A brief overview of our healthcare, economic development and financial planning services is listed below. Please contact us at 541-504-4139 to learn more about the full range of consulting services we offer at Face Rock.
– Our core team of experts has over 105 combined years of experience serving tribes and their enterprises.
– Our team has provided insurance to tribal enterprises ranging from C-stores and smoke shacks to casinos, sawmills, technology and manufacturing.
– We offer a deep understanding of the coverage needs associated with these enterprises.
– Face Rock Enterprises is an exclusive distributor of Benefit Alliance Trust to Native American and Alaskan Native Tribes. View PDF>>The HBA Trust HBA – Native
– Insurance Provider Contract Review & Negotiations
– Fee schedule/charge master analysis
– Revenue improvement
– Revenue cycle review and strategic plans
– Reduction in claims errors
– Staff training programs
– Insurance 101 Training
– Systems review and recommendations
– Quality initiatives
– Certification
– New business development
– Assistance with life safety code and new hospital builds
– Best practices implementation
– Disaster plans
– Policy and procedures
– Premium sponsorship plans for Medicare and ACA
– Call Centers
– Streamlining Contract Health/PRC process
– Compliance Issues
– Preauthorization training to ensure optimal reimbursement
– Integration into school programs, maximizing Medicaid OMB rate
– 813 Resolutions
– Adding Programs and Pharmacies
– 340B Pharmacies
– 105 (L) Leases
– Small Ambulatory Program (SAP) Grants
– Quality Assurance/Quality Improvement
– Negotiate Annual Funding Agreements
– Create and Modify Scopes of Work
– Negotiate outside laboratory contracts
– Negotiate provider commercial insurance contracts/reimbursement
– HIPAA Training
– Tribal Management Grants
– Provider documentation training
– Assistance with various vender contract negotiations
– Turn-key operations for billing
– Claims denial management
– Insurance eligibility check
– Insurance Discovery for patients indicating no payor source
– Skip Trace Address search
– Commercial claims billing
– Medicare claims billing
– Medicaid claims billing
– Workers Comp billing
– ACA billing
– Provider contract review and negotiations with insurance carriers to become in-network
– New applications to Medicare, Medicaid, and commercial carriers
– 3.5 – 5.5 percent of collections fee
– Certified coder(s)
– Medical, Chiropractic, Vision, and Dental claims
– Assistance with CHEF cases
– Training or augmentation of staff for billing
– Specialize in Tribal billing nuances
– Fee Schedule review and updates
– Provider E & M code selection training
– National/Local Coverage Determination (NCD/LCD medical necessity) training for staff and providers
– Assessment of goals
– Design Native specific programs for Tribal Members
– Assist the Tribe with debt management to increase cash flow
– Program implementation and ongoing service
– Planning and goal setting
– Assessment of goals and project evaluation
– Assistance in securing financing
– Project management
– Medicare Like Rates (MLR)
– Contract Health Emergency Fund (CHEF)
– Payor of Last Resort
– Contract Health Services (CHS) Subrogation
– 340B Prescription Drug Pricing