PROVEN HEALTHCARE SERVICE SOLUTIONS

Medical Group Services

Synchronizing the world of Healthcare

Total Solution for Practice Management & EMR

Solutions

• Revenue Cycle Management (RCM)• Practice Management Systems: Allscripts

Misys Tiger & Optum Caretracker• Electronic Medical Records• Mobile Charge Capture• Healthcare Document Management• Software Time Share Available

Practice Management Software• Delivered over the Internet• Electronic submissions and remits• 24 hour access• Full billing and collection capability• HIPAA Compliant • Hosted in secure offsite data facility• Excellent customer support

Electronic Medical Records• Seamless HL7 interface available with our

practice management systems• CCHIT certified, meets meaningful use• E-prescribing available• Enhances provider productivity and

efficiency• Partnership with Allscripts & Caretracker

Mobile Charge Capture• Interfaces with Allscripts & Caretracker• All data exchange secured• Excellent for hospital & skilled nursing

physician services • Operates on smart devices• Accelerates reimbursement • Partnership with pMDsoft

Document Management

• Web based, user friendly, quick searches• All data secured and stored at an offsite

secured facility• Eliminate paper files• Highly efficient

RCM Services• Same management team for 18 years• Ranked among top 10% of RCM companies

nationwide• Consistently performs at levels superior to industry

standards • All specialties and stand alone facilities• Coding, billing, A/R Management experience across

all payers

The Total Solution• Increases revenue and profitability • Stabilize cash flow and/or improve cash

management• Minimizes government audits• Reduces / eliminates software expense• Reallocate billing department space• ICD 10 Ready

Increases Revenue• Professional billers and certified coders

maximizes reimbursement• Reduces days in A/R• Reduces salary and benefits expense• Substantially increases revenue without

increasing patient encounters

• Claims & payment electronically transmitted daily

• More accurate first time billing• Appropriate coding for all services rendered• Average days in A/R are reduced• Timely claims follow-up • Timely resolution of denials and appeals

Accelerate Cash Flows

FAQs

Why outsource?• Increases and maximizes billing revenue• Professional certified coders and billing

experts to insure compliance with regular and timely payments

• Practices outsourcing billing and collections do experience a reduction in expenses

Respondents to MGMA survey noted that the use of a billing company achieved the following results:

Source: Medical Group Management Assoc. July 2008 Study

• Days in AR reduced by 72.7%• Improved collection rate by 72.7%• Lost or denied claims decreased by 59.1%• Staff productivity has increased by 45.5%• Better understanding of practice financial and

physicians performance

Why should I choose MGSI as my billing and collection company?

• Over 1.5 billion dollars collected• A/R collection cycle substantially better than the

national average• 22 years of Service• Multi-specialty experience• HIPAA Compliant• Certified Coders• Experienced Staff that is continuously educated

on latest reimbursement changes

What are the other benefits?• We remove the burden of the billing departments

turnover, training, continuing education, supervision and fluctuations in the volume of work

• Removes the practice from the Information Technology chase as MGSI provides the practice with the latest Practice Management Systems

• Frees up Administrative Staff time allowing the practice to run even more efficiently

• Servers located off in secured off site data center

Is my data secure?• Access is secured & tested annually to meet

Omnibus / PHI requirements• Our servers are located in a Tier IV data

center• Daily / monthly backups are encrypted and

stored offsite

Case Studies

Case Study for ABC Cardiology Group

Before Medical Group Services After Medical Group Services

As MGSI Commences Services 12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 7,254.37$ 0.2% 0 to 30 1,526,797.47$ 59% 0 to 30 1,778,537.00$ 66%31 to 60 735,305.05$ 19% 31 to 60 357,428.49$ 14% 31 to 60 345,817.00$ 13%61 to 90 401,689.38$ 10% 61 to 90 176,985.53$ 7% 61 to 90 142,523.00$ 5%91 to 120 183,869.90$ 5% 91 to 120 104,387.40$ 4% 91 to 120 103,308.00$ 4%121 to 150 123,520.46$ 3% 121 to 150 102,248.78$ 4% 121 to 150 62,801.00$ 2%151 + 2,404,188.01$ 62% 151 + 305,415.52$ 12% 151 + 261,790.00$ 10%Total 3,855,827.17$ 100% Total 2,573,263.19$ 100% Total 2,694,776.00$ 100%

Average days in A/R - 172 Average days in A/R - 61 Average days in A/R -33

The high average days outstanding was Currently ABC is in the best shape resulting in greatly decreased cash flow. The financially than it has ever been. They now have the practice could not expand quickly, pay bills in a timely money to take advantage of new opportunities like manner, bring on new physicians, or buy new cutting edge equipment, new physicians and nurses, equipment. and higher salaries.

Billing Department Billing DepartmentIn house Software system. MGSI supplies all software.Software maintenance agreement is required. Elimination of maintenance agreement.Data entry not being done in a timely manner. MGSI performs all data entry.

Office Culture Office CultureTension had been developing between Now that MGSI is in charge of the office/billing staff and physicians. This was due to billing process, communication between office staff the type of communication needed to successfully and physicians about billing is eliminated. Patients fulfill the billing process. This caused many now see a friendly environment and referrals have situations of frustration and general negativity. gone up.Patients could recognize this and becameuncomfortable.

Case Study for ABC Anesthesiology Group

Before Medical Group Services After Medical Group Services

As MGSI Commences Services 12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 2,048,297.00$ 35% 0 to 30 1,468,391 58% 0 to 30 1,630,729.91$ 69%31 to 60 1,198,463.00$ 21% 31 to 60 391,758 15% 31 to 60 294,951.72$ 12%61 to 90 105,818.00$ 2% 61 to 90 216,240 9% 61 to 90 207,898.37$ 9%91 to 120 239,775.00$ 4% 91 to 120 167,743 7% 91 to 120 112,220.91$ 5%121 to 150 101,252.00$ 2% 121 to 150 92,360 4% 121 to 150 35,267.45$ 1%151 + 2,150,086.00$ 37% 151 + 197,891 8% 151 + 98,808.58$ 4%Total 5,843,691.00$ 100% Total 2,534,383 100% Total 2,379,876.94$ 100%

Monthly Charges $2,081,341 Monthly Charges $2,164,769 Monthly Charges $2,388,537

Average days in A/R - 84 Average days in A/R -35 Average days in A/R -29.9

Note: Monthly Charges increased by 14% while A/R decreased 60%

Case Study for ABC Hospitalist Group

Before Medical Group Services After Medical Group Services

12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 544,290 32% 0 to 30 534,385 44% 0 to 30 1,305,267 48%31 to 60 261,462 15% 31 to 60 237,331 20% 31 to 60 607,945 23%61 to 90 156,936 9% 61 to 90 248,189 21% 61 to 90 320,306 12%91 to 120 181,781 11% 91 to 120 79,948 7% 91 to 120 185,938 7%121 to 150 101,252 6% 121 to 150 32,889 3% 121 to 150 79,759 3%151 + 444,604 26% 151 + 76,353 6% 151 + 197,378 7%Total 1,690,325 100% Total 1,209,095 100% Total 2,696,593 100%

Monthly Charges 618,985 Monthly Charges 731,958 Monthly Charges 2,036,532

Average days in A/R - 82 Average days in A/R -49 Average days in A/R -39

As MGSI Commences Services

Case Study for ABC OB/GYN Group

Before Medical Group Services After Medical Group Services

As MGSI Commences Services 12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 371,162 41% 0 to 30 458,564 45% 0 to 30 542,349 69%31 to 60 279,438 31% 31 to 60 379,924 38% 31 to 60 74,919 10%61 to 90 78,239 9% 61 to 90 73,458 7% 61 to 90 68,501 9%91 to 120 76,778 8% 91 to 120 37,772 4% 91 to 120 30,028 4%121 to 150 35,887 4% 121 to 150 24,872 2% 121 to 150 16,299 2%151 + 68,719 8% 151 + 33,271 3% 151 + 56,259 7%Total 910,223 100% Total 1,007,861 100% Total 788,354 100%

Monthly Charges: 497,058 Monthly Charges: 627,029 Monthly Charges: 720,112

Average days in A/R - 55 Average days in A/R -48 Average days in A/R -33

Note: Monthly Charges increased by 44% while A/R decreased 13%

Case Study for ABC Hospital Based Radiology Group

Before Medical Group Services After Medical Group Services

12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 442,726 31% 0 to 30 418,644 57% 0 to 30 613,401 67%31 to 60 204,883 15% 31 to 60 129,587 18% 31 to 60 151,294 16%61 to 90 126,485 9% 61 to 90 108,704 15% 61 to 90 69,540 8%91 to 120 159,391 11% 91 to 120 23,537 3% 91 to 120 39,992 4%121 to 150 164,506 12% 121 to 150 13,275 2% 121 to 150 18,972 2%151 + 310,276 22% 151 + 36,411 5% 151 + 27,658 3%Total 1,408,267 100% Total 730,158 100% Total 920,856 100%

Monthly Charges 524,772 Monthly Charges 563,747 Monthly Charges 705,182

Average days in A/R - 81 Average days in A/R -39 Average days in A/R -39

Note: Monthly Charges increased by 34% while A/R decreased 35%

Case Study for XYZ Radiology Group

Before Medical Group Services After Medical Group Services

12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 225,732 41% 0 to 30 189,772 64% 0 to 30 260,118 68%31 to 60 98,361 18% 31 to 60 48,402 16% 31 to 60 55,455 15%61 to 90 72,058 13% 61 to 90 29,662 10% 61 to 90 30,401 8%91 to 120 59,201 11% 91 to 120 10,726 4% 91 to 120 18,859 5%121 to 150 31,294 6% 121 to 150 7,451 3% 121 to 150 8,908 2%151 + 68,147 12% 151 + 10,118 3% 151 + 7,022 2%Total 554,793 100% Total 296,131 100% Total 380,763 100%

Monthly Charges 217,133 Monthly Charges 261,264 Monthly Charges 328,360

Average days in A/R -76 Average days in A/R -34 Average days in A/R -35

Note: Monthly Charges increased 51%,while A/R decreased 32%

As MGSI Commences Services

As MGSI Commences Services

Case Study for ABC Family Practice Group

Before Medical Group Services After Medical Group Services

As MGSI Commences Services 12 Months Later 24 Months Later

Days Dollars % of total Days Dollars % of total Days Dollars % of total0 to 30 103,485.00$ 20% 0 to 30 101,469 60% 0 to 30 97,999.00$ 61%31 to 60 58,255.45$ 11% 31 to 60 25,053 15% 31 to 60 19,630.00$ 12%61 to 90 29,119.31$ 5% 61 to 90 14,920 9% 61 to 90 13,423.00$ 8%91 to 120 69,467.52$ 13% 91 to 120 9,740 6% 91 to 120 7,849.48$ 5%121 to 150 30,650.17$ 6% 121 to 150 5,029 3% 121 to 150 5,424.73$ 3%151 + 239,610.44$ 45% 151 + 13,731 8% 151 + 17,081.20$ 11%Total 530,587.89$ 100% Total 169,943 100% Total 161,407.41$ 100%

Monthly Charges $219,880 Monthly Charges $200,644 Monthly Charges $187,586

Average days in A/R - 72 Average days in A/R -25 Average days in A/R -25

Case Study for ABC Internal Medicine Practice

Before Medical Group Services After Medical Group Services

As MGSI Commences Services 12 Months Later

Days Dollars % of total Days Dollars % of total0 to 30 58,946.29$ 25% 0 to 30 115,383.96$ 68%31 to 60 47,867.90$ 20% 31 to 60 30,086.37$ 18%61 to 90 57,609.02$ 24% 61 to 90 3,932.60$ 2%91 to 120 9,044.64$ 4% 91 to 120 12,615.98$ 7%121 to 150 62,913.65$ 27% 121 to 150 7,693.15$ 5%151 + 0% 151 + 0%Total 236,381.50$ 100% Total 169,712.06$ 100%

Monthly Charges $174,005 Monthly Charges $196,475

Average days in A/R - 41 Average days in A/R -25

Note: Monthly Charges increased by 10% while A/R decreased 68% and receipts increased 31%

Note: Monthly Charges increased by 12% while A/R decreased 29%

MGSI, LLC

2810 West St. Isabel StreetSuite 201Tampa, Florida 33607

Toll Free: 1 877 896 6474info@mgsionline.com