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SV: 011510 IS PATIENT BILLING A LOSING PROPOSITION FOR BILLING COMPANIES, TOO MANY PATIENTS, TOO MANY NO PAY.

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Presentation on theme: "SV: 011510 IS PATIENT BILLING A LOSING PROPOSITION FOR BILLING COMPANIES, TOO MANY PATIENTS, TOO MANY NO PAY."— Presentation transcript:

1 SV: 011510 IS PATIENT BILLING A LOSING PROPOSITION FOR BILLING COMPANIES, TOO MANY PATIENTS, TOO MANY NO PAY

2 ©2013ExeterFinancialGroup Preferred Health Technology’s parent company operates one of the worlds largest healthcare insurance data center sites and supports Medicare, Medicaid, TRICARE, the Federal Employee Program and Medicare Advantage health plans, as well as other private health plans. The A-Claim System is the result of 10’s of Millions of Dollars in development and over 3 years in beta-testing by the largest insurance payer in the Industry and works with over 1800 Insurance providers. A Full-Partner Honoring All Major Credit Cards. Authorized National Distributor

3 The Power Behind The A-Claim ™ System Preferred Health Technology offers a suite of transaction processing services to health care providers, including real-time insurance eligibility verification, real-time claims adjudication and automated collection of patient responsibility payments, delivered in an electronic swipe card terminal. The product combines award winning technology innovation with proprietary payment functionality and enhanced payment collection processes. Preferred Health Technology Inc., headquartered in Dallas, is a wholly owned subsidiary of BlueCross BlueShield of South Carolina. BlueCross operates state-of-the-art health care insurance application systems on one of the largest health care insurance data centers in the world in support of Medicare, Medicaid, TRICARE, the Federal Employee Program and Medicare Advantage health plans, as well as other private health plans. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Press Releases Press Release: PRNewswire - Published June 21, 2007

4 Beyond A-Claim ™ Proven Industry Leaders Preferred Health Technology Inc. Joins PCI Security Standards Council PRNewswire - USNewswire/ -- (PHT), a provider of electronic payment and transaction-processing services for the health care industry, announced today that it has joined the PCI Security Standards Council as a new participating organization. As a participating organization, PHT will work with the council to evolve the PCI Data Security Standard (DSS) and other payment card data-protection standards.

5 How would you like to be able to increase the cash for each Doctor in each practice by $50,000 to $100,000 each per year without asking them to add patients? Would you like to be able to save the cost to actually send out bills, postage and follow up? Each and every month for every practice yet, offer them a better service, that increases cash flow and effectiveness? Patient billing has triples since 2001 and 49.3% does not pay, so you are billing three times as many patients (high risk payers) with triple the time and expense to do it, yet only collecting on half of all the billing

6 HFMA, MGMA, AHA, AMA all are supporting and promoting the PATIENT FRIENDLY BILLING INITIATIVE POINT OF SERVICE COLLECTION IS HERE AND TRENDING PATIENT BILLING IS TRENDING THE OTHER WAY PROTECT THIS REVENUE STREAM AND HELP YOUR CLIENTS ACTUALLY CAPTURE MORE CASH EARN MORE MONEY FOR LESS WORK REDUCE YOUR COSTS TO PROCESS PATIENT BILLING INCREASE CLIENT LOYALTY AND LOCK OUT ANY COMPETITIVE ATTEMPTS TO STEAL THIS BUSINESS

7 IF YOU BILL $1,000,000 TO PATIENTS AT $200 EACH PATIENT THAT IS 5,000 STATEMENTS AT HARD COSTS OF AT LEAST $3.00 (LABOR, POSTAGE, INK, PAPER AND PHONE CALLS) SO $15,000 COST TO BILL 49% DOES NOT PAY YOU COLLECT $510,000 EASILY @ YOUR 7% FEE YOU GROSS $35,000 NET MINUS COSTS $20,000 WITH A-CLAIM THIS SAME $1,000,000 LOOKS LIKE THIS ZERO COSTS TO BILL COLLECTIONS WILL INCREASE TO AT LEAST $800,000 YOUR NET AT 7% $56,000 ALMOST THREE TIMES MORE REVENUE AND NO WORK ASSOCIATED WITH IT

8 AND YOUR CLIENT ADDS NEARLY INCREASES HIS COLLECTED REVENUE BY NEARLY $250,000 WITHOUT ADDING ADDITIONAL PATIENTS ADDED BONUS ALL PATIENTS WILL BE VERIFIED PRE-SERVICE WHICH WILL REDUCE CLAIM DENIAL BY AS MUCH AS 50% EVERY ONE WINS, YOU THE CLIENT, THE PATIENT AND US

9 Practice Management Benefits ©2013ExeterFinancialGroup Why Use A-Claim For Your Accounts Even your Practices know that HFMA & MGMA Members are looking for ways to: Reduce write offs. Enhance Patient Understanding. Improve staff efficiency & productivity. Stream line processes. Reduce costs. By offering the A-Claim solution as an option to your clients as a ‘Value-Added Service’ you clearly demonstrate to your healthcare clients that you are keeping pace with industry trends. My client wants me to use A-Claim for them? A-Claim is easy to integrate and shows that your client is trying to be proactive in their survival. What if I want to offer it to Existing or new Practice clients? It is a profit enhancing tool that easily fits into your daily routine to increase your bottom line.


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