Thank you for the opportunity to explain how 

  outsourced billing services can benefit your company. 

  Business Options can provide a total package to you based on 

  the percentage of collections. The package includes the use of

  our Pacware billing software.  In order to print tickets and 

  certificates of Medical Necessity (CMN's) in your office, 

  you will need at least one Windows NT computer, an HP2200 

  printer and an internet connection of DSL quality or better 

  (T1 serivce is recommended).  The Pacware system will allow 

  your staff to print delivery tickets, physician orders, CMN's 

  and reports at your site, as will as access your patient information.

When you outsource your billing it gives you time to focus on the things that make your

 business profitable.  Your job is to keep your patients and doctors happy so that the referrals for

 new business keep pouring in.  Business Options keeps your cash coming in the door so that you

 can focus on building your patient base.  We inform you if there is a delay in getting CMN’s or 

 physician orders.  We fight the battles with Medicare.  We make sure that billing goes out every 

 day and that patients are contacted about their outstanding balances.  We pay for all supplies,

 postage and employee costs associated with billing.  We keep you abreast of Medicare rule

 changes and perform compliance audits.  You don’t need to make a large financial investment 

 in software or computer servers.

Should you choose to outsource your billing to Business Options, 

 our staff will come to your office to copy the records necessary to set

 up your accounts receivable in our system.  Then, at the end of each 

 business day, your staff will put together a packet of information to 

 send to the billing center.  The packet will include all delivery tickets, 

 pickup tickets, CMN’s & physician orders received that day together 

 with patient billing information and assignment of benefits forms.  

 All payments received and payment vouchers, denials, etc. should also 

 be included in the packet.

When the packet is received by the billing center, a patient account will be set up in the

 Pacware system.  The monthly rental charges and/or purchases will be billed to the appropriate

 payor.  When the insurance does not pay in a timely manner, Business Options personnel will 

 follow up with the insurance to get the claim paid.  Statements will be sent to the patients on a

 monthly basis to collect the patient portion. Follow up phone calls will be made to patients who 

 have not made payments within 90 days.  Patients  who do not respond to the phone call will be

 identified to you for possible placement with a collection agency. All patient phone inquiries about

 billing should be forwarded to Business Options.  Your staff does not have to spend their time

 answering patient billing questions.

We will use a post office box in Montrose to receive payments.  When payments are received 

 at the site, the payments should be sent to the Montrose Billing Center.  Payments received 

 will be deposited daily to an account owned and controlled by you.  The payments will be 

 posted to the patient’s account and secondary insurances will be billed if appropriate.   

Training your staff is a critical element of success.  

 It is critical that you plan to send at least 2 people from each site 

 to the Business Options for 2 days of free training.  The training

 agenda will include proper intake procedures, Pacware instruction,

 held  item report management and CMN/Physician Order 

 compliance.   If it is not possible for your staff to travel, 

 Business Options personnel will provide on-site training to your 

 staff.  Our staff is  willing to spend up to 5 working days in your 

 office to help streamline paper flow and train on the use of the 

 Pacware system.  There is a charge of $4000 to cover the cost 

 associated with on-site training.    If you prefer to send your staff to 

 Montrose for training, the cost will be  billed at $25.00 per hour for 

 the actual training time.