1. Presented by Vachette Pathology Mick Raich, President

4. Medical Practice Today: Top 15 challenges ranked by AWI 2013 RankChallengeIntensity %Applicability%AWI 1Dealing with rising operating costs71%98%0.69 2 Preparing for reimbursement models that place a greater share of financial risk on the practice 74%93%0.69 3 Managing finances with the uncertainty of Medicare reimbursement rates 65%95%0.61 4 Collecting from self-pay, high-deductible and health savings account patients 59%97%0.57 5 Understanding the total cost of an episode of care from the payer's perspective 60%92%0.55 6Preparing for the transition to ICD-10 diagnosis coding58%94%0.54 7Maintaining physician compensation levels53%93%0.50 8Collaborating with payers to implement new payment models59%76%0.45 9Negotiating contracts with payers52%86%0.45 10Optimizing an existing EHR54%82%0.45 11 Modifying your physician compensation formula to more heavily emphasize quality metrics, such as population-based outcomes, patient health status, patient satisfaction and patient safety 56%77%0.44 12Managing teamwork and group dynamics among physicians44%96%0.43 13 Participating in the Centers for Medicare & Medicaid Services’ EHR meaningful use incentive program 47%91%0.42 14Monitoring payer compliance with contract terms46%89%0.41 15Attracting skilled professionals41%96%0.39 Reprinted with permission from the Medical Group Management Association, 104 Inverness Terrace East, Englewood, Colorado 80112. www.mgma.com. Copyright 2013.www.mgma.com

5. Follow the Money

6. Have Good Housekeeping

7. Self Pay Billing

9. G0452

14. Thank You and view our blog at http://vachettepathology.blogspot.com/ For more information, please contact Mick Raich at 866-407-0763 www.vachettepathology.com