> Administrative Services
We strive to build and maintain a satisfied patient population while continuously enhancing the services we deliver to our provider membership.
ProHealth At A Glance: Administrative Services:
ProHealth’s Administrative Services include:
- Marketing
- Finance
- Human Resources
- Billing Services
- Technology
- Facility Development
- Risk Management Services
- Legal Services
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Marketing
We believe that the most important relationship is with our patients. In today’s
health care system, patients are often faced with switching health plans, adjusting to new benefits and products, increasing out-of-pocket expenditures, and sometimes even changing physicians. At ProHealth, we strive to build and maintain a satisfied patient population while continuously improving our services and capacity to attract new patients and providers to our practice.
The ProHealth organization actively promotes our practices to consumers, health plans, employers, and other physicians. ProHealth’s current roster of marketing initiatives includes the participation in:
- key sponsorships of community-based events
- specialty-specific advertisements
- brochures and communications
- electronic patient newsletters
- our website: www.prohealthmd.com
Our marketing strategy focuses on the importance of developing a branded reputation for providing our patients with excellent clinical care, superior customer service, and access to affordable care.
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Finance
ProHealth’s finance team provides a comprehensive set of services to our physician membership. These services include:
- detailed monthly practice financial and enterprise reporting
- cash management
- accounts payable and payroll processing
- local, state, and federal tax compliance & administration
- practice site and enterprise budgeting and reporting
- management of ProHealth’s compensation system
Our team is always available and is often called upon to assist our practitioners with financial questions and scenario planning.
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Human Resources
Our Human Resources Department’s objective is to create a competitive advantage by providing innovative and cost-effective solutions to human resource management issues. Our professional staff consults with practices on a wide variety of issues, leads the process of negotiating and purchasing health and benefit plans, and provides access to a well-designed pension program.
Additionally, the department ensures compliance with laws and regulations that impact human resource systems and support the administration of other business insurance policies. Together with the Human Resources Committee, the team works on key policy and employee benefits issues, and consults with individual providers to address specific needs.
For more information about ProHealth’s Human Resources, visit Career Opportunities.
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Billing Services
ProHealth’s billing operation focuses on ensuring that claims are paid accurately and quickly while providing high quality customer service to our patients. We are available daily from 8:00 a.m. to 5:00 p.m. by calling (860) 284.5200 (select option one), to consult with one of our Customer Service Representatives on concerns you may have regarding the intricacy of submitting your bills and obtaining the proper payment.
We pride ourselves in our payment turn around time, which exceeds industry standards. This allows us to notify our patients timely if we experience any difficulties with your insurance.
If you are a new patient to a ProHealth practice you may wish to complete some of the required paperwork prior to your arrival at the practice. You can access the Adult, Pediatric, or Family Billing Information Sheet through one of the links provided below. Additionally, you may want to review our HIPAA Disclosure statement or check on the various insurance plans accepted by ProHealth Physicians, Inc.
*Please click on the following links for more information about ProHealth’s Billing Services:
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Technology
ProHealth is committed to implementing information technology that supports improvement in the delivery of medical services. Our information technology services improve access to data and facilitate communications that increase productivity, enhance reporting capabilities, and support information-sharing. Specifically, we deliver billing, communication, and business productivity applications over a company-wide network that connects each of our practice sites to our main office in Farmington, CT.
Our practice sites are supported by a dedicated technology team and IT Help Desk. Our support team interfaces with practice sites to install and support hardware, applications, network connectivity, and phone systems throughout our practice sites. The technology team also maintains the server in Farmington, which hosts the network and applications for our practice sites. We also manage off-site
disaster recovery facilities.
Key benefits of ProHealth’s technology function include:
- centralized purchasing
- HIPAA security compliance
- new product pilots
- customized applications & databases
- data backup
- disaster recovery tools
Our strategic orientation includes ongoing innovations and implementation of emerging technological solutions. Additional activities under development include:
- expanded intranet site
- data warehousing
- electronic health initiatives (clinical results reporting & electronic health records)
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Facility Development
ProHealth Physicians is committed to the development of state-of-the-art consumer-oriented facilities in the communities we serve. Our medical office facilities improve the efficiency of practice operations and offer access to laboratory, pharmacy, diagnostic testing, and rehabilitation services. Completed facilities have been developed in areas that are convenient to ProHealth practice sites in targeted service areas. Additional development opportunities in other ProHealth service areas throughout the state continue to be explored.
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Risk Management Services
ProHealth Physicians provides a comprehensive program of professional liability insurance and risk management services. Group liability coverage is negotiated at competitive terms and rates, based on the size and experience of the organization.
In addition to insurance coverage, a proactive and organized risk management program assists our physicians in identifying and mitigating potential liability issues. Knowledge gained is proactively shared across the group to minimize the risk of future occurrence. In the event of a claim, specialized defense attorney and knowledgeable in-house counsel manage the claim and support the physician.
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Legal Services
At ProHealth, we realize that the legal environment facing physicians can be daunting. The ProHealth legal department has a specialized expertise in health care and is available to assist our providers with a variety of legal issues such as:
- real estate or equipment leases
- service contracts
- investigations
- incidents that may occur in the practice sites
- complaints or subpoenas
- malpractice issues
- licensing issues
Legal assistance also includes support with corporate and regulatory compliance. Additionally, the legal department keeps our providers informed of any changes in the law that could impact their professional practice.
Below are important legal documents for your information:
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