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Physician-Centric Revenue Cycle Management Company Cathy Steadman Director of Business Development
Meeting Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
About MDeverywhere ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interfaces and Workflow Schedule Register Web / Handheld Charge Capture PRACTICE MDeverywhere Solution Submit Claims Post Payments Appeal Denials Work AR MDEVERYWHERE Back-Office MDe System Document Encounter Enter Codes (Optional) PRACTICE EMR Interface Demos Schedule Interface CPT & ICD Radiology: Dictations EKG: Encounter Data ER: Encounter Data Pathology: Encounter Data HOSPITAL DEPARTMENTS Interface Notes CPT & ICD Register Patients HOSPITAL SYSTEM ADT Interface Demographics Quest, Sunrise, LabCorp LABS Interface Demos
The MDeverywhere Difference We will increase revenue 5% to 15% Automate Eligibility Decrease Denials by 90% Enforce Payer Contracts Increase Patient Volume Visibility & Control Earn PQRI & ePrescribing Bonus
How We Increase Revenue: 1. Rules Engine Reduces Denials 90% ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How We Increase Revenue: 2. PQRI & E-Prescribing Rules = 4.0% Bonus ,[object Object],[object Object],[object Object],[object Object],[object Object]
How We Increase Revenue: 3. Payor Contract Compliance ,[object Object],[object Object],[object Object],[object Object]
Payor Contract Compliance Identify Underpayments
Payor Contract Compliance  Appeal All Underpayments
How We Increase Revenue: 4. Eligibility Decreases Denials
How We Increase Revenue: 5. Increase Patient Volume ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Administrative Benefits: Visibility
Administrative Benefits: Patient Ledger
Administrative Benefits: Workflow Tracking
Administrative Benefits: Patient Accounts Receivable
Administrative Benefits: Management Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Net Collection Report: Our Report Card Charges by date of service Payments tie back to date of service Money we are not allowed to collect Professional discount Bad Debt Net Collections % = (Payments) / (Charges – Contractual Write-offs – Discretionary Write-offs)
Denial Summary Report
Our Start Up Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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MDeverywhere\'s solution for Hospital\'s

  • 1. Physician-Centric Revenue Cycle Management Company Cathy Steadman Director of Business Development
  • 2.
  • 3.
  • 4. Interfaces and Workflow Schedule Register Web / Handheld Charge Capture PRACTICE MDeverywhere Solution Submit Claims Post Payments Appeal Denials Work AR MDEVERYWHERE Back-Office MDe System Document Encounter Enter Codes (Optional) PRACTICE EMR Interface Demos Schedule Interface CPT & ICD Radiology: Dictations EKG: Encounter Data ER: Encounter Data Pathology: Encounter Data HOSPITAL DEPARTMENTS Interface Notes CPT & ICD Register Patients HOSPITAL SYSTEM ADT Interface Demographics Quest, Sunrise, LabCorp LABS Interface Demos
  • 5. The MDeverywhere Difference We will increase revenue 5% to 15% Automate Eligibility Decrease Denials by 90% Enforce Payer Contracts Increase Patient Volume Visibility & Control Earn PQRI & ePrescribing Bonus
  • 6.
  • 7.
  • 8.
  • 9. Payor Contract Compliance Identify Underpayments
  • 10. Payor Contract Compliance Appeal All Underpayments
  • 11. How We Increase Revenue: 4. Eligibility Decreases Denials
  • 12.
  • 13.
  • 16. Administrative Benefits: Patient Accounts Receivable
  • 17.
  • 18. Net Collection Report: Our Report Card Charges by date of service Payments tie back to date of service Money we are not allowed to collect Professional discount Bad Debt Net Collections % = (Payments) / (Charges – Contractual Write-offs – Discretionary Write-offs)
  • 20.

Notes de l'éditeur

  1. Slide 5: MDeverywhere Difference Now let me tell you why MDE is different, and how we can increase your revenue from 5-15%. I’m going to read through these slides quickly and then we’ll look at each one in more detail. Our automated eligibility system reduces your benefit related denials; Our rules engine that will reduce your denials by 90%; The rules engine also supports PQRI which will make you eligible for the 2% Medicare bonus; Payors are underpaying claims by 7% - 11% - our payor contract compliance software will catch these payment errors and drive your revenue up; and finally our patient outreach services will increase your practice volume. Now let’s go into each one of these areas in detail. How do you currently check eligibility? So you are checking one at a time, going to the web sites, making calls, etc.