Is It Time for New
Revenue Streams?

PAGE
PAGE 11

KAREO |

@GoKareo; #KareoTip
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

Is It Time for New Revenue Streams?

3

Discover Kareo’s R...
Your Hosts…

Rochelle Glassman
President, United Physician Services, LLC
.

Lea Chatham
Content Marketing Manager, Kareo

...
Rochelle Glassman
Nationally-recognized healthcare
consultant
Former executive-level consultant for Cigna
Healthcare bu...
Participate via Social
We’ll be live tweeting during today’s webinar!
How to participate:
1. Follow @GoKareo on Twitter
2....
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

Is It Time for New Revenue Streams?

3

Discover Kareo’s R...
You Can Make More Money
There are new opportunities:
 Many preventative services are
now covered!
 Environment is chang...
Pay-for-Performance
Payment is based on metrics
HEDIS
 Used by 90% of health plans
 Quality measurements
 Focuses on ...
Screening for Diabetic Retinopathy
Leading cause of blindness
among diabetics:
 25.8 million people in the US
have diabe...
Screening for Diabetic Retinopathy

In-house optometrist
 Increase patient compliance
 Improve clinical outcomes

Reim...
Dermatology Care

Most common form of cancer
but easily treatable
1 in 5 get skin cancer
Bringing in on-site dermatolog...
Drug Testing
Traditionally patients were
sent to the lab
Toxicology down to the
nanogram
Better to assess in clinical
s...
Drug Testing
 Pain Management
 Neurology
 Anesthesiology
 Surgeons (post operative
and pre operative)
 Treatment cent...
Depression Research Studies

New, clinically valuable
testing strategies
Target depression and
appropriate treatment
Hi...
Depression Research Studies
 Primary care docs misdiagnose
depression 50% of the time
 First of class blood test
 Looks...
Pharmacogenetic Testing
New system of prescribing
according to genetic make-up
 More accurate
 Better results
 Less si...
Pharmacogenetic Testing

100,000+ die each year due to
medication-related errors
770,00+ are hospitalized yearly for
Adv...
Pharmacogenetic Testing

Remuneration of either $15 or $75
per patient working
Simple 30 second cheek swab
Reimbursed b...
Medical Weight Loss

Covered for up to 26 visits per
year (exclusions may apply) for
patients with a BMI >30.
 1 visit e...
Medical Weight Loss

Nutritional counseling covered
with certain patients with
diabetes and renal disease
(i.e., CPT code...
Our Schedule for Today…

1

Introduction & Welcome Rochelle

2

Is It Time for New Revenue Streams

3

Discover Kareo’s Ro...
Discover Kareo’s Role

Cloud-based
Medical Billing
Patient Payment Services
Insurance Billing & Remittance
Scheduling...
Discover Kareo’s Role

PAGE 23

KAREO |

@GoKareo; #KareoTip
Educational Resources

Kareo.com/meaningful-use

Kareo.com/icd-10

PAGE 24

KAREO |

@GoKareo; #KareoTip
Discover Kareo’s Role
•Kareo EHR
• In-house labs
• In-house
draw/swab and
send out lab

PAGE 25

KAREO |

@GoKareo; #Kareo...
Discover Kareo’s Role
•Kareo EHR
• In-house labs
• In-house
draw/swab and
send out lab
• Mental health
notes and
templates...
Discover Kareo’s Role
•Kareo EHR
• In-house labs
• In-house
draw/swab and
send out lab
• Mental health
notes and
templates...
Discover Kareo’s Role
•Kareo EHR
• In-house labs
• In-house
draw/swab and
send out lab
• Mental health
notes and
templates...
Discover Kareo’s Role
•Kareo EHR
• In-house labs
• In-house draw/swab
and send out lab
• Mental health notes
and templates...
Let’s Answer Your Questions

866-231-2871
sales@kareo.com
Kareo.com/chat

Follow us!
Twitter.com/GoKareo
Facebook.com/GoKa...
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Kareo - Is It Time to Look at New Revenue Streams?

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Watch recorded webinar: http://www.kareo.com/resources/webinars

Are you giving money away to your competitors? If you aren’t considering additional revenue streams for your practice, you might be. Patient expectations are changing and some insurance plans are paying more if you meet new criteria or offer expanded care. In this webinar, Rochelle Glassman will discuss how adding innovative new services can increase revenue while also improving patient care and outcomes.

You’ll learn:

- When to add a new service and what type of services to consider
- How to evaluate your payers and patients to choose the services that will generate the most revenue
- How to add services that labs and other vendors may pay you directly for and that will assist in patient clinical management
- And, how to train staff, market new services, and work with third-party vendors

Published in: Health & Medicine
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Kareo - Is It Time to Look at New Revenue Streams?

  1. 1. Is It Time for New Revenue Streams? PAGE PAGE 11 KAREO | @GoKareo; #KareoTip
  2. 2. Our Schedule for Today… 1 Introduction & Welcome Rochelle 2 Is It Time for New Revenue Streams? 3 Discover Kareo’s Role 4 Answer Questions PAGE 2 KAREO | @GoKareo; #KareoTip
  3. 3. Your Hosts… Rochelle Glassman President, United Physician Services, LLC . Lea Chatham Content Marketing Manager, Kareo PAGE 3 KAREO | @GoKareo; #KareoTip
  4. 4. Rochelle Glassman Nationally-recognized healthcare consultant Former executive-level consultant for Cigna Healthcare business entrepreneur 30 years of healthcare business experience President/CEO United Physician Services, LLC Physician Advocate Trauma-trained RN PAGE 4 KAREO | @GoKareo; #KareoTip Rochelle@UPSHealthcare.com www.UPSHealthcare.com 602.685.9500
  5. 5. Participate via Social We’ll be live tweeting during today’s webinar! How to participate: 1. Follow @GoKareo on Twitter 2. Search for #KareoTip 3. Join the conversation using #KareoTip Twitter.com/GoKareo Facebook.com/GoKareo Linkedin.com/company/Kareo PAGE 5 KAREO | @GoKareo; #KareoTip
  6. 6. Our Schedule for Today… 1 Introduction & Welcome Rochelle 2 Is It Time for New Revenue Streams? 3 Discover Kareo’s Role 4 Answer Questions PAGE 6 KAREO | @GoKareo; #KareoTip
  7. 7. You Can Make More Money There are new opportunities:  Many preventative services are now covered!  Environment is changing from fee-for-service to pay-forperformance.  New advances in medicine can be added to your practice. PAGE 7 KAREO | @GoKareo; #KareoTip
  8. 8. Pay-for-Performance Payment is based on metrics HEDIS  Used by 90% of health plans  Quality measurements  Focuses on preventative care More ‘whole picture’ approach PAGE 8 KAREO | @GoKareo; #KareoTip
  9. 9. Screening for Diabetic Retinopathy Leading cause of blindness among diabetics:  25.8 million people in the US have diabetes  79 million have pre-diabetes  28% of diabetic patients have diabetic retinopathy 80% of referrals to obtain eye examinations NEVER OCCUR! PAGE 9 KAREO | @GoKareo; #KareoTip
  10. 10. Screening for Diabetic Retinopathy In-house optometrist  Increase patient compliance  Improve clinical outcomes Reimbursement for eye exams AND bonus from health plan! PAGE 10 KAREO | @GoKareo; #KareoTip
  11. 11. Dermatology Care Most common form of cancer but easily treatable 1 in 5 get skin cancer Bringing in on-site dermatologist  Additional revenue  Better detection  Improved compliance Joint ventures with MOHs lab PAGE 11 KAREO | @GoKareo; #KareoTip
  12. 12. Drug Testing Traditionally patients were sent to the lab Toxicology down to the nanogram Better to assess in clinical setting EHR compatible Reimbursement of about $25 to $30 PAGE 12 KAREO | @GoKareo; #KareoTip - Medicaid & Medicare CPT (G0434) - Insurance & Work-Comp CPT (80104)
  13. 13. Drug Testing  Pain Management  Neurology  Anesthesiology  Surgeons (post operative and pre operative)  Treatment centers  OB/GYN  Internal Medicine PAGE 13 KAREO | @GoKareo; #KareoTip
  14. 14. Depression Research Studies New, clinically valuable testing strategies Target depression and appropriate treatment Historically subjective, now more objective Lab reimbursement at $75 per patient PAGE 14 KAREO | @GoKareo; #KareoTip
  15. 15. Depression Research Studies  Primary care docs misdiagnose depression 50% of the time  First of class blood test  Looks at 9 bio markers across 4 pathways  Score of 1-9 with sensitivity of 94% and specificity of 92% overall accuracy of 93%  Score of 1-4 = 95% likelihood of not having major depressive disorder (MDD)  Score of 5-9 = 90% likelihood of having MDD PAGE 15 KAREO | @GoKareo; #KareoTip
  16. 16. Pharmacogenetic Testing New system of prescribing according to genetic make-up  More accurate  Better results  Less side effects Potential marketing Additional revenue stream PAGE 16 KAREO | @GoKareo; #KareoTip
  17. 17. Pharmacogenetic Testing 100,000+ die each year due to medication-related errors 770,00+ are hospitalized yearly for Adverse Drug Reactions Prescribe medications through science, not guesswork! Zero capital costs to the practice PAGE 17 KAREO | @GoKareo; #KareoTip
  18. 18. Pharmacogenetic Testing Remuneration of either $15 or $75 per patient working Simple 30 second cheek swab Reimbursed by all plans except Medicaid Specialties: primary care, internal medicine, pain management, neurology and psychiatry PAGE 18 KAREO | @GoKareo; #KareoTip
  19. 19. Medical Weight Loss Covered for up to 26 visits per year (exclusions may apply) for patients with a BMI >30.  1 visit every week for first month  1 visit every other week for 2-6 months  1 visit every month for months 7-17  CPT code G0447 PAGE 19 KAREO | @GoKareo; #KareoTip
  20. 20. Medical Weight Loss Nutritional counseling covered with certain patients with diabetes and renal disease (i.e., CPT code 97802 and 97803) Partner with specialties to attract patients Great preventative measure to achieve benchmarks Happier patients PAGE 20 KAREO | @GoKareo; #KareoTip
  21. 21. Our Schedule for Today… 1 Introduction & Welcome Rochelle 2 Is It Time for New Revenue Streams 3 Discover Kareo’s Role 4 Answer Questions PAGE 21 KAREO | @GoKareo; #KareoTip
  22. 22. Discover Kareo’s Role Cloud-based Medical Billing Patient Payment Services Insurance Billing & Remittance Scheduling & Practice Management Electronic Health Records Medical Billing Services Education, Training, & Support Included 20,000 Providers Nationwide PAGE 22 KAREO | @GoKareo; #KareoTip
  23. 23. Discover Kareo’s Role PAGE 23 KAREO | @GoKareo; #KareoTip
  24. 24. Educational Resources Kareo.com/meaningful-use Kareo.com/icd-10 PAGE 24 KAREO | @GoKareo; #KareoTip
  25. 25. Discover Kareo’s Role •Kareo EHR • In-house labs • In-house draw/swab and send out lab PAGE 25 KAREO | @GoKareo; #KareoTip
  26. 26. Discover Kareo’s Role •Kareo EHR • In-house labs • In-house draw/swab and send out lab • Mental health notes and templates PAGE 26 KAREO | @GoKareo; #KareoTip
  27. 27. Discover Kareo’s Role •Kareo EHR • In-house labs • In-house draw/swab and send out lab • Mental health notes and templates • Obesity templates PAGE 27 KAREO | @GoKareo; #KareoTip
  28. 28. Discover Kareo’s Role •Kareo EHR • In-house labs • In-house draw/swab and send out lab • Mental health notes and templates • Obesity templates • USPSTF Recommendations PAGE 28 KAREO | @GoKareo; #KareoTip
  29. 29. Discover Kareo’s Role •Kareo EHR • In-house labs • In-house draw/swab and send out lab • Mental health notes and templates • Obesity templates • USPSTF Recommendations • Kareo PM • Track HEDIS measures • Schedule multiple providers/resources PAGE 29 KAREO | @GoKareo; #KareoTip
  30. 30. Let’s Answer Your Questions 866-231-2871 sales@kareo.com Kareo.com/chat Follow us! Twitter.com/GoKareo Facebook.com/GoKareo Linkedin.com/company/Kareo PAGE 30 KAREO | @GoKareo; #KareoTip
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