Pacific HealthWorks, LLC

 

Our Services

What we do for you

As healthcare constantly evolves, PHW identifies the needs and opportunities of our clients to develop efficient solutions that improve the hospitals and communities we serve.

Reporting and Analytics

Reporting and Analytics

  • Dashboard Analytics & Reporting Toolkit (DART)
  • DART is our proprietary and customizable in-house reporting platform. The key metrics and benchmarks reported help drive critical data-based decisions for our clients

  • STATHealth
  • STATHealth, our Practice Management platform, is a one-stop shop for providers to easily access all critical resources 24/7/365 via their computer or smartphone

Physician Support Services

Physician Support Services

  • Scheduling
  • Our internally developed scheduling program is utilized by our scheduling professionals to create efficient and fair schedules

  • Credentialing
  • Our experienced credentialing professionals obtain, verify, and assess the qualifications of all providers. This creates a more efficient credentialing & privileging process with Medical Staff Offices

Revenue Cycle

Revenue Cycle

  • Billing & Collections
  • Our billing partner processes accurate medical bills in a timely fashion and performs diligent follow-up with patients and payors

  • MIPS Management
  • We focus on quality, improvement activities, cost, and promoting interoperability for desirable scores whether submitting by individual or by practice

  • Early Out Program
  • This early intervention, incorporated with a customer-oriented approach, leads to fewer accounts sent to collections

Practice Management

Practice Management

  • Compensation Management
  • We accurately oversee and process payroll and reimbursement for W2s and 1099s

  • Contract Management
  • Our team reviews provider agreements, vendor agreements, payor agreements, & assists in contract negotiations

  • Corporate Management
  • Our team assists with entity formation, maintenance, & consultation

  • HR and Legal Support
  • We develop employee policies, handbooks, & compliance programs. Our team closely monitors employment labor laws, litigation, & training and education programs

Value-Added Program Management

Value-Added Program Management

  • In-House Encounter Application
  • This internally developed program allows our providers to capture, track, & properly document all in-house encounters for accurate billing

  • Continuing Medical Education (CME) Program
  • We are accredited by the California Medical Association to offer CME, one of the few internally run and managed programs in California

  • RECOVER Patient Satisfaction Program
  • We developed this program to drive more positive patient satisfaction responses, perform real-time service recovery, and produce higher contracted survey scores

  • Ultrasound Program
  • Using a mobile ultrasound tool, we can maximize additional revenue and improve outcomes

  • Clinical Education Platform
  • Within STATHealth, we offer providers clinical protocols, flowcharts, procedures, presentations, & podcasts. In addition, PAs and NPs can access our Advanced Practice Practitioner Academy

  • Website Design and Maintenance
  • Our developers build and monitor clients’ websites to increase digital media presence, generate leads, & convert website traffic into clients

Financial Services

Financial Services

  • Accounting
  • Our dedicated AR and AP teams calculate provider reimbursement, draft expense reports, & provide extensive pay letter metric breakdowns

  • Financing
  • Our team can work with various banking institutions to review and analyze various financing options

Risk Management

Risk Management

  • 14 Point Risk Management Program
  • Our comprehensive 14 Point Risk Management Program is second-to-none in the industry. Some of the elements are listed below

  • Chief Risk Officer
  • Our dedicated full time Chief Risk Officer handles and manages all parts of our organization’s risk program

  • Complaint Management
  • We enable immediate acknowledgement and response to any patient or service-related complaints

  • Quality Improvement
  • Outstanding quality care is integral and at the forefront of everything we do. We see efficiency and safe care as necessary friends of quality

  • Continuing Education
  • We offer continuing education and CME opportunities to all our providers

  • Regulatory
  • Our program complies with county, state, & federal regulatory agencies and guidelines

  • Claims Management
  • We are a self-insured organization, effectively managing our claims and related risks

Ancillary Services

Ancillary services

  • Scribe Program
  • Our Scribe Program allows real-time documentation of patient encounters, improving efficiency and quality of patient care