, such as billing and receiving, record maintenance, regulatory compliance, protocol compliance, fraud risk, mergers and acquisitions and litigation support.

Efficiency on the business aspects of patient care

It’s been said that the first rule of lifesaving is that the rescuer must survive. Applying that maxim to healthcare, patients can only receive quality care when the provider is fiscally healthy. Yet most healthcare providers focus all their attention on ministering to patients, letting business processes suffer. Unfortunately, when business processes degrade, so does patient care.

Breon & Associates can help you:

• Improve medical billing process
• Improve collections of amounts owed
• Facilitate reimbursements from private insurance and government programs

Greater efficiency means better cash flow, better maintenance of resources, and greater flexibility for strategic planning.

Compliance testing to reduce risk of liability

Healthcare is a heavily regulated industry, and the failure to comply with government regulations can bring stiff sanctions. But how meticulous is your organization about compliance? Are lax controls exposing you to potentially ruinous sanctions? And what about your patient protocols? Deviations from your published guidelines inevitably result in substandard care and allegations of malpractice. But do you know how closely your staff follows your practice guidelines? For example, glossing over surgical protocols could result in errors—known as “never events,” because they should never occur in a professional setting—which harm patients, damage reputations, place licenses in jeopardy, and expose organizations to costly liability. Breon & Associates can perform a range of compliance audits to determine who closely your staff follow rules and requirements.

Fraud risk assessments to pinpoint vulnerabilities

Healthcare providers are target rich environments for fraudsters for a number of reasons. First, they are virtual warehouses for high-value equipment, supplies and pharmaceuticals which can be resold on the black market. Secondly, healthcare organizations participate in government programs, such as Medicaid and Medicare, which are notorious for lax fraud controls. Fraud in billing takes many forms, such as billing for services not performed, double-billing and charging for name-brand meds when generics are dispensed. Thirdly, pharmaceutical companies pressure prescribers to violate regulations of the Food and Drug Administration, offering pricey inducements and kickbacks. If your prescribers are implicated in such schemes, the consequences can be severe.

Our accountancy team can assess your fraud controls to determine your level of risk. We can recommend best practices for deterring fraud at every level. We can also investigate suspected fraud and compile the evidence you need to pursue the appropriate remedy.

Due diligence to support growth through asset acquisition

If your organization is looking to grow by acquiring a facility or medical practice, Breon & Associates can conduct a detailed analysis of that asset. We have experts in business valuation who can review records to ascertain just who much an asset is worth.

Litigation support for insurance disputes and malpractice claims

In our litigious society, healthcare providers are an easy target for patients disappointed in their health outcomes. These controversies often lead to legal disputes with insurance carriers and malpractice litigation. When potentially costly disputes arise, Breon & Associates can support your litigation with accurate damage estimates and even appear in court as expert witnesses on that issue.