2. Doctors are facing several Challenges
• Increasingly difficult to collect on claims from the insurance companies
• Patients are slow to pay, IF they pay at all
• Close private practices, join large groups, become employee
due to reduced reimbursements and increased costs
• Difficult to stay up-to-date with new regulations and compliance
• Staffs are overwhelmed with office chaos
Being fined for HIPAA breaches
Overwhelmed with medical records storage compliance
Being penalized for not converting to EHR
Audits penalties are imminent due to
Lack of proper documentation
New code set and coding rules
• No patient retention marketing in place
4. Current Insurance
Claim Challenges
Slow Payment
Turn-around up to 120 days
High Rejection Rate
National Rejection Rate is 34%
High Cost
National Average of $22 per
claim
5. Solution
Reduced Rejection Rate
As low as 2%
Lower Billing Costs
Save up to 50% of in-house
costs
Faster Payment of Claims
Average of 14 days
6. Challenge
“Some doctors spend more
time filling out forms than
taking care of patients.”
Dr. C. Everett Koop
Former Surgeon General
7. • FASTER Charting
• Chart encounters using touch,
talk (dictation), or typing
• Designed for speed and
flexibility
Comprehensive cloud-based Electronic Health Records System
8. “Physicians typically
collect only about 50%
of outstanding patient
balances, resulting in
almost $60 Billion in bad
debt annually.”
- McKinsey & Company
Challenge: Patients don’t pay!
9. • Patients can make payments online
24/7
• Get Paid Faster
• Reduce Costs
• Increase Patient Satisfaction
• Schedule Patient Payments
• Automate recurring payment plans
10. Alternate Option to Collect Patient
receivables
Not a Collection Agency
Low Cost
Four times the Average Recovery Rate
Fully Automated
Increase Patient Retention
11. Current Challenges
Coding is complex-
changes consistently
Increased regulatory
scrutiny
Shortage of skilled labor in
specialties
Financial & Compliance
pressures
13. Current Challenges
• ALL Documentation MUST
match coding
• Ongoing audits from both
government and commercial
payers
• Physicians subject to being
audited anytime
14. Solution
• Offers corrective actions required
for compliance
• Implements changes to stay in
compliance
• Continuing education
• Advises Provider on
underpayments
15. Challenges
•Time wasted searching for files and
refilling paperwork
• Time and money lost in re-creating
lost documents
• Costs of storing documents in-house
or off-site
• No disaster recovery systems in place
16. Solution
• Save Time
•No more time spent filing or
retrieving paper files
•Access stored files from any
computer with Internet access
• Save Money
•Eliminates the need for file
cabinets and off-site storage
17. Challenges
• Limited time to market
practice
• Obtaining new patients
• Showing patient
appreciation
18. Solution
• Patient retention program
• Patients are really customers
• Shows patient appreciation
• Potential to increase patient
visits
• Increases referrals
19. Challenges
• 79% of Covered Entities fail
the CMS Meaningful Use
audit
• 2015, 5% of providers facing
mandatory audits by CMS
• 70% of Covered Entities are
NOT compliant.
• HIPAA Fines/Penalties are
increasing
Up to $50,000/incident
Up to $1.5 million
20. Benefits:
Designed by Privacy/Security Professionals
Easy to use
One simple price - No extra costs
Automatic updates of Federal Regulations
Compliance Coaches assist you every step of the way
Cloud Based – No software or IT integration required
21. Clear Medical Revenue Services
can not only cure these challenges, but
increase profitability!
22. Who Do You Know…
That could use one or more of
these solutions?
