An RCM services provider that is cash-flow focused and technology-savvy to maximize the profitability for its customers in healthcare.

1. Giving you Time and
Financial Peace of Mind
www.sypore.com

2. What is Sypore (pronounced: si-poh-ray)?
Founded to serve the unmet needs of healthcare services providers
who care about the performance of their Revenue Cycle Management
capability in terms of reliability, quality, and cost of cash flow.
www.sypore.com

3. What does it do?
One-stop source of essential business services including:
• Data-driven & cash flow focused medical revenue cycle management:
• Billing
• Credentialing
• Patient Call Center
• Healthcare technology development, selection, implementation
• Healthcare business consulting
• Digital marketing
• Accounting & bookkeeping
www.sypore.com

4. Who does it?
An exceptionally well-balanced team of billing, finance, and technology
professionals, using processes engineered for quality and
efficiency that leverage state-of-the-art technologies.
www.sypore.com

5. How is it different?
Difference is in the results:
10%-plus increase in reimbursements.
15%-plus decrease in RCM costs.
Sypore customers enjoy maximum profits, freedom of time, and
financial peace of mind instead of being disappointed as with typical
billing services or internal teams.
www.sypore.com

6. One Source for all essential business services
www.sypore.com
Billing,Coding,
Adjudication,
Posting
Credentialing
Patient Call
Center
AccountingBookkeeping
Custom
Applications
Developm
ent&
Support
Audit
Payer Contract
Negotiation
Business
Consulting
WebsiteDevelopment &DigitalMarketing
Cash Flow
Maximization
DataAnalytics
EM
R
Selection
Im
plem
entation
Support
Client
Training
SY
P O
R
E

7. Our Advisory Board
A source of continuous inspiration and reflection, the Advisory Board is an integral
part of the organizational structure of Sypore.
Board Members:
• Dr. Amir Malik, M.D., Cardiologist, Heart Center of North Texas
• Mr. Mitch Pisik, President and CEO of TM International, Tucson,
Arizona
• Mr. Rusty Hale, CPA, Partner at Montgomery Coscia Greilich LLP,
Dallas, Texas
• Ms. Regina Cross, Marketing & Public Relations Executive, Ft.
Worth, Texas
• Mr. Greg Zoller, Software Technology Executive, Frisco, Texas
www.sypore.com

8. It’s all about
Freedom of Time and Financial Peace of Mind
www.sypore.com

9. Sypore Results
RCM. Done Right.
www.sypore.com

10. Rule: Do Not Focus On The Billing Service Fee Rate!
• Would you choose Service-A or Service-B?
www.sypore.com
Service-A Service-B Comments
Service Fee Rate 5% 7% “B” charges 2% higher fee
Cash collected per claim $80 $88 “B” collects 10% more
Service fee per claim $4.0 $6.16 “B” costs more per claim
Your Net Revenue per claim $76.0 $81.84 “B” puts more money in the
bank for you!
This is an example based on actual customer experience with Sypore. The mistake many
practice and business owners make is focusing only on the fee rate and not on the
reimbursement side.

11. Typical Benefits Seen By Sypore Customers
• Higher cash collected per encounter: 10%-plus higher
• Lower cost of billing & collections: 15 %-plus lower
• Faster and consistent cash inflow: 10 days-plus faster
• Quick and consistent claims submission: 24 - 48 hours
Our customers take home more money, faster, consistently. Period.
www.sypore.com

12. Medical Home Healthcare Providers
- 12,000+ businesses operating on margins under 2.4%
- CMS’s “rebasing” initiative will drive down the margins further
- 40% or more of these businesses will go under by 2017
- What can Sypore do to help you survive and thrive:
- Sypore can help increase reimbursements by over 20% by preventing
payments being lost to inaccurate coding and medical necessity issues
- Sypore can reduce billing and credentialing related costs by over 25%
- Sypore can support marketing efforts through its Digital Marketing service
- Sypore will deliver tremendous Operational and Financial efficiencies through
its Remote Patient Management (RPM) platform
www.sypore.com

13. Comparative Performance: Actual Customer
www.sypore.com
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
Reduction in Claim Submission Time Reduction in Payment Cycle Reduction in AR over 120 days Increase in Cash Collections
Sypore RCM Service vs Previous BillCo.

14. Net Collections
www.sypore.com
$-
$5,000.00
$10,000.00
$15,000.00
$20,000.00
$25,000.00
$30,000.00
$35,000.00
Net Collections
$- $10,000.00 $20,000.00 $30,000.00 $40,000.00 $50,000.00 $60,000.00 $70,000.00
Avg.. Charges
Avg. Payments
Charges & Payments: Before and Since Sypore
Sypore Pre-Sypore
With Sypore, net collections are
consistently higher and stable With Sypore, charges
and collections are
significantly higher

15. Claims Velocity
www.sypore.com
0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00
Superbill Lag
Billing Lag
Payment Lag
Posting Lag
Claim Cycle
26% (19+ Days) Reduction in Claim Cycle Time in 90 days
Sypore Pre-Sypore
With Sypore, claims cycle time
has been shortened by 19
days in 90 days – faster claims
submission and collections

16. Accounts Receivable (A/R) Cleanup
www.sypore.com
Previous service had
neglected claims in A/R
worth over $145,000.
Sypore worked aggressively
to recover over $84,000 that
was still within timely filing
and complete adjudication
limits.
A/R
Total Recovered

17. www.sypore.com
Diagnostic Equipment Billing Process
Sypore also provides complete and
hassle-free billing services for Labs and
Diagnostic Test claims. Whether the
equipment is owned or leased by the
practice (Physician), Sypore can support
the billing needs in a consistent, reliable,
high-velocity and high-reimbursement
outcomes manner.
Sypore services provide transparent and
24x7 access to all claims and financial
data including:
- Claim entry and submission
- Operational reports
- Financial reports
- Feedback to improve front-office
process and reliability
- Guidelines for better coding at the
Provider level
- Continuous audits of all superbills
Patient Intake
Patient Intake
Form -
completed
Doctor
Signature for
Medical
Necessity
Perform
Diagnostic
Test
Equip.
owned by
Doctor?
Equipment Owner submits a
claims for the TC (Technical
Component) under its TIN
and as a using owner’s
technician’s name etc. who
performed the test.
No Yes
Provider (doctor) will use
the practice TIN to bill the
claim as Global Service
which combines the TC
and PC. This cannot be
unbundled as payer may
reject payment for one or
both components if
unbundled.
TC claim
Universal
Service Claim
Provider (Doctor) submits a
claims for the PC (Professional
Component) under its
practice TIN.
PC claim
End
Equip. under
separate legal
entity?
No
Provider (doctor) will use
the Equipment Legal Entity
TIN to bill the claim as 60%
TC using the technician
that performed the test.
Yes
Provider (doctor) will use
the Practice TIN to bill the
claim as 40% PC .
TC claim PC claim

18. www.sypore.com
DropBox folder
Folders are setup for each week under
each Provider and name of the
document contains the date of delivery
Non-EMR Client
- Paper Encounter Sheet
- Paper EOB
- Paper patient demo
Unbilled Claim QA:
- Demo / Insurance?
- Coding / Auth.?
- Credentialing?
EMR Client
Invoice Entry
- Superbill (Charges)
- Patient demo
- Paper EOB
Billing TeamBilling Team
HOLD for Demo
Ready to Submit
HOLD for Coding /
Auth
HOLD for Cred
Yes
CredentialingCredentialing
How?
Remove from HOLD for Cred
(who / when / how?)
Patient Demo Entry
Rejected / Denied Claim
ERA
Payer
Submit / Re-submit Claim
Rejected or Denied
Paid: $0 to Full
Client
Office
Who / How?
Service-driven
Claim Update:
- Post payment
- Write-off
- Re-submit
- Drop to PR
- Close out
A/R-Posting
Corrected / Secondary / Tertiary
Claim
Complete
Release from HOLD – Who / How?
Clean
Claim?
Yes
Cred issue?
No
Code/Auth
issue?
Demo issue?
No
No
Yes
Yes
HOLD Queue
HOLD resolution
1 1
Clearinghouse
Purpose-Engineered Billing Process
Sypore uses Lean Six Sigma tools and
methodology to purpose-engineer all its
operational process for billing,
credentialing and other service
components.
These processes are:
- Lean
- Efficient
- Designed to minimize errors
- Built to maximize productivity
- Supported by best-fit technology
platforms off-the-shelf as well as
custom built by Sypore’s Software
Development Team
- Continuously monitored and refined
to keep delivering more value to
Sypore customers than they expect

19. Is your business or practice financially fit?
Key Benchmark Metrics:
• Days in A/R: Under 35 days
• Net collections: Over 98%
• Claim denial rate: Under 3%
• Billing related costs: under 10% of collections
Do you know your metrics?
Are they as good as they should be?
www.sypore.com

20. What is your Financial Fitness Score?
A low Financial Fitness Score may be costing you tens or hundreds of
thousands of dollar – every year!
Check the Financial Fitness Score of your practice instantly at:
http://www.sypore.com/practice-analysis
It takes less than 3 minutes, is complimentary, and available only from
Sypore.
www.sypore.com

21. Do You Spend Your Time As You Prefer?
• Physicians work an average of 50 hours per week
• 20% of their work-time is spent on non-patient, administrative tasks
• This equates to about 40 hours per month or 480 hours annually
Annual value of this time:
$72,000 per physician
Every year!
www.sypore.com

22. Summary
• Claims are submitted within 48 hours of receipt
• EMR superbills come to an integrated PMS
• Paper encounter sheets are received via a secure digital channel
• Rejections & denials are managed daily
• Prioritized to prevent any loss due to timely filing
• Payments are posted within 24 hours
• ERA are posted directly to the PMS
• EOB are manually posted in the PMS
• Customer has 24 x 7 transparent access to all practice financial data
• Service includes all essential components
www.sypore.com

23. Sypore Custom Platforms
www.sypore.com
You have 24 x 7
access to fully
transparent status of
Credentialing for
every provider with
every payer, using our
own ParTracker
cloud-app.

24. www.sypore.com
For more information, please contact us at:
Phone: 800.373.1943
E-mail: sales@sypore.com
www.sypore.com