The Right Solution for Your Practice, Billing, and Collections Needs Introduction and Overview.

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Presentation transcript:

The Right Solution for Your Practice, Billing, and Collections Needs Introduction and Overview

Agenda History Features Advantages Getting Started

History Macro Doctor started as a medical claims clearinghouse, formatting, translating and processing health insurance claims Transforming factors –Founder Wayne Bryan’s direct experience with the current state of medical practice automation from the patient perspective –Challenges faced by medical providers Increased involvement of Insurance providers in medical care decisions Frequently reduced revenues/patient –Time –Cash flow Mismatch between outdated practice management systems and highly automated external players (insurance companies, government, HIPAA requirements, etc) No end in sight –Recognition of significant problems in the claims processing process Dropped/lost claims Long payment cycles Difficulties in collecting deductibles –Recognition of new technology opportunities to provide solution without the need for heavy investment in hardware/software/networks/support/training

Component-based Approach Open, industry-standard web architecture –(MS, ASP, SQL Server) Designed to provide “best-of-breed” functionality in areas where we have significant value advantages Built to integrate with other 3 rd -party applications who have already solved key problems –Advanced EMR functionality –Practice-specific workflow –Regulatory/reporting systems –Payor portals and other interfaces

Features Integrated Medical Billing System/Clearinghouse –Rapid response on eligibility and claims tracking –EMR/Claims Attachments: Charts, notes and other supporting information automatically sent with claims –Integrated Online Appointment Scheduling Generates claim after appointment is entered Option for patients to schedule own appointments (24/7 access) reminder –Activity tracking and Workflow Management –Meets or exceeds HIPAA security standards –Electronic forms (including UB 92) Fast Pay functionality (EFT/MD®) –Setup/schedule debit payments through Federal ACH system –Check-by-phone capabilities

The Macro Doctor difference

HIPAA Compliant through EDI Converts to ANSI 4010A 837 Privacy through SSL Encryption

Cost savings from electronic claims processing Factor Traditional Paper Method Electronic Filing Cost $7.50 – 8.50 (labor + postage) $1.50 – 2.50 (labor + fees) Time30 min – 1 hour1 – 2 Minutes Average Acceptance Rate 79%99% Follow up30 – 45 days24 – 48 hours Payment made in:14 – 70 days3 – 15 days Dropped/lost claims 18%0%

User-friendly Web tools HIPAA Compliant through EDI Converts to ANSI 4010A 837 Privacy through SSL Encryption eSchedule eChart eDraw eBill

eSchedule Features User-Friendly Calendar appointment confirmation Appointments List Allows existing patients on-line appointment capability

eSchedule Convenience Drop down menus make scheduling appointments simple.

eSchedule : Ease of use 1. Click on schedule icon

eSchedule: Ease of Use 2. Use drop-down list to add patient to calendar

eSchedule: Complete in 2 Steps

eChart : Electronic Medical Documentation

eChart Features Access to critical medication, allergy and lab reports and data from any connected location 24/7 Supports uploading of digitized information including photos, illustrations, X-ray and other diagnostics, pathology reports, etc. Speeds processing of high-cost claims

eChart: Detailed Patient Records

eChart Details

eDraw Features Enhanced patient communication Point and click to add a new description Documents past and present surgical incisions Each point is identified by number and description

eBill: Integrating Billing Service and Clearinghouse functions Submit primary and secondary claims Includes CPT and ICD9 codes Receive payment within DAYS, not months.

eBill: Easy Status Checking 3 Colors tell you all you need to know at a glance Red Claim has been received by the insurance company. Green Claim is complete and in the process of being sent to the insurance company. Gray Claim started but not finished

eReports Multiple pre-formatted options Overall AR/Cash flow Detail by Patient Detail by Procedure Claims lookup Etc. Easy custom report creation Reports for the dates you choose.

Electronic UB-92 Form Integrated, full-form consistency checking Multiple choices for required code entry

Executive Reports Easily generated, executive presentation quality charts and graphs Accounting information is automatically populated Easily identify and rack trends Monitor outstanding accounts

Advantages Innovative, integrated approach –Speeds claim process –Shortens revenue cycles –All information in one place Online flexibility/cost efficiency –No investment in quickly outdated hardware/software/network infrastructure –Centralized support –24/7 access Improved information –Better manage your business challenges –Focus on what’s important- your patients

Getting started Online signup Immediate activation

Thank You For more information: