School project - . I thought it would be nice to introduce the business of medicine to my classmates. Firt time utilizing ppt 2007... I love this version very user friendly!!!

1. UNDERSTANDING A MEDICAL PRACTICE 1 Ibarra

3. Challenges in Healthcare

4. Revenue Cycle

5. Pro-activity = Profitability2 Ibarra

6. Practice of Medicine is like any other business Service Compensation Efficiency & Profitability 3 Ibarra

7. Current challenges # Uninsured individuals increased $$ Reimbursement decreased Government sponsored carriers Patient’s share of cost Lack of regulating laws Charges Reimbursement 4 Ibarra

8. GENERAL PEDIATRIC SURGICAL CODES Charged vs. reimbursed Ibarra 5 Data collected on 06/2009

9. Revenue cycle 6 Ibarra

10. Who’s ROLE IN THE CYCLE? 7 Ibarra

11. It’s all about teamwork REFERRALS Front desk Client retention Scheduling management Pre-registration P.O.S collection CODING Provider Accurate coding All billable services BILLING Back office staff Accurate information Timely Claim Follow up DENIALS Billing staff Tracking log Identify factors PAYMENT Close the book Identify other responsible parties COLLECTION Insurance Reimbursements Patient’s responsibility Co-payments Deductibles Share of Cost 8 Ibarra

12. Must value human capital Front desk Not an entry level position Customer service oriented Face of the practice Power to retain customers Clinical Staff Recognize the business in medicine Quality of care Patient satisfaction Billing Staff Coding & collection policies & procedures Up to date with changes in billing Seminars, publications, workshops, etc. 9 Ibarra

13. instruct Key players 10 Ibarra

14. Bottom line: MEDICAL PROVIDERS WANT TO FOCUS IN PATIENT CARE A properly trained and qualified staff will: Increase productivity Reduce administrative cost Reduce days in Accounts Receivable Increase collection levels 11 Ibarra

15. Who are they going to call?? 12 Ibarra

16. Practice administrator 13 Ibarra