1. Welcome Main Street Medical Consulting 2016 User Group Meeting

2. 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

3. 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

4. 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

5. 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

6. 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

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