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30	"Win for Providers" Win for Providers Win for Patients Win for Business Win for Insurance
31	"Simplified Administration and Reduced Overhead" Simplified Administration and Reduced Overhead: Less paperwork, administrative hassle, bureaucracy, no CPT codes! Viable Pricing: “Best price” for services offered that creates a viable and appropriate revenue stream Immediate Payment: Additional fees for CPT/ICD coding but patients do the administrative work Care Top Priority : Physicians can focus on patient care, rather than unnecessary paperwork and administrative hassles Stabilized Patient Base: An increase in SimpleCare patients will result in less dependency on insurance companies and managed care plans
32	"Cost Savings:" Cost Savings: The “best price” = 20% to 50+% savings Freedom of Choice: Patients may see their doctors or any licensed health care provider without prior authorization Hassle-Free Visits: No insurance claim forms, bills, complex billing codes, authorizations, or limits on services or visits Better Quality Care: Patients and providers determine the most appropriate type of care, without managed care / third party intervention Easy Access: No medical approvals, waiting periods, age limits, or medical restrictions
33	"Employer Back in Control of..." Employer Back in Control of Benefit Costs: Allows employer an affordable option for their employees that they internally determine, not the insurer Allows Increased Choice of Benefits Plan: Employees can choose where their health care dollars are being spent Enhances High Deductible Insurance Plans: Increases the value and attractiveness of Medical Savings Accounts, Flexible Spending Accounts, and Defined Contribution Plans by stretching the employee’s self-controlled health care dollars A Benefit For The Uninsured: Allows employers to offer affordable benefits to those previously uninsured
34	"Reduces Administrative Costs:" Reduces Administrative Costs: 90+% Less claims required to be processed, less administration costs Reduces Medical Payments: Fewer people will exceed their deductible, less claims paid Focuses On Catastrophic Illnesses: Resources are used to manage high dollar medical costs – “True Insurance” Promotes High Deductible Policies: Lower cost catastrophic insurance that is affordable to more individuals previously uninsured Improves Member Satisfaction: More choice, less frustration, improved expectations
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45	"Each provider establishes their personal..." Each provider establishes their personal fees and codes for SimpleCare patients based on lower administrative costs and length of time/expertise levels (see following example). Do not use CPT codes, use B-S-M-L-E and/or simple descriptive terms, Ex. “Vasectomy” for SimpleCare coding to distinguish from insurance based CPT “billing” codes. Be aware of contract violations if you participate in a patient’s insurance panel or Medicare, be aware of all contractual issues and establish a “private contract” only if allowed by the contract... Or cancel the contract! CPT Coded forms – are not SimpleCare transactions! Set fees to be Profitable, Reasonable and Simple!
46	CPT Reimbursements
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62	SimpleCare Media Recognition NBC National News PBS – Public Broadcasting NPR - National Public Radio TBN - Trinity Broadcast Nwk US News and World Report Wall Street Journal Newsweek Magazine Forbes Magazine USA Today Barron’s Weekly Insight Magazine Scripps-Howard Newspapers (40 metropolitan areas) Kitsap County Business Journal AMA News Medical Economics Physician Practice Options Marketing Health Services Family Practice News Talk America Radio Network United Airlines Inflight News Local TV and news media Puget Sound Business Journal Seattle Times Washington CEO King County Journal Multiple Trade Journals Many Provider Local Papers
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