revenue cycle management by mdeverywhere
TRANSCRIPT
Revenue Cycle Management
• Founded in 1995 with over 550 Employees• Growing 30% Annually• Inc.500 Fastest Growing Companies• Currently Serving
• 7,000 Physicians Nationwide• Over 40 Specialties• Solo providers group & practices, & hospitals
About MDeverywhere
The MDeverywhere Mission
Mission: Getting doctors paid timely, accurately, completely, and consistently for the work they do.
Technology
Expertise & Service
Smart Tools
The typical physician practice loses 15% or more of its total revenue potential due to ineffective billing practices.
Credentialing Errors
Underpaid Claims
Coding & Demographic-Related Denials
Uncollected Patient Balances15%
You Are Losing Revenue
Our Four Pronged Approach Increases Your Revenue By Capturing Those Dollars
Grow Your Volume3%
Reduce Denials and Increase Yield 7%
Payor Contract Compliance3%
Effective Patient Collections 2%
We Help You Grow Your Volume
• Patient Recalls – Proactively Bring Patients Back In for Follow Up Visits
• Patient Reminder Calls – Reduce No Shows• Full Visibility Into Your Schedule From Any
Device - See Your Schedule, Get Your Data• Social Media Training and Support - Work with
the Latest Tools to Build your Practice
3%
3%
2%
7%
Our Rules Engine Decreases Your Denials And Increases Your $$$
• With our system, denials are actually an opportunity.
• The MDeverywhere rules engine has 15 million payor specific rules. A typical claim scrubber has 2,000 rules which aren’t payor specific. Which do you think is more beneficial?
• When denials happen we call the payors to learn what new rules they have created. Then we write these rules into our system to avoid denials going forward.
• We follow up with the insurance companies so you don't have to.
7%
3%
7%
3%
2%
Insurance Eligibility Is Automatically Checked on 100% of the Patients
• Patient Not Eligible• Patient Not on File• DOB Mismatch
• Patient Eligible• Copay and deductible amounts available
Eligibility automatically checked within a minute of booked appointment
7%
3%
7%
3%
2%
Patient Pay is Increasingly Important and a Frequent Weak Link
• Practices lose revenues on uncollected patient balances. Increasingly this can make the difference between profit and loss
• MDeverywhere Patient 1st Patient Payment Platform:• Online and Electronic Statements - Save Money and
Be Green• Payment Portal - Patient Convenience and Faster
Payment• Retail lockbox makes Check Processing More Efficient
3%
3%
7%
2%
Enforcing Payor Contracts Is Vital As Payors Underpay An Average of 7%
•Enforcing Payor Contracts Significantly Increases Revenue
• We review contracts and create a practice specific knowledge base
• The system flags and appeals underpayments for every line item
• Contract monitoring to update new fee schedules and reimbursement rules
3%
2%
7%
3%
Putting Our Client First Is Our First Priority
An Account Executive Team and a Billing Support Team for ample customer support:
• We work on the same system as you so you have complete transparency
• The Billing Support Team can be reached instantly from an instant messaging system
• Regularly scheduled client meetings to analyze financial reports
• Our billing knowledge is embedded into your system
Implementation is 8-12 Weeks
Implementation is Key: Getting it Right from the Start
• Consultation on increasing revenue through denial analysis & patient AR review
• Insurance Contract Review• Set Financial Targets: 35% of our employees income is tied
to your financial goals• Your account executive team shadows implementation to
get to know your practice• Fully HL-7 compatible for seamless EMR integration and
interface fee waived for new clients
