History and Company Focus
Practice Dynamics, Inc, PDI, was established in 1996 as the Management Services Organization (MSO) for LifeBridge Health. PDI provides comprehensive professional billing services for over 400 physicians and medical providers rendering service at Sinai Hospital and Northwest Hospital. Although currently PDI provides services solely to LifeBridge entities, PDI has a strategic objective to provide services to other organizations.
PDI excels in both primary care and multi-specialty billing. Specialties served include:
- Bariatric Surgery
- Cancer Institute Ophthalmology
- Cardiology Orthopedic Surgery
- Endocrinology Pathology
- Gastroenterology Pediatrics
- General Surgery
- Infectious Disease
- Intensive Care
- Internal Medicine
- Joint Reconstruction
- Limb Lengthening
- Pulmonary Medicine
- Rehabilitation Medicine
Facilities, Staffing and Organizational Structure
Our main office is located in Reisterstown, Maryland, on the northwest side of Baltimore. PDI has over 16,000 square feet of space specifically designed to support the most effective and efficient billing services and allowing for future growth.
PDI has over 60 employees who are highly specialized in billing, coding and compliance. Staff is organized into billing and reimbursement and compliance teams with directors responsible for each team. Teams are comprised of Professional Billing, Reimbursement and Compliance Directors and Managers, Claims Processors, Payment Posters, Senior Recovery Specialists, Recovery Specialists, Quality Analysts, Training Specialist, Reimbursement Analysts and Coders. Teams are designed to support specialties and to provide single point of contacts to the practices.
Billing Hardware and Software
PDI utilizes the IDX Xtend for billing which is a very high end billing system that easily handles the almost 200 current providers and will support future growth. This product operates on an Alpha platform. IDX modules being used include Scheduling 8.4, Billing and Accounts Receivable (BAR) 8.4, Paperless Collection System (PCS) 8.4 and Anesthesia Module. PDI also uses Ingenix's Claims Manager editing software to monitor claims data for compliance with federal and state billing regulations and to prevent submission of "non-compliant" claims to the payors.
Coding and Compliance
PDI provides coding and compliance services to our practices. Services provided include E & M training, ICD-9 training, Compliance Audits of provider documentation and billing and Quality Audits of professional billing staff performance.
PDI's Training Specialist trains PDI staff to ensure highest level of performance in all billing applications and modules. This specialist is the training liaison between PDI and the practices. Additional training is provided in stress management, customer service and all MS Office applications.
Specialized Programs and Services
Collection Rate Setting: Determine the amount of cash you should be collecting.
Quality Assessment: Identify that associates are doing a quality job.
Payment Accuracy Reporting: Assess if you are collecting the right amount of cash.
Billing Rejection Reporting: Monitor the reasons you are not being paid and take action.
Incentive Program: Motivate staff to achieve the best collection rates possible.
Encounter Form Updates: Provide a tool with current data to support correct coding assignment.
Billing Edit and Claim Form Logic Updates: Develop editing systems to avoid billing errors.
Staff Organized by Specialty and Payor: Develop team focused on improving the revenue cycle and provider central point of contact to the practices.
Work Load Measurement: Monitor productivity.
Billing Audits: Identify and resolve the reasons you are not being paid and ensure you are paid accurately.
Provider Compliance Auditing and Training: Assess if your providers are coding compliantly and achieving the highest level of reimbursement. PDI Compliance staff audit and train providers on the complex reimbursement issues that are facing provider practices today.