Welcome Main Street Medical Consulting 2016 User Group Meeting

2015 In Review ICD 10, the Y2K of Medicine 40% of Payments are now coming from the patient Fee for Service < Value-Based Reimbursements PQRS Meaningful Use VBM (Value Based Modifiers) Merit Based Incentive Payment System (MIPS) 2019

Partner with Main Street Medical Consulting We’ll provide you with the tools to adapt. PQRS Reporting Claims Scrubbers Eligibility Checking OCR scanning for insurance cards and licenses Appointment Reminders Dashboards to Manage Credit Card on File We Provide the Services Billing Services Practice Evaluations Strategic Partnerships

12 % of a physicians net patient service revenue goes to pay for the cost of excessive administration Medical Billing inefficiencies account for 74% of that cost

How Do We Grow Practice Revenue Automate front-end processes MGMA best practices suggest 1.29 to 1.38 FTE per physician for the front desk Eligibility checked 100% of the time Make sure demographic and Insurance information is clean Streamline pre-certification process through alerts for front desk staff Collect from patients up front Communicate up front Credit Card on File

How Do We Grow Practice Revenue Slash your Denial Rate Robust Rules and Claims Engine Modifier relationship Medically unnecessary Unbilled services Perform a Full Financial Assessment KPIs

Call for a free Revenue Cycle Evaluation Verifies you’re doing a good job Compares results against industry standards Points out areas for improvement