Staying Independent (3-6-14)

Jeff A. Drasnin, MDPresident, ESD Pediatric Group

Cincinnati, OH

Taking a practice from surviving to thriving…It’s All About the

Technology

Here is how we did it…

… and continue to do it.

How to remainindependent and profitable…

…in an ever more challengingeconomic environment

CONFIDENTIAL - Not for distribution without written permission.

3

Running a Medical Practice is a Messy, Complicated Business

• Schedule visit• Run eligibility inquiry• Send reminder call• Collect co-pay via

credit card or e-check transaction

• Ask about P4P-related clinical protocol measure

• Document visit• Order prescription• Order lab order• Send referral• Order Immunization• File with state

immunization registry• Send claim to payer• Submit pay for

performance report• Receive lab results• Notify patient of lab

results on patient portal

• Receive consult note• Receive EOB from

payer• File appeal if claim

denied• Post payment from

payer• Pay outstanding

balance via web portal

Based in Cincinnati, OH 5 physicians, 3 nurse practitioners 2 office locations (city & suburban) 2,500 patient visits per month, 10,000 patient

panel Went live on the cloud-based athenanetwork in

2007

About the ESD Pediatric Group

How we got into trouble… Moved to outsourced billing once it was we realized we

couldn’t keep pace in a changing economic environment.

Initial vendor did not provide transparency.

We completely lost control of our collections and had no idea of what money was coming in.

Collections were inconsistent leading to severe cash flow problems.

Claims were being written off or not collected per contract.

Significant time was being spent by office staff and management to keep the office afloat.

These energies took time away from other important tasks.

Change can be really hard.

Someone has to have your back. Finding the right technology provider makes all the

difference.

Trust. Transparency. Value. Partnership.

Goal: Focus on what you do best. Get help in areas that are a challenge.

Must be forward thinking. Where is the future taking us?

Perf

orm

an

ce &

vis

ibilit

y

High

High

Connection to Outcomes

Software

ASP

SaaS

Cloud-Based

Service

The Cloud offers a low-cost, low-risk strategy for independent

practices

The Cloud

Remote network management by Experts

Back office work can be done off site.

CONFIDENTIAL - Not for distribution without written permission.

Control Revenu

e

Integrate

Clinical Systems

Synergistic

Success

Success: one step at a time

Why is a “cloud based service provider” worth considering?

No need to upgrade. When network upgrades, you are upgraded.

Safety and redundancy. No worries about loss of data.

Integration with other data available on the web (clinical and administrative).

Ability to distill data in different forms (desktop, laptop, tablet & smartphone).

Reporting capability (P4P, PCMH & Meaningful Use)

Choosing the right vendor allows a small practice “look bigger”.

Competitive advantage. (ICD-10, network knowledge/rules engine, help in interpreting data)

www.esdpeds.com

MEASURABLE RESULTS

DAR went from 45+ days to 16-18 days

60% increase in collections

11% decrease in no-shows

Physician compensation up significantly

Practice growth year over year of 10%

Steady cash flow

“2013 Best in KLAS Awards: Software & Services,” January, 2014. © 2014 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

athenahealth 2013 Best in KLAS

#1 Overall

Software Vendor

#1 Overall

Physician Practice Vendor

#1 PatientPortal

#1 Practice

Management System

(1-10, 11-75 physicians)

Jeff A. Drasnin, MDPresident, ESD Pediatric Group

Cincinnati, OH

ConclusionThank You