Orthopaedic, Spine, and OON Billing Experts FTGU Medical Consulting Presented by Jamie Lynch President and CEO [email protected] “Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD www.FTGUMedical.com
FTGU Services Presentation
Jun 12, 2015
FTGU focuses on getting doctors paid! With our Spine, Orthopaedic, and Out-of-Network Billing expertise, we can double or triple the revenue for your practice.
Browse our services presentation to see a comprehensive list of our services, case studies, and examples of the payments we've collected for our clients.
Browse our services presentation to see a comprehensive list of our services, case studies, and examples of the payments we've collected for our clients.
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Orthopaedic, Spine, and OON Billing ExpertsFTGU Medical Consulting
Presented by
Jamie LynchPresident and CEO
“Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD
www.FTGUMedical.com
Services
Orthopaedic Full Revenue Cycle Management
Anesthesia & Neuromonitoring Lease Back
Physician Assistant OON Solution
Orthopaedic Full Revenue Cycle Management
Also known as Secondary Claims ManagementWe go back and work claims 0-180 days when starting an account at SCM rate We employ a methodology that systematically assigns and tracks the status of every unpaid claim– Denials Management– Corrective Coding – Identify cash flow risks – Correctly identify balances (write-offs or patient
responsibility)
OON Revenue Cycle Management
Entering all OON surgery charges in practice management system
File all claims through clearinghouse
All payments for OON surgery charges are directly deposited into the client’s bank account
FTGU pays all fees for the clearinghouse
Spine Surgeon Revenue
1 Spine Surgeon + 1 Assist (PA, NP, RFNA)35 – 40 surgeries per month
30% ACDF (1 or 2 level)30% TLIF or 360 (1 or 2 level)30% decompressions (1 or 2 segments)
0 500K150K75K
Possible with OON Strategy
Typical w/o OON
Strategy???
Anesthesia & Neuromonitoring Lease Back
FTGU partnered with local anesthesia groups to offer lease back services
Surgeons can now take advantage of OON revenue for anesthesia
Neuromonitoring – strategically release claims 1st in OON model
Legal counsel and contacts offered for OON services
Case Study – Rough Start
1 Spine surgeon + 1 PA
35 to 40 surgery cases per month
All cases performed at an In-Network facility
No OON StrategyPA established in an OON entity but generating less than $40K per month in revenue
No Anesthesia or Neuromonitoring billing
Average monthly revenue in 2011 = $158K
Case Study – Happy Ending
FTGU engaged in 2012
Case load and facility unchanged
Average monthly revenue for In-Network surgeon and OON assistant surgeon billing = $413K
Average monthly revenue for Anesthesia billing = $49K
Average monthly revenue for Neuromonitoring billing = $65K
Total Monthly Revenue = $527K
New Average Revenue represents a 234% increase over 2011 Revenue!
Anesthesia Payment
Anesthesia Payment
Surgery Assist Payment
Surgery Assist Payment
Surgery Assist Payment
FTGU Secondary Claims Management Typical Billing Service
Work Rejections and provide client feedback
Assign a denial code and action code to each claim
Provide weekly denial report client (claim level)
Identify trends for corrective coding
Post payments and reconcile to bank accounts
Work all zeropays 3x in first 190 days w/full report
No whole line item adjustments without investigation
Work every zero pay once every 45 days
Compare paid claims to fee schedules
Work rejections (no client feedback)
No granular denial/action codes
No weekly denial reports at claim level
No trend reports
Post Payments
Work zero pays 1 or 2 times, no reporting
Whole line item adjustments common
No methodology
Not available
FTGU is not a Billing Company
Testimonials from Clients
“FTGU Medical has been providing billing services for my practice for the past several years. I couldn’t have asked for a better partner in billing. They have managed my account with timeliness, efficiency, and professionalism… Let them help you take your practice to the next level and do what they do best.”
-Jason Tinley, MD
“’Changed my life,’ is often used loosely. FTGU has been added to that short list in my medical practice. There are few people I’ve ever been blessed enough to work with that can answer questions before I ask them”
-Dr. Michael Rimlawi
“FTGU Medical had done an outstanding job collecting money owed while being sensitive to the relationship with patients. I would strongly recommend and endorse their services.
-Dr. Scott Conrad
Transparency On All Claims
Sample of Appeal Letter
Orthopaedic, Spine, and OON Billing ExpertsFTGU Medical Consulting
Contact Us at (877) 331-9161 or [email protected] to get your free analysis
Or visit us at www.FTGUMedical.com
“Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD
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