1. Expanding your Sleep Center with Neuro-Diagnostic Testing Presented by: Mirsa K Nieland, R.EEG.T FOCUS FALL 2013

2. Factors to Consider Before Expanding  Reimbursement  Logistics  Hardware/Software  Personnel  Marketing

3. Factors to Consider Before Expanding  Reimbursement  Would your current contracts allow you to bill for Neurodiagnostic services?

4. Factors to Consider Before Expanding  Logistics  Do you have the physical space within your current facility to add services?  1. Can you use pre- existing space?  2. Do you have the option to expand ?

5. Factors to Consider Before Expanding  Hardware/Software  Will the equipment you currently have accommodate a dual purpose?  Will you need to purchase additional equipment or software?

6. Factors to Consider Before Expanding  Personnel  Is your current technical staff cross-trained in more then one modality?  Do you have enough support staff in place. (i.e.) Day time receptionist, scheduling, billing?  Do you have a Physician available that has the time and expertise required to assist you in this expansion?

7. Factors to Consider Before Expanding  Marketing  Where will your referrals come from?  Will your current marketing plan work for Neuro and sleep ?  Do you have an established relationship with a Neurologist that can help you promote your new services?

8. Neurodiagnostic procedures that are most commonly added to sleep centers  Electroencephalography (EEG)  Long Term Monitoring  Video Monitoring  Ambulatory Monitoring  NCV/EMG  Evoked Potentials

9. Electroencephalography (EEG) If your sleep equipment can be used to perform EEG studies and you have cross trained personnel you have the opportunity to increase your income immediately. 1.Most centers have day staff for MSLT’s and other studies, why not add EEG’s? 2.This is a great way to retain good employees as well. 

10. Neurodiagnostic procedures that are offered in Sleep Centers with 24 hour staffing.  Long Term Monitoring  Extended Video Monitoring

11. Neurodiagnostic procedures that can be added to your center but may require additional scrutiny.  NCV/EMG – Recent decreases in reimbursement may require you to review your business/financial plan.  Evoked Potentials - Very narrow market with highest financial investment in equipment and staffing.

12. Ambulatory Monitoring (EEG)  From a business perspective adding Ambulatory Monitoring should be high on your list.  Equipment can be a purchase or lease. (Based on your budget)  Staffing – minimal time commitment from staff.

13. Questions???? Contact Information: Mirsa K. Nieland R.EEG.T. mirsa@northstate.net www.PremierNeuroinc.com