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Frequently Asked Questions
 
 
 
I think I need some consulting help, but I’m not sure exactly what I’m looking for.  Do I need to have a specific plan in mind before I call you?
Not at all. Just pick up the phone or drop us an e-mail, and we’ll be happy to talk with you informally about your situation and suggest alternatives for structuring a consulting engagement.
 
     
 
How are your fees structured, and how much will it cost us?
Our fees vary based on the scope of work we are engaged to perform, and are competitive with those of other companies providing hospitalist consulting services. We typically propose a single fixed fee for professional services so that you and we both know up front how much the engagement will cost. The only other costs to you will be out-of-pocket expenses associated with travel and document production.
 
     
 
How long does the entire consulting process take, and how far in advance do I need to engage you?
Once you have engaged us we will (usually within just a few days) work with you to establish a mutually convenient date for our site visit. Our calendar varies such that we can sometimes be available to visit within a couple weeks of engaging us, but at times we are booked as far as two or three months out. Once the site visit is scheduled, we will ask you to send us reports and other information, and to begin working with the calendars of those we will need to meet with. We have found these things take most of our clients two to four weeks to complete. We submit our report approximately four weeks following the site visit. So the typical engagement will last two to three months from start to finish. 
 
     
 
I don’t need a full consulting engagement, but just want to run something by you. Can I pay you by the hour for your advice?
We don’t usually provide services on an hourly basis. However, if you have an issue and just want to discuss it informally with someone, we’re happy to talk with you once or twice by phone at no charge. If your issue is too complicated for a brief informal phone conversation, we’ll let you know and suggest alternative ways for you to address it.
 
     
 
We need someone to come assess the clinical quality of care provided by our hospitalists. Do you do that?
No, our consulting services are generally limited to operational and practice management issues. However, we can often suggest alternative resources to help you obtain services we don’t provide.
 
     
 
I’m concerned about potential conflicts of interest. What other organizations are you associated with?
Nelson Flores Hospital Medicine Consultants is privately owned by John Nelson and Leslie Flores, and has no other owners, investors or subsidiaries. John Nelson is employed as a hospitalist and medical director of the hospital medicine practice at Overlake Hospital Medical Center in Bellevue, WA and is on the advisory board of IngeniousMed, a software company that provides charge capture and practice management software for hospital medicine practices. Leslie Flores works part time for the Society of Hospital Medicine as director of its Practice Management Institute.

We’ll be happy to let you know about any current or former clients we’ve worked with in your market area, so that you can decide if our work with others poses a potential conflict of interest.
 
     
 
We need someone to conduct a coding audit and provide documentation and coding training. Do you do that?
No, we don't personally provide coding audits or education, but we can refer you to a variety of resources to help you achieve these goals.
 
     
   
 
       
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