Top Docs Radio

Genteel Device Takes Pain Out of Glucose Monitoring

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Genteel Device Takes Pain Out of Glucose Monitoring

Genteel LLC manufactures and sells a lancing device for those with diabetes who either avoid, or limit, their blood glucose checks because of the anxiety and pain of the dreaded finger stick! Developed by Dr. Christopher Jacobs, biomedical engineer, Genteel is the only stand-alone lancing device, 510K cleared by the FDA for both fingers and alternate site testing.

Top Docs Radio

MAGs Sponsored MEP 401k Plan

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Kevin Rainwater

MAG’s Sponsored MEP 401k Plan

MAG member practices can reduce their fiduciary liability, lower plan expenses, and retain
their employees by participating in the MAG-sponsored 401(k) retirement plan that’s available
through ACG Wealth. The MAG 401(k) Plan is treated like one large plan from a government
Form 5500 reporting standpoint. In short, the MAG 401(k) Plan offers the advantages and
flexibility of a stand-alone plan while avoiding the expenses and administrative headaches
associated with sponsoring a stand-alone plan.

Member benefits include…

• Cost savings on the investments
• No individual Form 5500 reporting
• Minimal plan maintenance
• Flexible plan features, including safe harbor
• Roth and profit sharing
• Customizable 401(k) plan design options involving eligibility, matches, and vesting schedules
• No audit at member level

By participating in the MAG 401(k) Plan, virtually all of the administrative tasks can be offloaded from the practice to ACG Wealth and MAG.

Kevin Rainwater is a managing partner with Atlanta Capital Group. He specializes in retirement planning.  Kevin began his career in the financial services industry more than 16 years ago. He has a passion for helping employees, executives and business owners reach their retirement goals. Kevin provides investment and plan advisory services to companies and individuals throughout the nation.

He relies on his extensive knowledge of qualified plan design and investment offerings to provide business owners and participants with the most competitive retirement plan option available.

Top Docs Radio

Risk Adjusted Patient Care

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Dr. Ronnie Smith

Risk Adjusted Patient Care

Dr. Ronnie Smith is an internist with Vidalia Medical Associates. He has practiced medicine for
nearly 40 years. He has a medical degree from the Medical College of Georgia. Dr. Smith
graduated from the Executive Medical Management Program at the Wharton School at the
University of Pennsylvania. He is an expert in outpatient and inpatient risk adjustment documentation and coding and reimbursement, and he is passionate about educating his fellow
physicians and their practice staff on how to master risk adjustment and simplify the transition to
the new value-based care model.

Dr. Smith has developed innovative, point-of- care reference tools to assist physicians and medical practices that streamline the workflow process.

Risk-Adjusted Reimbursement

Physicians in the United States find themselves in a seismic paradigm shift from volume-based
reimbursement to value-based reimbursement. This is being driven by escalating health care
costs and an increasingly-sicker population. Pay-for- performance is consequently based on
patient risk scoring, and quality measures are being used at every level of our health care system.
These changes are meant to stimulate quality improvement and cost-efficiency within the health
care system.

Physician reimbursement that is tied to patient risk scoring is here to stay, so it is imperative for
physicians to understand how patient risk scoring works because it will affect their income in
significant ways.  Risk adjustment uses a patient’s health status in a base year to predict or estimate what utilization costs should be the following year. If a physician fails to recognize risk-adjusting diagnoses and under code them, they will likely fail under today’s value-based reimbursement system. The clinical management of the utilization-based spending that will be required to qualify for any shared savings incentives will be challenging.

If a physician can accurately and thoroughly document how sick their patients are, they stand a far
better chance of achieving their budget objectives. This, then, gives them the best opportunity to
receive the shared savings incentives and to minimize their risk for shared losses.  Dr. Smith’s key steps to succeed under the new value-based, pay-for- performance reimbursement models include…

• Verifying that your EHR is capable of submitting at least 12 diagnosis codes per clinical
  encounter.
• Retrieving, analyzing and understanding your Quality and Resource Use Reports (QRURs) for
  Medicare Part B.
• Getting informed and trained on risk adjustment methodology.
• Scheduling all of your attributed patients in your managed care plans, including Medicare Part
  B and Medicare Advantage plans, for an office visit at least once, and preferably twice, during
  each calendar year.

Dr. Ronnie Smith is an internist with Vidalia Medical Associates. He has practiced medicine for
nearly 40 years. He has a medical degree from the Medical College of Georgia. Dr. Smith
graduated from the Executive Medical Management Program at the Wharton School at the
University of Pennsylvania. He is an expert in outpatient and inpatient risk adjustment documentation and coding and reimbursement, and he is passionate about educating his fellow
physicians and their practice staff on how to master risk adjustment and simplify the transition to
the new value-based care model.

Dr. Smith has developed innovative, point-of- care reference tools to assist physicians and medical practices that streamline the workflow process.

CopernicusMD sponsored in partnership with MAG

Dr. Ellen Shaver is the chair of CopernicusMD. After 25 years as a board-certified neurosurgeon,

Dr. Shaver knew there had to be a better way to manage practice cash flow, patient billing

notifications, carrier approvals, and collections. Her desire to enhance practice operations as well

as the patient experience led her to form CopernicusMD.

Don O’Neill is the executive managing director of CopernicusMD. Don is responsible for the

execution, launch and roll-out of the CopernicusMD platform in the private practice and facility

and public and government services sectors. He has a wealth of experience in both consumer-

facing technology solutions and project management. Don previously served as the general

manager of CreditMiner LLC, where he successfully launched a cutting-edge platform for

consumer credit in loan transactions and enabled the company to obtain full reseller status with

the three major credit bureaus.

Guest Information

CopernicusMD

The cost of medical procedures and insurance-related expenses continues to rise. Patients are

increasingly expected to pay a larger sum of money at the time procedures are performed. More

than 60 percent of employed Americans are unprepared for an out-of- pocket expense of $5,000

or more. The market for financing in medical procedures continues to evolve with new lenders

entering the space each year. Each lender has a very specific credit profile which they seek from

potential patients/clients. Managing these options is time consuming and frustrating for both the

provider and the patient.

CopernicusMD queries a patient’s ICD-10 codes against their insurance to determine how much

they will be responsible to pay out-of- pocket. It offers qualifying patients the option of financing

their medical expenses. CopernicusMD (instead of practice staff) takes on the responsibility of

managing the billing and collection of those payments. CopernicusMD pre-qualifies patients for a

loan if they need one. It also matches patients with lenders. CopernicusMD is not a collection

agency; it is a finance solution.

Go to www.copernicusmd.com or call 877.356.4712 or send an email to

info@copernicusmd.com for details.