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Practice Management SolutionsEmpowering Podiatric Practices
Where do Practices Lose Money?
� 25%-35% revenue loss due to improper patient handling at the front office (missed phone
calls, patient no-shows, poor follow ups).
� Dissatisfied patients are 80% more likely to give negative referrals, adversely impacting the
flow of new patients.
� Average revenue loss of 32% due to insurance claim rejections.
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� 50% of rejected claims are never reprocessed.
� Doctors only collect 49% of patient balances owed.
� Doctors spend 75 -100 minutes a day supervising billing claims instead of seeing patients and
generating additional revenue.
Think of a typical week at your Practice
Read through an EOB letter to
understand why an insurance
company denied your dues
Wanted to speak to the
insurance company because
there seems be a trend here
Have discussed with practice
staff regarding productivity and
how patients must be handled
Leafed through the coding
letters that your specialty
governing body keeps sending
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Which of the above is related to taking care of patients? Yet we find practice after
practice spending more time on non-patient related activities so that they could stay in
business
Reviewed a demo of yet
another EMR system because
everyone is saying you should
Deciding what to do with those
patients who never seem to pay
Why Software Isn’t the Only Solution
“Why can’t I just buy advanced software and manage the front,
EMR, and back office in-house?”
StrategyTechnology
19%19%21%21%
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People
Process
21%21%
22%22%
17%17%
Governance
Your Operational Success Depends on More Than Just Technology
*Source: Oracle
Services – Turnkey Revenue Cycle Management
Revenue Projection: AHCBS will project your monthly revenue at the start of every month based on payer mix,
historical patient volume and revenue pending from account receivable.
Timely claims submission : Upon receipt of the encounter forms AHCBS will submit claims to the insurance company
within 24 hours.
Claim error checking : AHCBS will check all encounter forms to ensure that all relevant information for processing the
claim by insurance companies is available.
Accounts Receivable Follow up: Claims that haven’t been paid beyond a certain date will be flagged and followed up
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Accounts Receivable Follow up: Claims that haven’t been paid beyond a certain date will be flagged and followed up
on to ensure collection. In general, AHCBS will keep your 60 day outstanding accounts receivable below 20% and 90
day accounts receivable below 10%.
Patient statements: AHCBS will send out customized statements to patients with balances due on their accounts.
Payment Posting: AHCBS will enter all of the Explanation of Benefits, patient payments and insurance payments into
our patient management software to maintain accurate accounts receivable.
Patient billing hotline: Patients can dial AHCBS’s toll free number to speak to our collection specialists regarding their
bills. Our specialists have access to each patients account and can help answer any queries that the patient may have.
Services – Turnkey Front Office Management
Manage patient phone calls: We answer and route all incoming patient calls and centrally schedule, manage and
confirm or reschedule all appointments for the doctor's office
Manage insurance eligibility: We obtain eligibility verification from insurance companies prior to the patient's
appointment to ensure that there are no insurance denials due to patient's loss of coverage, deductibles not met, no
out of network benefits etc.
Manage Patient payment: We ensure that the right amount of co pays and deductibles are paid by patients.
Confirm Appointment: We confirm appointments by calling patients before the set appointment to ensure that the
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Confirm Appointment: We confirm appointments by calling patients before the set appointment to ensure that the
no-show rate can be significantly reduced.
Measure 'pulse of customer’': We conduct Patient surveys to understand their needs wants and sources of value. The
results are shared with the practice to modify operations to match those requirements.
We provide monthly reports on the health of the practice: The reports includes information on number of
appointments booked, number of calls received, common complaints, issues facing patients etc.
Monitoring call quality for audit and compliance: All calls made and received by the Virtual Front Desk personnel is
recorded and stored for a period of 3 months. These recordings can be provided to the client on demand as and when
required.
Services – Billing and Front Office Support
Appointment Confirmation Calls: We confirm appointments by calling patients before the set appointment to reduce
the no-show rate.
Pre-authorization Management: We obtain pre-authorizations from insurance companies for procedures that a
provider needs to perform.
Account Receivable Follow up: We follow up on outstanding insurance claims to support your existing revenue cycle
management operation.
The services below are offered on an Ad-Hoc basis
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management operation.
Patient Bill Follow up: We make soft reminder calls to patients with outstanding balances and can even take payments
over the phone.
Charge Entry: We can enter billing changes and patient demographics into your billing system.
Typical Client Results for Billing Services
� Decrease 90 day Aging to less than 10%
� Decrease in overhead costs by 50%
� Get monthly projections on your revenues collected with a +-10% accuracy
� Get weekly transaction summaries on revenue booking and collections
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� See how your practice is performing compared to your peers
Typical Client Results for Front Office
� Increase in patient volume of 15%-30%
� Decrease in overhead costs by 10%
� Increased patient satisfaction by 40%-80%, hence increasing patient recall
� Decreased load on existing clinical staff allows better patient care
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� Improved billing and collections since insurance, address and phone numbers are verified
before each appointment
Innovation Starts Today
Gary J. Mellon, DPM
gary@ahcbs.com
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www.ahcbs.com
Empowering Podiatric Practices
Your Partner In Delivering Quality Healthcare
Appendix
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Appendix
Certification
1. A risk assessment of the threats
to an Organizations/customer
information assets
2. Selection and Implementation
of effective and relevant policy
and control
3. Continuous review and effective
improvement
4. Total information security risk
1. Reduction in possibly damaging
/embarrassing information leaks
and failures
2. Total risk mitigation, security of
brand equity
3. Reduction in costs due to fewer
security incidents
4. Common policies and control
across the whole organization
1.ISO 9001 is the
Internationally recognized
standard for the quality
management of businesses
2. It applies to the business
processes that create and control
the products and services an
organization supplies
3. It prescribes systematic control
of activities to ensure that the
1. Implementing a Quality
Management System will motivate
staff by defining their key roles and
Responsibilities
2. Cost savings can be made
through improved efficiency and
productivity, as product or service
deficiencies will be highlighted
3. From this, improvements can be
developed, resulting in less waste,
ISMS Certification ISO Certification
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4. Total information security risk
management
5. Risk allocation, mitigation,
transfer, assurance and
acceptance
6. Protects the confidentiality,
integrity and availability of
organizational/third party
information
across the whole organization
5. Increased staff awareness,
involvement and empowerment
6. Better monitored and audited
systems and information flows
7. The risk of prosecution is
significantly reduced
of activities to ensure that the
needs and expectations of
customers are met
4. It is designed and intended to
apply to virtually any product or
service, made by any process
anywhere in the world
developed, resulting in less waste,
inappropriate or rejected work and
fewer complaints
4. Customers will notice that
orders are met consistently, on
time and to the correct
specification
5. This can open up the
market place to increased
opportunity
Sample Front Office Report
2479 2398 23402132 2259
20691753 1861
15682005 2070 2261
2250 2235 22191986 2151 2007
1711 18351542
1945 20212222
229 163 121 146 108 62 42 26 26 60 49 39
0
500
1000
1500
2000
2500
3000
Volume Analysis
Call Offered Calls Answered Calls Abandoned
3:16
0:00
3:28 3:243:05
0:00
3:023:32
3:05 2:59 2:51
0:00 0:00
1:402:12
0:400:00
3:00
0:370:12 0:19 0:18
1-A
pr
2-A
pr
3-A
pr
6-A
pr
7-A
pr
8-A
pr
9-A
pr
10
-Ap
r
13
-Ap
r
14
-Ap
r
15
-Ap
r
16
-Ap
r
Avg: Spent Vs. Avg: Hold Time
Avg: Spent Tme Avg: Hold time before call loss
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Appointment
Scheduling, 90
Appointment
Re-
Scheduling, 33
Transfer Calls,
367
Cancellation
Calls, 2
Prescription
Refill Request,
1
Information,
281
Dispositions Analysis
6
911
3 2 1 13
27
14
3
7:30
AM
8:30
AM
9:30
AM
10:30
AM
11:30
AM
12:30
PM
1:30
PM
2:30
PM
3:30
PM
4:30
PM
5:30
PM
Hourly Abandonment Analysis
Billing Sample Reports
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Billing Sample Reports
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Patient Satisfaction Reports
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Thank You
g a r y @ a h c b s . c o m
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