Transcript Beyond Electronic Submissions - Medical Practice Innovations

ASP Models in Practice Management
Systems and Billing Services
Presented by:
Anthony J. Sarro, Jr. BSCE
Medical Practice Innovations, Inc.
8210 Avenue J
Brooklyn, New York 11236
(718) 444-6575
www.mpimed.com
Medical Practice Innovations, Inc.
7/20/2015
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Introduction
With the advent of internet technologies,
Application Service Providers (ASPs) provide an
alternative to traditional software licensing.
Much talk is out there about Application Service Providers
(ASPs ) in Healthcare. But what practical (and profitable)
practice management system and billing service models are
being offered under the ASP model? This seminar will define
ASPs and explore the opportunities these technologies bring
to medical practices, groups and enterprises.
Medical Practice Innovations, Inc.
7/20/2015
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Overview of Seminar
This seminar will:
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Review traditional options for Practice Management
systems and Billing Services
Define Application Service Providers (ASPs)
Compare ASPs to traditional Client/Server Applications
Identify opportunities for ASP models in Healthcare
Describe ASP models for Practice Management systems
and Billing Services
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7/20/2015
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Traditional Billing Operation
Options
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In-House Practice Management Systems
(In-house billing operations)
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Outsourced Billing Services
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7/20/2015
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In-House Practice Management
Systems
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Licensed Client/Server Software and Hardware
(Well
maintained & quality = EXPENSIVE!)
All Billing & IT staff in-house
Front desk well equipped to do their jobs
In-house control maintained
ALL facets of the billing operation managed in-house
(from front desk through to payment)
Tendency to focus on patients, records and billing
(often neglecting follow-up & collections)
Turnover threatens stability of operations
Difficult to outsource in the future if needs arise
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7/20/2015
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Outsourced Billing Services
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Teams of individuals available with specialized skill sets
Focus on follow-up & collections insured
Leaves in-house staff to focus on front desk & patients
Puts billing operations at a distance from the practice
Difficult to bring back inside
Eliminates need for in-house software & hardware
Eliminates expense of IT personnel
Eliminates need for billing operations management
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7/20/2015
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Application Service Providers (ASP)
Another way of accessing and utilizing software
applications
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Remotely installed and managed off-site
Providers & office staff connect remotely via the internet
Virtual Private Networking (VPN) is used as a secure link
No need to install locally (reduces/eliminates server
requirement)
Software is rented (monthly fee) rather than purchased/licensed
Easy to install & maintain
Reduced hardware and software expense and administration
Lower cost to access superior technology
Lower cost of ownership (software/hardware, maintenance fees)
Flexibility and ease of bringing in-house
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7/20/2015
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ASP vs. Client/Server Tradeoffs
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Reliance on ASP provider for all application maintenance
and data backups
Reliance on Internet connections (DSL, ISDN, FRAME
RELAY, T-1 depending on size) for access to application
and data
Not available at all locations
Limits system administration options
Additional network security essential
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7/20/2015
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ASP Models in Healthcare
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Physician Practice Management Systems
(In-house billing operations)
ASP Models in Outsourced Medical Billing Services
New and Flexible Hybrid ASP Models
(Combined Practice Management Systems &
Medical Billing Services)
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7/20/2015
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ASP Models in Practice Management
Systems (In-House Billing Operations)
Practices that wish to keep all billing operations in-house
can use practice management systems available through
ASP models as a solution for their billing operations
platform.
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Full billing functions
Lower operational and ownership costs
Can discontinue service (after terms of contract)
Has the option to bring system in-house at a later time (if
the ASP provider has a Client/Server option)
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7/20/2015
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ASP Models in Outsourced Billing Services
Innovative billing services are emerging with ASP models
in place for low cost controlled access to client data from
all practice locations.
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Front desk enterprise-wide scheduling
Queries and reports on demand
Encounter form printing (tied back to service to identify
missing charges)
Demographic data entry
Sometimes……Charge entry!
Access at the point of care
NOTE: The billing service still performs all claim submission,
follow-up, statement processing, and payment posting.
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7/20/2015
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Flexible Hybrid ASP Models
New to the market are Hybrid ASP providers offering
both full-featured billing systems and a la carte billing
services that are flexible and tailored to the individual
and dynamic needs of the practice.
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All billing functions available at all locations
Option at any time to outsource (or bring back in-house):
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Electronic claim submission (EDI functions)
Paper claim printing and mailing
Patient statement processing (including patient calls)
Payment posting
Practice analysis
Coding analysis
Dillegent and effective Follow-Up and collections
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7/20/2015
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CONCLUSION
With the availability and evolution of Internet
technologies, cost effective, secure and flexible
practice management software systems and
outsourced billing service solutions are now
available through distributed ASP models as
viable alternatives to traditional choices.
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7/20/2015
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