Ways Your Practice Can Get Paid MoreHow to MaxiMize PayMent witH eacH of tHe 4P’s

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Optimize YOur practice

From physician to patient to practice through to payment

PhysicianPractice

Patient

Payment

PhysicianPractice

Patient

Payment

Each of the 4P’s avails opportunity to increase payment

PhysicianPractice

Patient

Payment

1. increase active referrals

2. reduce cancellations

5. improve first pass payment

4. maximize therapist billable time

3. increase percentage of copays at time of service

6. Decrease days a/r

7. Optimize actual collections per visit

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4

3

6 7

2

5

Optimize YOur practice

PhysicianPractice

Patient

Payment

1

4

3

6 7

2

5

Increase active referrals measure both number of referrals and patient

journey through the practice

Determine who might be dropping out and the total number of visits per case

evaluate and optimize the patient experience to:

- improve the first visit conversion- maximize scheduling frequency- reduce case drop offs- assess average visits per discharged case

Proactive management is needed to keep cases active, resulting in better patient progress and outcomes, leading to more referrals.

clinicient provides the tools that improve communication to referring physicians and monitors the patient’s engagement, progress and discharge.

phYsician

* average $93 per visit with up to 10.75 visits

1

$1,000average referral can be valued at

patient

Reduce cancellations track any canceled appointment you

are unable to refill

Upon cancellation, reschedule immediately and refill the opening

track variance by therapist and review causes

a healthy practice will average less than 10% cancellations. Key is active management, including reminding patients and quickly filling openings.

clinicient sends reminders, tracks canceled appointments and initiates a rescheduling action.10%

average cancellations of a healthy practice

patien 2

Increase percentage of copays at time of service

collect 90-95% of copays upfront

evaluate how effective your front desk staff is at collecting patient copay at the time of service chances of collection decrease 20% right after the patient leaves the clinic. with patient payment responsibility rising to 20-30% of charges, this could determine profitability.

clinicient’s unique cash collection system helps you track and collect copayments and other patient payments.

chances of copay collection decreases after patient leaves by

20%

patient 3

practice

Maximize therapist billable time

Determine units billed by therapist by available and billable hour

evaluate what successful therapists are doing right

ensure you are not undercoding, underscheduling or giving time away

a good level of productivity is 4.0 to 6.0 units per billable hour (varies between Medicare and commercial billing).

on average, practices leave between 10% to 20% unbilled.

clinicient maximizes units billed by automatically assigning the appropriate cPt codes, calculating units and guiding therapists on optimal codes.

4

4 to 6 unitsis a good level of productivity per billable hour

Improve first pass payment

measure how many of your billed services were paid on the first attempt (FPP)

Determine how accurate or clean your claims are

indicate how good the front desk is at collecting and verifying benefit information

evaluate FPP by 60 and 90 days to determine how to manage the various payers

Healthy clinics have a fPP rate of 90% or higher.

clinicient includes critical prompts to ensure the right information is collected upfront. the proven clinicient team can increase fPP to over 95% within 90 days.

paYment 5

first Pass Payment (fPP) rate of a healthy clinic

90%

Decrease days A/R measure how many days on average you take to collect

payment on a day’s billed charges

Know your cash flow velocity as well as front office and billing processes

Practices can tie up a/R for up to 180 days. Healthy practices are in the 30 – 40 day range with variances based on payer mixes, electronic billing and payments.

clinicient identifies the reason accounts can be delinquent to improve process. the proven clinicient team can reduce days a/R by as much as 25% by continually analyzing your accounts and improving billing and collection processes.

paYment 6

30-40 daysis how many days a healthy practice takes to collect payment

paYment

Optimize actual collections per visit

measure how much you actually get paid for each visit versus what you expect

Project your cash flow, and receive alerts to potential collection issues such as write-offs and excessive contractuals

target the average payment per visit, about $93 per visit across the nation. this varies by state and reaches up to $120 per visit or more.

How much you get paid is best measured by therapist and by payer once all parties have made payment.

clinicient tracks actual payment by therapist and payer to help optimize total payments. the proven clinicient team can also increase collections by at least 10%.

7

10%the clinicient team can increase collections

PhysicianPractice

Patient

Payment

1. increase active referrals

2. reduce cancellations

5. improve first pass payment

4. maximize therapist billable time

3. increase percentage of copays at time of service

6. Decrease days a/r

7. Optimize actual collections per visit

1

4

3

6 7

2

5

Optimize YOur practice

Are you doing everything to optimize your payments?

PhysicianPractice

Patient

Payment

1

4

3

6 7

2

5

Are you doing everything to optimize your payments?

the hOlistic clinicient sOlutiOn

clinicient offers a complete, easy to use solution tailored to your practice

Only clinicient combines the proven talent of an experienced revenue cycle management team with superior integrated software based on proven practices that generate maximum payment, faster

the clinicient revenue cycle management team works with you to generate more payment by billing the maximum amount, collecting it faster and then reviewing performance opportunities to generate more

the backbone of the service is clinicient’s integrated software that manages all aspects of the patient’s care cycle through your practice

it guides staff with compliance regulations and requirements, keeps therapist schedules full while managing patient care and automatically captures charges as documentation is entered and authorized

clinicient provides a superior solution that fully integrates the clinicient emr, billing, payer rules and workflows into one system

reviews performance

maximizes billing

collects faster

Keeps schedule full

ensures full compliance

captures charges

CliniCient integrated Software

CliniCient revenue CyCle

ManageMent teaM

Managing Patient to PayMent.Because youR gReat caRe DeseRves MoRe.

www.clinicient.com • telephone 877-312-6494