FTGU Services Presentation

Orthopaedic, Spine, and OON Billing ExpertsFTGU Medical Consulting

Presented by

Jamie LynchPresident and CEO

[email protected]

And

Nancy HarveyVP of Business Development

[email protected]

“Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD

www.FTGUMedical.com

New Partners, New Strategies

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 systemFile all claims through clearinghouseAll payments for OON surgery charges are directly deposited into the client’s bank accountFTGU 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 servicesSurgeons can now take advantage of OON revenue for anesthesia Neuromonitoring – strategically release claims 1st in OON modelLegal counsel and contacts offered for OON services

Case Study – Rough Start

1 Spine surgeon + 1 PA35 to 40 surgery cases per monthAll cases performed at an In-Network facilityNo OON Strategy

PA established in an OON entity but generating less than $40K per month in revenueNo Anesthesia or Neuromonitoring billing

Average monthly revenue in 2011 = $158K

Case Study – Happy Ending

FTGU engaged in 2012Case load and facility unchangedAverage monthly revenue for In-Network surgeon and OON assistant surgeon billing = $413KAverage monthly revenue for Anesthesia billing = $49KAverage monthly revenue for Neuromonitoring billing = $65KTotal 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

TrackAR

Denials Management

Transparency On All Claims

Status Codes and Appeal Levels

Sample of Appeal Letter

Correspondence with Clients

Correspondence with Clients – Cont’d

Correspondence with Clients – Cont’d

Fracture Coding Advice

Orthopaedic, Spine, and OON Billing ExpertsFTGU Medical Consulting

Contact Us at (817) 485-5100Or visit us at www.FTGUMedical.com

Jamie LynchPresident and CEO

[email protected]: (214) 235-2116

Nancy HarveyVP of Business Development

[email protected]: (214) 733-9464

“Let [FTGU] help you take your practice to the next level” -Jason Tinley, MD

Thank you for your time…