kareo - is it time to look at new revenue streams?

KAREO | @GoKareo; #KareoTip PAGE 1

Is It Time for New Revenue Streams?

KAREO | @GoKareo; #KareoTip


Our Schedule for Today…

1 Introduction & Welcome Rochelle

2 Is It Time for New Revenue Streams?

3 Discover Kareo’s Role

4 Answer Questions


Your Hosts…

Rochelle Glassman President, United Physician Services, LLC

.

Lea Chatham Content Marketing Manager, Kareo


Rochelle Glassman

Nationally-recognized healthcare consultant Former executive-level consultant for Cigna Healthcare business entrepreneur 30 years of healthcare business experience President/CEO United Physician Services,

LLC Physician Advocate

Trauma-trained RN

[email protected]

www.UPSHealthcare.com 602.685.9500

mailto:[email protected]

http://www.upshealthcare.com/


Participate via Social

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We’ll be live tweeting during today’s webinar! How to participate: 1. Follow @GoKareo on Twitter 2. Search for #KareoTip 3. Join the conversation using #KareoTip

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2 Is It Time for New Revenue Streams?


4 Answer Questions


You Can Make More Money

There are new opportunities:

Many preventative services are now covered!

Environment is changing from fee-for-service to pay-for-performance.

New advances in medicine can be added to your practice.


Pay-for-Performance

Payment is based on metrics

HEDIS

Used by 90% of health plans

Quality measurements

Focuses on preventative care

More ‘whole picture’ approach


Screening for Diabetic Retinopathy

Leading cause of blindness among diabetics:

25.8 million people in the US have diabetes

79 million have pre-diabetes

28% of diabetic patients have diabetic retinopathy

80% of referrals to obtain eye examinations NEVER OCCUR!


Screening for Diabetic Retinopathy

In-house optometrist

Increase patient compliance

Improve clinical outcomes

Reimbursement for eye exams AND bonus from health plan!


Dermatology Care

Most common form of cancer but easily treatable 1 in 5 get skin cancer Bringing in on-site dermatologist Additional revenue Better detection Improved compliance

Joint ventures with MOHs lab


Drug Testing

Traditionally patients were sent to the lab

Toxicology down to the nanogram

Better to assess in clinical setting

EHR compatible

Reimbursement of about $25 to $30

- Medicaid & Medicare CPT (G0434) - Insurance & Work-Comp CPT (80104)


Drug Testing

Pain Management

Neurology

Anesthesiology

Surgeons (post operative and pre operative)

Treatment centers

OB/GYN

Internal Medicine


Depression Research Studies

New, clinically valuable testing strategies

Target depression and appropriate treatment

Historically subjective, now more objective

Lab reimbursement at $75 per patient


Depression Research Studies

Primary care docs misdiagnose depression 50% of the time

First of class blood test Looks at 9 bio markers across 4

pathways

Score of 1-9 with sensitivity of 94% and specificity of 92% overall accuracy of 93%

Score of 1-4 = 95% likelihood of not having major depressive disorder (MDD)

Score of 5-9 = 90% likelihood of having MDD


Pharmacogenetic Testing

New system of prescribing according to genetic make-up

More accurate

Better results

Less side effects

Potential marketing

Additional revenue stream



100,000+ die each year due to medication-related errors

770,00+ are hospitalized yearly for Adverse Drug Reactions

Prescribe medications through science, not guesswork!

Zero capital costs to the practice



Remuneration of either $15 or $75 per patient working

Simple 30 second cheek swab

Reimbursed by all plans except Medicaid

Specialties: primary care, internal medicine, pain management, neurology and psychiatry


Medical Weight Loss

Covered for up to 26 visits per year (exclusions may apply) for patients with a BMI >30.

1 visit every week for first month

1 visit every other week for 2-6 months

1 visit every month for months 7-17

CPT code G0447


Medical Weight Loss

Nutritional counseling covered with certain patients with diabetes and renal disease (i.e., CPT code 97802 and 97803)

Partner with specialties to attract patients

Great preventative measure to achieve benchmarks

Happier patients




2 Is It Time for New Revenue Streams


4 Answer Questions


Discover Kareo’s Role

Cloud-based Medical Billing Patient Payment Services Insurance Billing & Remittance Scheduling & Practice Management Electronic Health Records Medical Billing Services Education, Training, & Support Included

20,000 Providers Nationwide



http://kareo.com/


Educational Resources

Kareo.com/meaningful-use

Kareo.com/icd-10

http://kareo.com/meaningful-use

http://kareo.com/icd-10



•Kareo EHR • In-house labs • In-house

draw/swab and send out lab





• Mental health notes and templates






• Obesity templates






• Obesity templates • USPSTF

Recommendations



•Kareo EHR • In-house labs • In-house draw/swab

and send out lab • Mental health notes

and templates • Obesity templates • USPSTF

Recommendations • Kareo PM

• Track HEDIS measures

• Schedule multiple providers/resources


Let’s Answer Your Questions

866-231-2871 [email protected] Kareo.com/chat

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Twitter.com/GoKareo

Linkedin.com/company/Kareo

Follow us!

mailto:[email protected]

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kareo - is it time to look at new revenue streams?

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