Heartland Women’s Health Care, P.C.

The Situation

A Kansas City based medical group had experienced a decline in revenue and cash flow due to lower insurance reimbursements and rising and unbudgeted operational costs. The decline had resulted in months where the physician owners often had to go without paychecks so there would be cash flow for paying overhead costs.

The Solution

Fulling focused on:

Worked with the medical office as a team to identify areas of cash flow drain and looked for areas to generate additional revenue.
We developed an incentive-based pay system for the physicians that resulted in positive cash flow as well as payroll bonuses rather than check-less paydays.
We identified areas to leverage the physicians time appropriately to allow them to generate more revenue while working more efficiently.

The Results

The medical group recently moved into a brand new leased facility and purchased a state of the art medical billing system without incurring additional debt. Payroll bonuses are a common occurrence and income and expenses are budgeted and properly managed.

Lisa McCoskey, Office Manager, Heartland Womens Health Care, P.C.

"In 1996, Rusty Fulling was called in to do an in-depth study of our practice. Using his financial background and objectivity, he analyzed everything from cotton balls to malpractice insurance and developed a plan to control costs. Our increased profitability was a direct result of his knowledge and efficiency. Now, our practice has a long-term relationship with Fulling Management & Accounting, and Rusty is instrumental to our success. He has restructured our physician compensation plan, helped get financing for malpractice insurance, and recommended medical management software. Rusty doesn't shy away from difficult situations; he is willing to make the right decision even when it is not popular. Rusty is just flat out honest. I never wonder what he is really thinking. You just trust somebody like that. At the same time, he has developed a great rapport with our physicians, who rely on him for business advice. He's allowed them to practice medicine.

Rusty proved to them that we can give good patient care and still be financially successful."

James Morgan, D.O., Heartland Womens Health Care, P.C.

"Rusty Fulling is not a typical accountant. He goes above and beyond what you would expect. In addition to managing our general accounting, he has helped us develop our Web site, evaluate our computer system hardware and medical management software, choose vendors, and recruit new physicians. Rusty crunches numbers for the bottom line and bases his recommendations on facts. He helps us understand the impact of our choices and make better-informed decisions. By helping us get quality products at reasonable prices, he has saved us a lot of money. Rusty is extremely conscientious and caring — I can't say enough nice things about him. Rusty wants to see his clients succeed.

He takes a personal interest in our practice and will do anything he can to help us succeed."

Patricia Mooney-Smith, M.D., Heartland Women's Healthcare

"Fulling Management have been working with us for nearly ten years, and they have made an amazing difference in our medical practice. As physicians, we weren't necessarily business-minded, but Rusty has coached us to think more like a business and shown us how to run our practice like a business. For example, he set up a computer system to streamline our billing procedures. Now, all of us are more cognizant of the importance of charge slips. He also improved our long-range planning, which helped us curb costs and reduce debt.