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IPA Services

Southeast Physician Associates is a full-service IPA (Independent Practice Association). In order to provide our partners with the very best services, we’re continually responding to market shifts with solutions that make an impact in healthcare.

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Joining SEPA

Whether you’re a physician, managed care organization, or a healthcare professional, Southeast Physician Associates can bring improved efficiencies to your workplace. We’ve partnered with a variety of healthcare entities through the years.

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About SEPA

Our Mission

Helping our physicians and business partners achieve the success they deserve in an environment that promotes high quality healthcare.

Our Journey

Southeast Physician Associates is the culmination of decades of experience in healthcare and a sincere passion for what we do. Drawing from the experience of Gomez Medical Billing and Suncoast Medical Network—two esteemed entities that have provided services to physicians and managed care organizations since 1995 and 2007 respectively—Southeast Physician Associates establishes and maintains strong partnerships with our clients across the state of Florida. The results of our efforts speak for themselves.

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About SEPA

Our Mission

Helping our physicians and business partners achieve the success they deserve in an environment that promotes high quality healthcare.

Our Journey

Southeast Physician Associates is the culmination of decades of experience in healthcare and a sincere passion for what we do. Drawing from the experience of Gomez Medical Billing and Suncoast Medical Network—two esteemed entities that have provided services to physicians and managed care organizations since 1995 and 2007 respectively—Southeast Physician Associates establishes and maintains strong partnerships with our clients across the state of Florida. The results of our efforts speak for themselves.

Our Community Support

At Southeast Physician Associates, we’re equally as compassionate about philanthropy as we are healthcare. Our organization is committed to having a positive impact on the communities we serve. We proudly support many different charities and encourage all of our partners to reach out and help as many worthy causes as possible.

Our Leadership Team

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Rene Gomez

President and CEO

With more than 25 years’ experience in the South Florida medical community, Rene brings an invaluable perspective and deep knowledge to Southeast Physician Associates. As president and CEO, he leads…

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Gerald Cohen

Executive Vice President & Chief Legal Officer

With a career spanning more than 30 years that includes experience in both law and health care law and management, Jerry brings a legacy of stability and professionalism to the Southeast…

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Mileydis Ortega

Director of Operations

Mily is a certified professional coder with an impressive 20 year career in the healthcare industry. Her areas of expertise include: performing chart and claim audits for our MSO providers…

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Constance Carlisle

Director of Quality Management & Special Projects

Connie brings more than 25 years of healthcare experience to Southeast Physician Associates, where her expertise in claims, benefits, compliance, customer service, and provider/member appeals gives…

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Gillian Acasio

Referral Department Supervisor & Provider Relations Representative

Gillian oversees the referral process at Southeast Physician Associates where she works closely with our partners to coordinate quality care solutions for their patients. Through her leadership…

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Comments From Our Clients

What People Say About Us

“I have been a provider with Southeast Physician Associates [SEPA] for the last several years, and have been greatly benefited by the relationship. Through the leadership of Rene Gomez, I have been able to streamline my practice and become better prepared for the many present and future changes in the medical insurance industry. It is indeed refreshing to find in this community, a company that actually believes and practices with honesty and strong ethics. ”
Dr. Joseph I. ChiInternal Medicine
“As a physician who has been in private practice for almost 22 years with many of them administratively bleak, I am seeing the light at the end of the tunnel and it is getting brighter. Having experienced the spectrum of healthcare delivery systems, medical plans, and organizational entities, I have had my share of disappointments with what seems to have been an endless series of letdowns and failures to follow through and a bureaucracy that just didn’t seem to care. This all changed when we joined forces with the support team that makes up SEPA.
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Dr. Stuart Himmelstein MD, MACP, President, Quality Medical Association Of West Delray, Inc.
“Southeast Physician Associates provides amazing management and administrative support services to my practice. They are always there to help lighten the burden of referrals, coordinate benefits and help with coding so I can concentrate on delivering my patients the highest available health care.
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Dr. Mary ScanlonFamily Practice
“I am pleased to recommend Southeast Physician Associates [SEPA] to my colleagues in primary care. During the past three years, my practice has greatly benefited from the network provided by Rene Gomez and his staff. They are sincere and always available to assist our practice. We are updated on plan benefits and guidelines to improve our patient care and gross income. I look forward to our continued relationship with Southeast Physician Associates [SEPA].”
Dr. Carlos M. MarillDiplomat of the American Board of Family Practice

Frequently asked questions

FAQ

Can you explain what HCC and MRA mean and why these concepts are important to my practice?

Hierarchical Condition Categories (HCC)model is used by the Center for Medicare and Medicaid Services (CMS) in order to track risk adjustment of the Medicare Advantage Program. There are many HCC categories that consist of specific diagnosis predetermined by CMS each year. The conditions must be coded properly in order to qualify in the appropriate category. The burden of properly reporting and documenting the condition falls directly on the provider.
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What is HEDIS and does it apply to my practice?

Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by health plans to measure the performance of each provider on important aspects of care and service. The categories used to measure the performance of each provider are predetermined every year by the National Committee for Quality Assurance (NCQA).
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How can SEPA help my practice comply with MRA and HEDIS guidelines?

SEPA has a staff that includes Registered Nurses and Certified Coders. They perform chart and claims audits to ensure that all conditions are documented and coded to the highest level of specificity.
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Is joining an IPA the right choice for my practice?

Recently primary care physicians have experienced annual reductions in payments while their cost of doing business has gone up an average of 3% annually. Maintaining high quality of care in this environment is challenging.
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Other than physicians, what other entities would benefit from Southeast Physician Associates' coding and document auditing services?

In addition to physician and physician groups, Southeast Physician Associates provides MRA and HEDIS auditing services to health plans, staff-model medical centers and other MSOs and IPAs.