2 Advanced Rx Management Point of Care Management Services CompanyLicensed Wholesale Pharmaceutical DistributorServices Offered:Point of Care DispensingUrine Drug Testing
3 Point of Care Dispensing Prescription MedicationsTopical Pain ProductsDispensary Implementation and ManagementBilling and Claims ManagementProgram Management
4 Urine Drug Testing Prescription Drug Monitoring Through Urine Testing Comprehensive Test Results and “Dictated Reports”Billing SupportProgram Management
5 Value Propositions Improved Patient Care Physician controls treatment and all medicationsLeverages existing prescribing practicesImproved Monitoring of Patients Medication IntakeImproved Patient ConvenienceSignificant Physician Revenue OpportunityNo Upfront Cost to the Physician’s (Net 90 Implementation)Minimal Risk
6 Best Physicians to Target Doctors That See At Least 10Workers Comp Patients Per WeekOrthopedic Physicians (68%)Occupational MedicinePain Specialists / Pain Management (18%)Podiatrists, Hand SpecialistsInternal Medicine and other General Practitioners with a significant workers comp patient base
7 Revenue Opportunity - Physicians Physician’s Average Net Reimbursement Revenue Per Patient:Topicals = $400Oral Medications = $200 (typically several dispensed at a time)Urine Drug Tests = $400We have single Physicians making over$50K per month
8 Income Opportunity – Sales Reps Sales Rep’s Estimated Commission Per Patient:Topicals = $40Oral Medications = $20 (typically several dispensed at a time)Urine Drug Tests = $50* Rough estimateWe have Sales Reps making over$25K per month
9 What Products & Services Does Advanced Rx Management Offer? FAQWhat Products & Services Does Advanced Rx Management Offer?Full-Formulary Point of Care (POC) Dispensing: In-office dispensary including software and support. Formulary optimization, automated inventory management, practice management integration, simplified dispensing and billing management.Topical and Over the Counter (OTC) Dispensing: Unique program that can work in conjunction with existing POC management services to add incremental revenue to the practice by leveraging highly effective Topical Pain Medications.Prescription Drug Monitoring / Urine Drug Testing: Analytical monitoring of patients drug intake, ensure proper dosage management and response, improve the overall care provided.
10 What Products & Services Does Advanced Rx Management Offer? (Cont.) FAQWhat Products & Services Does Advanced Rx Management Offer? (Cont.)Cash & Carry Pharmacy Services: Advanced Rx will provide all necessary pharmaceutical dispensing resources to allow any physician office to dispense medication to their patients without the need for a pharmacy visit. This improves patient care dramatically, while allowing doctors to capitalize on revenue otherwise lost to pharmacies.Profitability Research: Product cost vs. reimbursement analysis as well as product alternative research to keep our physicians informed regarding different medication options that exist.
11 Why is Our Program Not in Violation of the Stark Anti-Kickback Laws? FAQWhy is Our Program Not in Violation of the Stark Anti-Kickback Laws?All of our services work on behalf of the physician. Therefore the physician is actually agreeing to pay us for the service we provide, not the reverse. We do not pay the physician for dispensing medications. Rather the physician agrees to pay us a percentage of the physician’s funds as reimbursement for the Management Services that we provide on the physician’s behalf.When physicians order medications from us, they are buying the medications. We are not providing them on consignment; rather we are selling them directly to the physicians.This is a legal requirement and not an option. Offering physician’s medications on consignment and then paying them based on their dispensing we would be in violation of the Stark Laws.
12 Why Do Work Comp Insurance Carriers Pay Us? FAQWhy Do Work Comp Insurance Carriers Pay Us?We bill the Work Comp Insurance Carriers on behalf of the physicians. We are representing the physician.We always bill at the specified fee schedule for the state involved, unless the physician has agreed to a reduced rate with the insurance carrier.The billing for pharmaceuticals is based on the medications’ National Drug Code (NDC). We do not bill on J Code’s or L Code’s, which are used for billing medical services or supplies.
13 FAQWhy Are The Topical Medications That Advanced Rx Offers NOT Considered Compounds?Compounds consist of a formulation of existing drugs. That is, one compound may consist of 4 or more drugs that are combined into a “custom” formula for specific physicians.They are not mass produced but rather custom made for the specific physician.Our topicals have all been approved and listed with the Food and Drug Administration (FDA) as a commercial medication – with a single NDC.
14 Typically, How Long Does it Take to Receive Insurance Reimbursement? FAQTypically, How Long Does it Take to Receive Insurance Reimbursement?The reimbursement timeline varies by stateMany states pay within 60 daysMost reimbursements will be collected within 30 – 60 days and paid to the physicians through the end of month reporting period
15 FAQIs There Any Reason for Me to Worry About Charging Insurance Companies Too Much for My Medication Claims?No – Advanced Rx bills insurance carriers at state-specific customary rates, outlined in Redbook, Orange Book, First Data Bank, or Medi-Span.Insurance companies have no issue paying our claims, due to the customary nature of our state-specific fee schedule billing.Should the physician feel the need to bill at a lower reimbursement, we can accommodate these requests. We bill on behalf of the Physician, therefore we bill at the standard rate or negotiated rate established by the Physician.Physicians do not lose referrals from insurance companies for joining our program. We have never encountered this issue with any of our participating physicians.
16 Legal & Regulatory Questions FAQLegal & Regulatory QuestionsLegal in Most States – But Varying Degrees of RegulationAWP (Average Wholesale Price) Based Fee SchedulesProvied by Redbook, Medispan, and First DatabankSome states require Physician Dispensing LicensesBut Not for OTC’s (e.g. Topical Pain Medications)Most States Have a Daily or Weekly Reporting Requirement for Controlled SubstancesAll states require a CLIA Waiver for “Point of Care Drug Testing”
17 Initial Sales CallAre they interested in learning about a way to enhance their Patient Care while creating a significant revenue opportunity for their practice?No Upfront InvestmentLeverages Existing Prescribing PracticesGenerates Substantial New Revenue to PracticeMinimal Risk – Have the Ability to Terminate Any TimeImproved Monitoring of Patients’ Medication Intake through “Fact Based Analysis”
18 Folded brochure with flyers folded inside Initial Sales CallDrop Off CollateralSet Up Physician AppointmentFolded brochure with flyers folded insideAlready Dispensing or Drug Testing?Which management/dispensing/UDT company?Can we provide you with a proposal to:lower medication pricing; improve billing; improve serviceImprove RevenueWilling to consider a new drug testing program?Improved results reportingBilling support for maximum reimbursement
19 Competitive Strengths Topical Pain CreamsFirst to the MarketWe Are One of the Largest Distributors of These ProductsFax-In Program and Patient Mailing Program
21 Competitive Strengths Urine Drug TestingDictated ReportsMedical Billing Services When Practice is also Dispensing With UsCutting-Edge LC/MS/MS Laboratory TechnologyMost Specific Level of Testing Available
22 Roles & Responsibilities Sales RepsInitiate and Close dealsEnsure Effective Set-Up, Training and Launch OccursWork with Account Management and Billing as necessaryDeliver Reports and ChecksMonthly Inventory Audits (at least)Encourage Dispensing/TestingMAKE MONEY!
23 Roles & Responsibilities Account Mgt. & Sales SupportAssist withCollateralContract completionFormulary Creation / OptimizationSoftware Set-upOffice Staff Orientation and TrainingMedication ManagementHelp You Close Deals!
24 Elevator Pitch Improved Patient Care Through Point of Care Services Physician Controls All Treatments and All MedicationsImproved Patient ConvenienceSignificant NEW Physician Revenue OpportunityLeveraging What You Already Sample or Prescribe
25 Elevator Pitch (Cont.) No Upfront Cost!!! Process Integration and OptimizationSupports Electronic Prescribing (Medicare)Best Billing and Claims Management in the Business!