Secrets to increased profitability for chiropractors. Resolve workflow problems that kill productivity.

1. Chiropractors,
Discover the
Secrets to
Increasing
Profitability
Presented by Judy Capko & Joe Capko
October 6, 2015

2. Agenda
2
Agenda
2
• Introductions and welcome
• Learn the Secrets to Profitability
• Discover Kareo’s & Medicfusion’s Role
• Answer Questions

3. 33
Speakers
Judy Capko
 Founder of Capko & Morgan
 Nationally-recognized practice
management and healthcare consultant
with over 25 years experience
 Focus on patient-centered strategies,
improving leadership, and valuing staff
contributions
 Judy authored best-selling book Secrets
of the Best-Run Practices
 New book The Patient-Centered Payoff
just released!
 judy@capko.com

4. 44
Speakers
Joe Capko
 Specializes in strategic planning, business
development, qualitative/quantitative
studies, and statistical analysis
 Conducted patient satisfaction and
community needs assessments for all
sizes
 Over ten years experience with statistical
research
 Fielded public opinion polls for Public
Research Institute and PC World
Magazine
 BA in Political Science and Urban Planning
 joe@capko.com

5. 55
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6. Secrets to increased profitability for chiropractors
Resolve workflow problems that kill productivity

7. 77
Today’s Objectives
• Quickly consider the nature of workflow problems.
• Review most common problems chiropractic
practices face and how to resolve them.
• Discuss how some key software features can make
management easier.
• Examine ways to help staff do more with higher job
satisfaction.
• Assess ways to keep patients happy and the practice
growing.

8. 88
Common Problems and Their Solutions
1. Consideration of “workflow”
2. Starting well and avoiding scheduling problems
3. Avoiding clinical bottlenecks
4. Billing and collecting challenges
5. General workflow problems
6. Common and easily correctable
7. Cheap tech tricks
8. Integrated technology benefits

9. 99
How Workflow Is Like a Hike
• Slowest hiker sets pace
• When fastest go faster, the slowest drop further
behind
• Speed flow by speeding up the slowest camper
• If you’re measuring data throughout your
practice, you’ve got the data to manage

10. 1010
Scheduling Inefficiencies
• Embrace schedule optimization
• Proper use of scheduling program is essential to
understanding what is actually happening
• Unpredictable scheduling demand leads to
• Double booking
• Dealing with no shows – are they accurately reflected?

11. 1111
Scheduling Inefficiencies
• Getting behind schedule – often a symptom!
• Your schedule should match reality and help you be
efficient
• Are you patients scheduling themselves?
• Patient portal and/or other service, i.e. Zoc Doc.
• Could make a huge difference in the number of patients
you see!

12. 1212
Start Well!
• Pre-visit planning
• Morning huddle
• Chart review
• Prevent bottlenecks at check-in
• Check in tools
• Kiosk
• Staying on schedule
• Just like a traffic jam

13. 1313
Front Office Productivity
• Pre-registration
• Pre-visit verification of benefits
• Check in and payment tools
• Patient portal - payment and clinical!
• Managing the phones
• Work backlog
• Bottlenecks in your collection process threaten your
business!

14. 1414
Avoiding Clinical Bottlenecks
• The virtual patient—use technology to time shift for greater care
and efficiency
• Telephone calls
• Messages
• EHR—documenting visits
• Messages
• Electronic management allows for tracking and prioritization
• Managing visit time
• Interruptions
• Modified open-door policy, schedule access
• Manage tasks; don’t have them manage you

15. 1515
Avoiding Billing Bottlenecks
• Inaccuracies up front, cause delays in billing
• Each step can introduce the potential for error
• Batch processing results in huge variation in incoming
calls when statements are sent out
• Frustrated patients are a great risk to your practice
through negative reviews
• Team approach to patient care can pro-actively head
off problems
• Make sure you review common financial and billing
reports to discover problems early

16. 1616
Collecting the Patient Portion
• Clarify terms of visit
• Technology is paramount: ask PMS vendor, billing
service, payers
• Possible estimate/collect approaches:
• Collect 50% of estimate; make clear remainder will be
charged to card or billed
• Collect smaller amounts in full
• Patients sign current financial policy
• Everyone is happier when the patient pays sooner!

17. 1717
Common and Easily Correctable
• Lunch hour shutdown
• Poor greeting
• Wait times (empower front desk staff!)
• Poor communication
• Lack of clarity
• Slow follow-up
• Reporting test results

18. 1818
Technology Is Your Partner!
• Yes, really! You can even off-load many tasks to your
patients
• Leverage EHR, PMS in full
• Patient engagement, promotion
• Electronic statements, payment portal
• New patient payment technologies address your pain
– and patients’
• Tap multiple technologies, multiple vendors

19. 1919
Technology – Quick Fixes
• Larger monitors
• Faster Internet speeds
• Back-up connectivity solutions
• Reduce IT problems, HIPAA vulnerabilities and costs
with cloud-based systems

20. 2020
Technology That Smooths Workflow
• Patient-focused websites
• Patient apps
• In-office tablets, kiosks
• Verification, eligibility tools
• Payment systems – automated installments, card-on-
file, portal
• Remember: these vendors must play nice, earn your
business

21. 2121
Integrated Systems
Integrating the Practice Management and EMR offers huge benefits
• Billing personnel no longer have to duplicate data entry –
eliminating error potential and speeding claim submissions
• Claims can be sent immediately reducing receivables
• Combined with credit-card-on-file capability, both patient
portion and payer portion can be resolved almost
immediately and with minimal risk
• Comprehensive data means that you can identify and resolve
most workflow problems with the help of easy-to-access
reports built into most systems

22. 2222
Key Points
• Think holistically about workflow and understand that
the cause may not be the obvious source
• Use data-driven reports to measure your performance
• Empower patients and staff at every turn and they’ll
both be happier and you’ll be more profitable
• System integration offers huge benefits in reduced
errors, increased payment resolution and patient
satisfaction

23. Agenda
23
Agenda
23
• Introductions and welcome
• Learn the Secrets to Profitability
• Discover Kareo’s & Medicfusion’s Role
• Answer Questions

24. 2424
Discover Kareo’s Role
 Cloud-based
 Billing, Scheduling & Practice Management
 Electronic Health Records
 Medical Billing Services
 Practice Marketing & Patient Engagement
 Free Education, Training, & Support
 Ranked #1 by Black Book 3 Years

25. 2525
Discover Kareo’s Role
Kareo Practice Management
• Multi-resource scheduling
• End-to-end claim management
• Patient statements
• Integrated credit card processing
• Online billpay

26. 2626
Kareo Medical Billing: Web, Mobile & Messaging!
• Web and Mobile Software
• Calendar & Patient Check-in
• IBM & MAC Enabled
• Secure Messaging
• Revenue Cycle Performance for
Visibility
• Kareo Success Team

27. 2727
ICD-10 Ready
ICD-10 Ready
• ICD-10 Success Dashboard
• Dual Coding Encounters
• Encounter & Insurance Payer
Validation
• Diagnosis Crosswalk

28. 2828
Medicfusion’s Role
Certified EHR for Chiropractors
• Outcomes assessment library
• Custom Forms
• Cloud-based
• Patient portal

29. 29
Private Medicfusion and Kareo Integrated Demo
See the software in action!
Register for a private demo
kareo.ly/chirodemo
• Ultimate EHR and Billing Platform for Chiropractors
• Top Rated Billing Software Vendor
• Free Customer Success Coach
• Designed for Chiropractors

30. 3030
PAHCOM
• PAHCOM has approved 1 CEU credit.
• Each attendee will receive an email today with a
link to request certification. Certificates will be
mailed within the next few days.
• Attendees must be logged into the webinar to
receive credit.
• You’ll be asked at the end of the webinar if you
want a CEU certificate.
“…Make Your Practice a Best Practice!”

31. Agenda
31
Agenda
31
• Introductions and welcome
• Learn the Secrets to Profitability
• Discover Kareo’s & Medicfusion’s Role
• Answer Questions

32. 3232
How to Participate Today…
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-- Questions After the Webinar --
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sales@kareo.com

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