1. In-house vs. Outsourced Billing

2. In-House Medical Billing Pros –Maintaining Control (long-time, trusted, hands-on employees) –Capitalizing on Investment (trained medical billers and PM system) –Proximity to Staff (when problems arise, walk across the office) Cons –Increased Costs (labor, technology, office expenses) –Liability Issues (staff neglect of encounters, superbills, denials, theft) –Staffing Issues (finding qualified help, vacations, sick-time, turnover)

3. Outsourced Medical Billing Pros –Lower Costs (lower employee costs/expenses, no turnover issues) –Accountability (billing company offers reporting and accountability) –Consistency (contractual obligation for services) Cons –Loss of Control (giving up control to a third party) –Variable costs (collection % results in charges based on volume)

4. Additional Challenges for Consideration Declining Reimbursement Increase patient workload to stay even financially Affordable Care Act (aka Obamacare) Electronic Health Record deployment Changing regulatory environment Claims follow and denials management Staff turnover, sick time, vacation time, etc.

5. How much can you outsource?

6. Other Benefits of Outsourcing Focus on patients and service quality Reduced errors and improved accuracy Decreased labor cost and overheads Increase % of paid claims, reduced write-offs Maximize reimbursement, revenue, cash-flow Less employee stress and HR issues Better compliance with regulations 20% software cost saving with RCM services

8. CureMD Corporation 55 Broad Street, New York, NY 10004 Tel: (212) 509-6200 www.curemd.com Thank you!