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The Return On Investment Results
2009 Medical Pay Solutions
The Average Return is Approximately $50,000 - $100,000 Per Doctor Annually
Real-World Summaries from a Sampling of Custom AnalysisFull Reports from the Summaries Below are Available for yourReview.
This is a very limited view of the type of information returned in the completed spreadsheet. All
categories of the collected data will be made available for your review and consideration. These areYear One projected returns only.
What will the returns of your cost analysis show?Are youprepared to see how much you are losing weekly by notimplementing the A-Claim Revenue Recovery Solution?
For your ROI - Please contact Tracy Tytko @ 216-225-1485
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Impacting Your Practice
2009 Medical Pay Solutions
This Big Squeeze
Over the last seven years the insurance payer payments have gonedown.
Patient billing by you has doubled and tripled in some cases.
In the Patient-Pay Sector the National Average is
49.3% Bad Debt*Literally 50 cents of every dollar is either sitting in very slow pay or non-paid
status.
Everyone is looking at how to solve this before it creates such financialpressure
you have to consider laying off people, adding more hours or
treating even more patients in a given day.
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Systemic Problems
2009 Medical Pay Solutions
Impacting You Right Now
A doctors day usually begins long before the office opens andlong after the office
closes, making rounds at hospitals, record keeping, researchingillnesses, personal
education, medical records and consults... all in between, before
or after hours.
Staff, especially if they are provided by a Medical Staffing Servicehas apathy for the
process and does not care about what does not affect themdirectly.
Billing inefficiencies cost the practice thousands in supplies, manhours, postage
and outside billing or collection services. Doctors are forced to see more patients per day than they wouldlike to in order
to provide quality care and be able to afford new equipment andkeep the
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Statistics
2009 Medical Pay Solutions
Industry Statistics
Deductibles, co-pays and out of pocket expenses for patients is going up andwill continue to.The amount of uninsured self-pay patients is rising and will continue.
Instant insurance verification is a focus for the industry.
Patients do not understand their policies or plan designs
2.5 trillion dollars will be spent on healthcare this year in the USA.
One trillion of this will be billed to patients.
Billions will go uncollected.
Most large groups and hospitals are trying to find a solution to thisright now.
Practices operate at about 4% profit margins.
The average cost of sending a statement to a patient is $9.00
Healthcare reform of any kind will include the patientpaying more of the bill.
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Systemic Problems
2009 Medical Pay Solutions
Whats Not Going On In Your Billing Departments
Many practices think they do all of this through their PMS or EMRprogram.It just is not so.What you might be thinking . . .
We already have all of this.
We have very low bad debt. We already have instant insurance verification. Our patients would not like us telling them what
they owe and asking for payment during their visit. We have been doing things this way for years and it works. We dont have the time to change or add new procedures.
Online Verification & Online Billing does not go far enough
addressing this growing problem.In each case we improved these processes and will show you how.
We can show you how easy it can be to keep up with what theindustry says is your resolve.
After you see what we offer, you will see your misperceptions are just a
condition of thinking about your practice with traditional processes that lackthe newest technology that address your current needs.
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Systemic Problems
2009 Medical Pay Solutions
Negotiating Payment for Your Services
Your staff negotiates with Patients for what they donot
understand about their own insurance policy, and
you oftenagree to take less than they owe, in the hopes theywill pay.
You negotiate and provide discount rates for theuninsured,
who often pay more for your services than thosewith insurance.
You negotiate with Billing Companies for the lowestrate to
collect your regular patient revenue.
After all of that, the national average of 49.3% stillwill not
pay, or will not pay efficiently with your currentsystems.
In no other business is this such a common practice so long afterservices have been provided.
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Have you examined your
bottom-line lately?
Its time to add a new billing tool that canrescue up to
$100,000 Per Doctor Annually.
Take a closer look at the new technology that2009 Medical Pay Solutions
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Who We Are
2009 Medical Pay Solutions
Authorized National Distributor
A wholly owned subsidiary ofBlueCross BlueShield of SC that
holds thepatent-pending proprietarytechnology .
The A-Claim System is the result of10s of Millions of Dollars in
development and over 3 years inbeta-testing by thelargest insurance payer in theIndustry andWorks with over 1800 Insuranceproviders,
A Full-PartnerHonoring All Major Credit Cards.
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Industry Trends
2009 Medical Pay Solutions
The system is inefficient, consuming15% or more (of your costs) compared to 2%for the retail payment system.
We expect real-time submission &adjudicationOf claims will gradually become more wide-spread.
MGMAsProject SwipeIT
Gains tractionfor magnetic stripe
machine-readableenrollment
ID cards.
Endorsement
are growing forthis initiative.
Since 2001 Patient Out-of-Pocket costs havetripled.
Supporters include:Humana & UnitedHealth
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The McKinsey Report
2009 Medical Pay Solutions
Bad Debt Statistics
Providers need to create a retailrevenue cycle
36% of Patients have a Balance of 60
Daysor More Past Due Currently $60 Billion in Patient Bad Debt
(5% of Patient A/R) Expected Rise is 68%by 2015
Just a 1% increase in bad debt with a 4%
operatingmargin equals a whopping ___% Loss in
_____
Right now transactions move in batcheslong after
the patient leaves the doctors office.
Providers must become firmer at timeof treatment.
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Industry Revenue Concerns
2009 Medical Pay Solutions
Providers could eventually givegood-faith estimates by usingvendor pricing tools.- HFMA Conference 2009
Revenue Cycle Strategies Conference
Patient-Friendly Billing providethe greatest impact to consumers,clinics and hospitals.
- HFMA 2009 National Conference Redesigning workflows that
improves financial outcomesachieves a better patient financial
experience.- HFMA November 2009
HFMA 2009
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Industry Revenue Research
2009 Medical Pay Solutions
The patient has become the new target for the collection efforts.
- MGMA October 2009
High deductible health plans, health savings
accounts and uninsured self-pay patients arechanging the world of ProfessionalPractice Management.MGMA October 2009
The fastestgrowing areaof collectionsis your patients.
MGMA 2009
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Systemic Solutions
2009 Medical Pay Solutions
It is a model that works in most industries.
Physicians have to wait to send the bills until the health plan adjudicates theclaims.That process can take weeks and the likelihood of getting paid diminishes as
the clock ticks.
The McKinsey Quarterly reports that physicians only collect about 50 percentof the patients portion of the bill, adding up to about $60 billion in bad debteach year across theentire health care system.
If physicians cant determine what patients with theseplans owe
Bill For Your Services When They Are Delivered.
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Revolutionizing the System
2009 Medical Pay Solutions
The Quick View
With A-Claim there is no more need to:
Send Statements.
Wait for Payments.
Argue about unexpected charges foryour professional services rendered.
Pay Postage.
Pay Exorbitant Rates toBilling & Collections Agencies.
Traditional Billing Cycles The A-Claim Billing Cycle
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The Suffering Is Real
2009 Medical Pay Solutions
You are Already Feeling The Pain. . .
Even if you think are holding your own now:
Over the last seven years the payer payments have gone down and thepatient billing by you has doubled... or tripled.
This is expected to get worse and is expected to double again within a
couple of years.
There are initiatives under way like Patient Friendly Billing & Project
Swipe
This is a Modular Add-On Component and will enhance your PMS or
EMR systemsthat you currently use.
Everyone is looking at how to solve this before it creates such financial
pressure youhave to consider laying off people, adding more hours or treating more
patientsin a given day.
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The Time To Respond Is Now
2009 Medical Pay Solutions
. . . And How You Operate Will Improve!
Our system is a one of a kind program and does not require you tochange how you operate.Our Patent-Pending system is developed by the largest insurance payer inthe country.
They considered the intricate details of practice needs for integration, designsimplicity andmeeting industry standards and compliances.
It will not add time to your staffs efforts and will dramatically reduce their
workload andfrustration levels so they may better serve your patients and practice
needs.
Patients love the systems real-time cost estimating and payment options
with deferredautomated billing and monthly auto-pay options. Practices grow with this
payment option.
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Endorsements
2009 Medical Pay Solutions
Orange County Medical Association
As OCMA, one of thenations largest physiciansocieties continues toexpand thevalue-added productsand services offered to
members, A-Claim isa perfect fit in thetoolbox of medicalpractice managementsolutions,said Michael B. Hurwitz, M.D.,president of OCMA.
July 2009
I encourageMembers tocarefully evaluatetheir line of services.
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Practice Management Benefits
2009 Medical Pay Solutions
Why Offer A-Claim as a Value Added
Service For All Your Patients or Accounts
By partnering with A-Claim your clients know you are keeping them on thecutting edge of profitability, and that you are concerned about theirprofitability and retaining them as a client.
What happens once the paperwork is completed:
All set up, training and service is provided by PHT.The parent company: Preferred Health Technology
All equipment is customized with your payers prior to shipping.New payers can be added as needed.
Equipment is shipped and ready to plug and play.
PHT will contact you to schedule a webinar to review set up and training
for all staff.
Rep will visit to insure all systems are working properly.
Ongoing training and support is offered 24/7, 365 days per year at no
charge.
The whole process is two to four weeks Results are instantaneous.
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Summary
2009 Medical Pay Solutions
Features & Benefits
Product Features
Real-Time Eligibility
Real-Time Claim
(Limited Areas)
Real-Time Payments
Delayed Payments Payment Plans
Auto Payment Capture Multiple Terminal Options
Excel Based Report-Tool Multi-Merchant User & Location Application
Benefits to Provider
Baseline of patients financial responsibility Saves time & increases staff productivity Estimate patient financial responsibility Speeds payment of claim Accelerates cash flow Discounted merchant fees Interchange management Speeds payment decreasing statement mailing Eliminates refunds and secures payment at POS Fosters patient satisfaction Increases cash flow and allows for forecasting Decreases/eliminates staff time for payment entry
Shrinks collection accounts Adapts to YOUR environment Multiple entry modes
Data integration & import capability
Custom reports in seconds
User based authority levels
1 solution for multi-takings with online administration
Staff training provided
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Summary
2009 Medical Pay Solutions
Features & Benefits
Product Features
Consolidated Reporting
HIPPA & PCI Compliant
User Friendly
Quick Implementation
Cost Effective
Benefits to Provider
Chain/Outlet level reporting
Easy electronic statements
Secure patient data
Reduce fraud risk One solution for multiple tasks
Easy online administration
Staff training provided
Fits with existing processes with minimal chan
15-30 days setup to fully operational
Minimal IT involvement or resources required
Low cost hardware
Low monthly program fee
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Isnt it time for a FiscalCheck-up?
Explore Revolutionary Procedures &Technology
Available to Rescue Your Bottom Line.
Includes Video Introductionwww.medicalpaysolutions.comwww.medicalpaydemo.com
Tracy TytkoMedical Revenue Consultant
Northeast Ohio
216.225.1485
http://www.medicalpaysolutions.com/http://www.medicalpaydemo.com/http://www.medicalpaydemo.com/http://www.medicalpaysolutions.com/