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FTGU Medical Consulting
Orthopaedic, Spine, and OON Billing Experts
www.FTGUMedical.com

Presented by
Jamie Lynch
President and CEO
Jamie.Lynch@FTGUMedical.com

“Let [FTGU] help you take your practice to the next level”

-Jason Tinley, MD
Services
Orthopaedic Full Revenue Cycle Management
Anesthesia & Neuromonitoring Lease Back
Physician Assistant OON Solution
Orthopaedic Full Revenue Cycle Management
Also known as Secondary Claims Management
We go back and work claims 0-180 days when starting an
account at SCM rate
We employ a methodology that systematically assigns and
tracks the status of every unpaid claim
– Denials Management
– Corrective Coding
– Identify cash flow risks
– Correctly identify balances (write-offs or patient
responsibility)
OON Revenue Cycle Management
Entering all OON surgery charges in practice
management system
File all claims through clearinghouse
All payments for OON surgery charges are directly
deposited into the client’s bank account
FTGU pays all fees for the clearinghouse
Spine Surgeon Revenue
1 Spine Surgeon + 1 Assist (PA, NP, RFNA)
35 – 40 surgeries per month
30% ACDF (1 or 2 level)
30% TLIF or 360 (1 or 2 level)
30% decompressions (1 or 2 segments)
Anesthesia & Neuromonitoring Lease Back
FTGU partnered with local anesthesia groups to offer
lease back services
Surgeons can now take advantage of OON revenue for
anesthesia
Neuromonitoring – strategically release claims 1st in
OON model
Legal counsel and contacts offered for OON services
Case Study – Rough Start
1 Spine surgeon + 1 PA
35 to 40 surgery cases per month
All cases performed at an In-Network facility
No OON Strategy
PA established in an OON entity but generating less than $40K
per month in revenue
No Anesthesia or Neuromonitoring billing

Average monthly revenue in 2011 = $158K
Case Study – Happy Ending
FTGU engaged in 2012
Case load and facility unchanged
Average monthly revenue for In-Network surgeon and
OON assistant surgeon billing = $413K
Average monthly revenue for Anesthesia billing = $49K
Average monthly revenue for Neuromonitoring billing =
$65K
Total Monthly Revenue = $527K
New Average Revenue represents a 234% increase over
2011 Revenue!
Anesthesia Payment
Anesthesia Payment
Surgery Assist Payment
Surgery Assist Payment
Surgery Assist Payment
FTGU is not a Billing Company
FTGU Secondary Claims Management
Work Rejections and provide client feedback
Assign a denial code and action code to each claim
Provide weekly denial report client (claim level)
Identify trends for corrective coding
Post payments and reconcile to bank accounts
Work all zeropays 3x in first 190 days w/full report
No whole line item adjustments without investigation
Work every zero pay once every 45 days
Compare paid claims to fee schedules

Typical Billing Service
Work rejections (no client feedback)
No granular denial/action codes
No weekly denial reports at claim level
No trend reports
Post Payments
Work zero pays 1 or 2 times, no reporting
Whole line item adjustments common
No methodology
Not available
Testimonials from Clients
“’Cha ng e d m y life , ’ is o fte n us e d lo o s e ly . FTG U ha s be e n a d d e d to tha t s ho rt
lis t in m y m e d ic a l p ra c tic e . The re a re fe w p e o p le I e ve r be e n ble s s e d
’ve
e no ug h to wo rk with tha t c a n a ns we r q ue s tio ns be fo re Ia s k the m ”
-Dr. M ha e l Rim la wi
ic
“FTG U M d ic a l ha s be e n p ro vid ing billing s e rvic e s fo r m y p ra c tic e fo r the p a s t
e
s e ve ra l y e a rs . Ic o uld n’t ha v e a s ke d fo r a be tte r p a rtne r in billing . The y ha v e
m a na g e d m y a c c o unt with tim e line s s , e ffic ie nc y , a nd p ro fe s s io na lis m … Le t
the m he lp y o u ta ke y o ur p ra c tic e to the ne x t le ve l a nd d o wha t the y d o be s t. ”
-Ja s o n Tinle y , M
D

“FTG U M d ic a l ha d d o ne a n o uts ta nd ing jo b c o lle c ting m o ne y o we d while
e
be ing s e ns itive to the re la tio ns hip with p a tie nts . Iwo uld s tro ng ly re c o m m e nd
a nd e nd o rs e the ir s e rvic e s .
-Dr. Sc o tt Co nra d
Transparency On All Claims
Sample of Appeal Letter
FTGU Medical Consulting
Orthopaedic, Spine, and OON Billing Experts

Contact Us at (877) 331-9161 or info@FTGUMedical.com to
get your free analysis
Or visit us at www.FTGUMedical.com

“Le t [FTG U] he lp y o u ta ke y o ur p ra c tic e to the ne x t le v e l”

-Ja s o n Tinle y , M
D

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FTGU Services Presentation

  • 1. FTGU Medical Consulting Orthopaedic, Spine, and OON Billing Experts www.FTGUMedical.com Presented by Jamie Lynch President and CEO Jamie.Lynch@FTGUMedical.com “Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD
  • 2. Services Orthopaedic Full Revenue Cycle Management Anesthesia & Neuromonitoring Lease Back Physician Assistant OON Solution
  • 3. Orthopaedic Full Revenue Cycle Management Also known as Secondary Claims Management We go back and work claims 0-180 days when starting an account at SCM rate We employ a methodology that systematically assigns and tracks the status of every unpaid claim – Denials Management – Corrective Coding – Identify cash flow risks – Correctly identify balances (write-offs or patient responsibility)
  • 4. OON Revenue Cycle Management Entering all OON surgery charges in practice management system File all claims through clearinghouse All payments for OON surgery charges are directly deposited into the client’s bank account FTGU pays all fees for the clearinghouse
  • 5. Spine Surgeon Revenue 1 Spine Surgeon + 1 Assist (PA, NP, RFNA) 35 – 40 surgeries per month 30% ACDF (1 or 2 level) 30% TLIF or 360 (1 or 2 level) 30% decompressions (1 or 2 segments)
  • 6. Anesthesia & Neuromonitoring Lease Back FTGU partnered with local anesthesia groups to offer lease back services Surgeons can now take advantage of OON revenue for anesthesia Neuromonitoring – strategically release claims 1st in OON model Legal counsel and contacts offered for OON services
  • 7. Case Study – Rough Start 1 Spine surgeon + 1 PA 35 to 40 surgery cases per month All cases performed at an In-Network facility No OON Strategy PA established in an OON entity but generating less than $40K per month in revenue No Anesthesia or Neuromonitoring billing Average monthly revenue in 2011 = $158K
  • 8. Case Study – Happy Ending FTGU engaged in 2012 Case load and facility unchanged Average monthly revenue for In-Network surgeon and OON assistant surgeon billing = $413K Average monthly revenue for Anesthesia billing = $49K Average monthly revenue for Neuromonitoring billing = $65K Total Monthly Revenue = $527K New Average Revenue represents a 234% increase over 2011 Revenue!
  • 14. FTGU is not a Billing Company FTGU Secondary Claims Management Work Rejections and provide client feedback Assign a denial code and action code to each claim Provide weekly denial report client (claim level) Identify trends for corrective coding Post payments and reconcile to bank accounts Work all zeropays 3x in first 190 days w/full report No whole line item adjustments without investigation Work every zero pay once every 45 days Compare paid claims to fee schedules Typical Billing Service Work rejections (no client feedback) No granular denial/action codes No weekly denial reports at claim level No trend reports Post Payments Work zero pays 1 or 2 times, no reporting Whole line item adjustments common No methodology Not available
  • 15. Testimonials from Clients “’Cha ng e d m y life , ’ is o fte n us e d lo o s e ly . FTG U ha s be e n a d d e d to tha t s ho rt lis t in m y m e d ic a l p ra c tic e . The re a re fe w p e o p le I e ve r be e n ble s s e d ’ve e no ug h to wo rk with tha t c a n a ns we r q ue s tio ns be fo re Ia s k the m ” -Dr. M ha e l Rim la wi ic “FTG U M d ic a l ha s be e n p ro vid ing billing s e rvic e s fo r m y p ra c tic e fo r the p a s t e s e ve ra l y e a rs . Ic o uld n’t ha v e a s ke d fo r a be tte r p a rtne r in billing . The y ha v e m a na g e d m y a c c o unt with tim e line s s , e ffic ie nc y , a nd p ro fe s s io na lis m … Le t the m he lp y o u ta ke y o ur p ra c tic e to the ne x t le ve l a nd d o wha t the y d o be s t. ” -Ja s o n Tinle y , M D “FTG U M d ic a l ha d d o ne a n o uts ta nd ing jo b c o lle c ting m o ne y o we d while e be ing s e ns itive to the re la tio ns hip with p a tie nts . Iwo uld s tro ng ly re c o m m e nd a nd e nd o rs e the ir s e rvic e s . -Dr. Sc o tt Co nra d
  • 18. FTGU Medical Consulting Orthopaedic, Spine, and OON Billing Experts Contact Us at (877) 331-9161 or info@FTGUMedical.com to get your free analysis Or visit us at www.FTGUMedical.com “Le t [FTG U] he lp y o u ta ke y o ur p ra c tic e to the ne x t le v e l” -Ja s o n Tinle y , M D