Management Services Network


Published on

MSN is the billing partner for 55 radiology practices in 19 states across the nation. MSN is a private company governed by its radiology client needs with the sole goal of working for the financial benefit of its radiology professional partners.

Published in: Business
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Management Services Network

    1. 1. Management Services Network Leading the industry in exceptional performance through people, service, technology
    2. 2. Who We Are . . . *Falcon Capital Partners, LLC “ Next generation” billing software (Technology Partners) 3 MSN Ranked Top 10 Nationally* Radiology Billing Companies 54 Radiology clients 17 states U.S. Virgin Islands 6.3 million Procedures $720 million Charges Billed Annually Industry Leading Management Team
    3. 3. Diligence Denied Claims Management Front End Clean Claims Capture Every Exam Code from Reports Only <5% Claims Denied
    4. 4. Who We Are A Focus on the Fundamentals . . . S ervice T echnology P eople
    5. 5. People <ul><li>Hire Good People </li></ul><ul><ul><li>Motivate & Educate Them </li></ul></ul><ul><ul><li>Pay Them Well </li></ul></ul><ul><ul><li>Invest Them in Your Success </li></ul></ul><ul><li>Nationally recognized Experts: </li></ul><ul><ul><li>Two past Presidents of RBMA </li></ul></ul><ul><ul><li>Former RBMA liaison to ACR Managed Care Committee </li></ul></ul><ul><ul><li>President of Radiology Coding Certification Board (RCCB) </li></ul></ul><ul><ul><li>CPAs and certified (RCC) radiology coders </li></ul></ul>
    6. 6. Unmatched Leadership <ul><li>Unprecedented depth of experience in radiology = access to collective wisdom </li></ul><ul><ul><li>“ The scope of experience and the credentials on the MSN team exceed any other radiology billing company in the industry” – </li></ul></ul><ul><ul><li>Dave Jakielo </li></ul></ul><ul><li>Dave Jakielo consults with hundreds of billing companies nationally and is a former Per Se’/McKesson executive with over 30 years of billing experience. </li></ul>7
    7. 7. Service <ul><li>Provide Amazing Service </li></ul><ul><ul><li>Anticipate Client’s Needs </li></ul></ul><ul><ul><li>Don’t Wait for Client to Ask </li></ul></ul><ul><ul><ul><li>Be Proactive in Identifying Problems </li></ul></ul></ul><ul><li>Meet Regularly </li></ul><ul><ul><li>Brainstorm Together </li></ul></ul><ul><li>Monitor and Adapt to Change </li></ul><ul><ul><li>Legislative, CMS, ICD-10, local payors </li></ul></ul>
    8. 8. Client Focus “ MSN is more than a billing company. They truly are our partner in business.” John Daly, M.D. Carolina Radiology Associates <ul><li>More $$ in Bank </li></ul><ul><li>Compliance </li></ul><ul><li>Client Confidence </li></ul><ul><li>Lasting Partnerships </li></ul>Long Term Relationships
    9. 9. Technology <ul><li>Technology that Works for MSN Clients </li></ul><ul><li>IMAGINEradiology™ Software </li></ul><ul><ul><li>“ Real Time” Technology </li></ul></ul><ul><ul><ul><li>Problems Solved as They Occur </li></ul></ul></ul><ul><ul><ul><li>Reduced Time from Data Capture to Claims Submission = Quicker Cash Flow </li></ul></ul></ul><ul><ul><li>Daily Management of AR </li></ul></ul>
    10. 10. IMAGINE the possibilities! <ul><li>Faster Start-Up </li></ul><ul><li>Embedded Technology </li></ul><ul><ul><li>Automated Coding </li></ul></ul><ul><ul><li>Electronic Files Management </li></ul></ul><ul><li>Real-Time Management </li></ul><ul><ul><li>No Need to “Close the Month” </li></ul></ul><ul><ul><li>Problems Identified Immediately </li></ul></ul><ul><li>“ Dashboard” Desktop Access </li></ul>
    11. 11. Desktop Dashboard Establish Connection from Your Office to MSN “ Auto-Send” Reports
    12. 12. Access to Information <ul><li>“ Pull” Information </li></ul><ul><ul><li>Desktop Access </li></ul></ul><ul><ul><ul><li>Icon on physician’s desktop </li></ul></ul></ul><ul><ul><ul><li>View reports </li></ul></ul></ul><ul><ul><ul><li>Create reports </li></ul></ul></ul><ul><ul><ul><li>“ Real time” </li></ul></ul></ul><ul><li>“ Push” Information </li></ul><ul><ul><li>Practice Activity Reports </li></ul></ul><ul><ul><li>Automatically E-mailed every Monday morning </li></ul></ul>9
    13. 13. Reporting Standard Ad Hoc <ul><li>AR Reconciliation </li></ul><ul><li>Aged Trial Balance </li></ul><ul><li>Insurance Aging by Post Date </li></ul><ul><li>Summary by Location </li></ul><ul><li>Transaction Summary (12 Month) </li></ul><ul><li>Transactions by Modality </li></ul><ul><li>Summary by Insurance Type (Payer Mix) </li></ul><ul><li>Denials Appealed </li></ul><ul><li>Examples : </li></ul><ul><li>Referring Physician </li></ul><ul><li>by Modality </li></ul><ul><li>Referring Physician </li></ul><ul><li>by Site by Modality </li></ul><ul><li>Pivot Table Reporting </li></ul><ul><li>Real Time Reporting </li></ul><ul><li>Information Immediately </li></ul><ul><li>Available; No “Mining” </li></ul><ul><li>of Data </li></ul><ul><li>Desktop “Dashboard” </li></ul>No Lag Time
    14. 14. Client Locations
    15. 15. MSN in Arizona <ul><li>MSN office in Cottonwood, Arizona </li></ul><ul><li>National Resources & Expertise </li></ul><ul><li>State-of-the-art Technology </li></ul><ul><li>Local payment processing </li></ul><ul><li>Local follow-up </li></ul>10
    16. 16. Why do Radiology Practices choose MSN? <ul><li>Desire for Improved Billing Performance, More Accountability </li></ul><ul><li>Concern About “Missing” Charges </li></ul><ul><ul><li>Reconciliation at Point of Data Capture </li></ul></ul><ul><ul><li>Coding from Physician’s Report </li></ul></ul><ul><ul><ul><li>Documentation Feedback </li></ul></ul></ul><ul><li>Desire for Confidence in Billing Partner </li></ul>
    17. 17. Why do Radiology Practices choose MSN? <ul><li>Aggressive account follow-up </li></ul><ul><ul><li>Insurance companies </li></ul></ul><ul><ul><li>Private pay accounts (“Self Pay”) </li></ul></ul><ul><li>Dedication to customer service and accuracy </li></ul><ul><li>Specific expertise in interventional coding </li></ul>
    18. 18. Recent Start-Up Results
    19. 19. How do we do it? <ul><li>Capture every charge </li></ul><ul><li>No “missing” exams </li></ul><ul><li>Reconcile log sheets </li></ul><ul><li>Code from x-ray reports only </li></ul><ul><li>Submit clean claims on front-end </li></ul><ul><li>Quick turnaround on clean claims </li></ul><ul><li>Edit payments </li></ul><ul><li>Aggressive pursuit of </li></ul><ul><li>unpaid claims </li></ul><ul><li>In-house collections </li></ul><ul><li>Telephone calls to patients </li></ul><ul><li>More timely, steadier cash flow </li></ul><ul><li>Claims supported by documentation </li></ul><ul><li>Focus on accountability </li></ul>
    20. 20. Unpaid Claims Follow-up Research/Resolve missing data, diagnosis mismatch Insurance Self-Pay Identify why claim was not paid Re-submit claims with corrected information Send 2 statements to all self-pay accounts “ Auto-dialer” calls patients with balances of $10-$75 Personal telephone calls to patients with balances >$75
    21. 21. Case Study <ul><li>23.5% increase in # procedures billed </li></ul><ul><li>72% increase in average collections/month </li></ul><ul><li>HOW ? </li></ul><ul><li>Reconciling charges vs. relying on hospital charge information </li></ul><ul><li>Coding from dictated reports vs. coding hospital charge information </li></ul><ul><li>Aggressive AR follow-up </li></ul>
    22. 22. MSN Results* *Average increase in collections: 32.69% Previous biller: large, public company
    23. 23. AR > 120 Days <ul><li>MSN Radiology Partners - 12.02% </li></ul><ul><li>RBMA Mean - 15.60% </li></ul>
    24. 24. MSN outperforms competitors “ We were able to give bonuses that exceeded those given during the prior calendar year in a quarter when we were transitioning billing companies . . . unheard of!” Practice Administrator, New MSN Client <ul><li>Fear of a decrease in cash flow during a transition: </li></ul><ul><ul><li>#1 concern for practices considering a change </li></ul></ul><ul><ul><li>#1 reason practices stay with a “B-“ performance rather than change to an “A+” performance </li></ul></ul>
    25. 25. Reporting <ul><li>Concise reports provide details about billing & AR performance </li></ul><ul><li>MSN senior managers review monthly reports to identify trends, variances </li></ul><ul><li>“ Ad hoc” reports are easily available upon request </li></ul><ul><li>Sample standard reports: </li></ul><ul><ul><li>Aged AR </li></ul></ul><ul><ul><li>MTD/YTD by Payer </li></ul></ul><ul><ul><li>MTD/YTD by Modality </li></ul></ul><ul><ul><li>Payer Mix </li></ul></ul><ul><ul><li>Transaction Summary (Charges, Payments, Procedure by Month) </li></ul></ul>
    26. 26. MSN Growth
    27. 27. MSN’s Client Covenant We pledge to serve every Client with the highest levels of sincerity, fairness, courtesy, respect and gratitude, delivered with unparalleled responsiveness, expertise, efficiency, and accuracy. We are in business to create lasting relationships and we will treat our customers exactly how we would like to be treated. We will deliver the finest personal service by a caring and professional team who take 100% responsibility for meeting every Client’s needs.
    28. 28. “ . . . our ultimate selection of MSN to me seemed simple: they gave me full confidence that they would treat our practice and protect our interests with the same degree of professionalism we provide to our patients and colleagues ” Michael C. Brunner, MD, Vice-Chairman of Radiology Swedish Covenant Hospital Past President, Society of Interventional Radiology Testimonials “ . . . The biggest and most valuable asset MSN brings to the table is the collected wisdom of its management team” Anthony Fertitta Practice Administrator Lakeland Radiologists Jackson, MS
    29. 29. Questions? Practice Concerns?