Giving you Time andFinancial Peace of Mind

www.sypore.com

What is Sypore (pronounced: si-poh-ray)?

Founded to serve the unmet needs of healthcare services providers who care about the performance of their Revenue Cycle Management capability in terms of reliability, quality, and cost of cash flow.

www.sypore.com

What does it do?

One-stop source of essential business services including:

• Data-driven & cash flow focused medical revenue cycle management:• Billing

• Credentialing

• Patient Call Center

• Healthcare technology development, selection, implementation

• Healthcare business consulting

• Digital marketing

• Accounting & bookkeeping

www.sypore.com

Who does it?

An exceptionally well-balanced team of billing, finance, and technology professionals, using processes engineered for quality and efficiency that leverage state-of-the-art technologies.

www.sypore.com

How is it different?

Difference is in the results:

10%-plus increase in reimbursements.

15%-plus decrease in RCM costs.

Sypore customers enjoy maximum profits, freedom of time, and financial peace of mind instead of being disappointed as with typical billing services or internal teams.

www.sypore.com

One Source for all essential business services

www.sypore.com

Billing, Coding,

Adjudication,

PostingCredentialing

Patient Call Center

Acc

ou

nti

ng

Bo

okk

eep

ing

Custom

Applications

Development &

Support

Aud

it

Payer Contract Negotiation

Business

Consulting

Website Development & Digital Marketing

Cash Flow Maximization

Data A

nalytics

EMR

Sele

ctio

n

Imple

men

tatio

n

Support

Client

Training

S

Y P O R

E

Our Advisory Board

A source of continuous inspiration and reflection, the Advisory Board is an integral part of the organizational structure of Sypore.

Board Members:

• Dr. Amir Malik, M.D., Cardiologist, Heart Center of North Texas

• Mr. Mitch Pisik, President and CEO of TM International, Tucson, Arizona

• Mr. Rusty Hale, CPA, Partner at Montgomery Coscia Greilich LLP, Dallas, Texas

• Ms. Regina Cross, Marketing & Public Relations Executive, Ft. Worth, Texas

• Mr. Greg Zoller, Software Technology Executive, Frisco, Texas

www.sypore.com

It’s all aboutFreedom of Time and Financial Peace of Mind

www.sypore.com

Sypore ResultsRCM. Done Right.

www.sypore.com

Rule: Do Not Focus On The Billing Service Fee Rate!

• Would you choose Service-A or Service-B?

www.sypore.com

Service-A Service-B Comments

Service Fee Rate 5% 7% “B” charges 2% higher fee

Cash collected per claim $80 $88 “B” collects 10% more

Service fee per claim $4.0 $6.16 “B” costs more per claim

Your Net Revenue per claim $76.0 $81.84 “B” puts more money in the bank for you!

This is an example based on actual customer experience with Sypore. The mistake many practice and business owners make is focusing only on the fee rate and not on the reimbursement side.

Typical Benefits Seen By Sypore Customers

• Higher cash collected per encounter: 10%-plus higher

• Lower cost of billing & collections: 15 %-plus lower

• Faster and consistent cash inflow: 10 days-plus faster

• Quick and consistent claims submission: 24 - 48 hours

Our customers take home more money, faster, consistently. Period.

www.sypore.com

Medical Home Healthcare Providers

- 12,000+ businesses operating on margins under 2.4%

- CMS’s “rebasing” initiative will drive down the margins further

- 40% or more of these businesses will go under by 2017

- What can Sypore do to help you survive and thrive:- Sypore can help increase reimbursements by over 20% by preventing

payments being lost to inaccurate coding and medical necessity issues

- Sypore can reduce billing and credentialing related costs by over 25%

- Sypore can support marketing efforts through its Digital Marketing service

- Sypore will deliver tremendous Operational and Financial efficiencies through its Remote Patient Management (RPM) platform

www.sypore.com

Comparative Performance: Actual Customer

www.sypore.com

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

120.0%

Reduction in Claim Submission Time Reduction in Payment Cycle Reduction in AR over 120 days Increase in Cash Collections

Sypore RCM Service vs Previous BillCo.

Net Collections

www.sypore.com

$-

$5,000.00

$10,000.00

$15,000.00

$20,000.00

$25,000.00

$30,000.00

$35,000.00

Net Collections

$- $10,000.00 $20,000.00 $30,000.00 $40,000.00 $50,000.00 $60,000.00 $70,000.00

Avg.. Charges

Avg. Payments

Charges & Payments: Before and Since Sypore

Sypore Pre-Sypore

With Sypore, net collections are consistently higher and stable With Sypore, charges

and collections are significantly higher

Claims Velocity

www.sypore.com

0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00 80.00

Superbill Lag

Billing Lag

Payment Lag

Posting Lag

Claim Cycle

26% (19+ Days) Reduction in Claim Cycle Time in 90 days

Sypore Pre-Sypore

With Sypore, claims cycle time has been shortened by 19 days in 90 days – faster claims submission and collections

Accounts Receivable (A/R) Cleanup

www.sypore.com

Previous service had neglected claims in A/R worth over $145,000.

Sypore worked aggressively to recover over $84,000 that was still within timely filing and complete adjudication limits.

A/R

Total Recovered

www.sypore.com

Diagnostic Equipment Billing ProcessSypore also provides complete and hassle-free billing services for Labs and Diagnostic Test claims. Whether the equipment is owned or leased by the practice (Physician), Sypore can support the billing needs in a consistent, reliable, high-velocity and high-reimbursement outcomes manner.

Sypore services provide transparent and 24x7 access to all claims and financial data including:- Claim entry and submission- Operational reports- Financial reports- Feedback to improve front-office

process and reliability- Guidelines for better coding at the

Provider level- Continuous audits of all superbills

Patient Intake

Patient Intake Form -

completed

Doctor Signature for

Medical Necessity

Perform Diagnostic

Test

Equip. owned by Doctor?

Equipment Owner submits a claims for the TC (Technical Component) under its TIN and as a using owner’s technician’s name etc. who performed the test.

No Yes

Provider (doctor) will use the practice TIN to bill the claim as Global Service which combines the TC and PC. This cannot be unbundled as payer may reject payment for one or both components if unbundled.

TC claimUniversal

Service Claim

Provider (Doctor) submits a claims for the PC (Professional Component) under its practice TIN.

PC claim

End

Equip. under separate legal

entity?No

Provider (doctor) will use the Equipment Legal Entity TIN to bill the claim as 60% TC using the technician that performed the test.

Yes

Provider (doctor) will use the Practice TIN to bill the claim as 40% PC .

TC claim PC claim

www.sypore.com

DropBox folderFolders are setup for each week under each Provider and name of the document contains the date of delivery

Non-EMR Client

- Paper Encounter Sheet- Paper EOB- Paper patient demo

Unbilled Claim QA:- Demo / Insurance?- Coding / Auth.?- Credentialing?

EMR Client

Invoice Entry

- Superbill (Charges)- Patient demo- Paper EOB

Billing TeamBilling Team

HOLD for Demo

Ready to Submit

HOLD for Coding / Auth

HOLD for CredYes

CredentialingCredentialingHow?

Remove from HOLD for Cred (who / when / how?)

Patient Demo Entry

Rejected / Denied Claim

ERA

Payer

Submit / Re-submit Claim

Rejected or Denied

Paid: $0 to Full

Client Office

Who / How?

Service-driven

Claim Update:- Post payment- Write-off- Re-submit- Drop to PR- Close out

A/R-Posting

Corrected / Secondary / Tertiary

Claim Complete

Release from HOLD – Who / How?

Clean Claim?

Yes

Cred issue?

No

Code/Auth issue?

Demo issue?

No

No

Yes

Yes

HOLD QueueHOLD resolution

1 1

Clearinghouse

Purpose-Engineered Billing Process

Sypore uses Lean Six Sigma tools and methodology to purpose-engineer all its operational process for billing, credentialing and other service components.

These processes are:- Lean- Efficient- Designed to minimize errors- Built to maximize productivity- Supported by best-fit technology

platforms off-the-shelf as well as custom built by Sypore’s Software Development Team

- Continuously monitored and refined to keep delivering more value to Sypore customers than they expect

Is your business or practice financially fit?

Key Benchmark Metrics:

• Days in A/R: Under 35 days

• Net collections: Over 98%

• Claim denial rate: Under 3%

• Billing related costs: under 10% of collections

Do you know your metrics?

Are they as good as they should be?

www.sypore.com

What is your Financial Fitness Score?

A low Financial Fitness Score may be costing you tens or hundreds of thousands of dollar – every year!

Check the Financial Fitness Score of your practice instantly at:

http://www.sypore.com/practice-analysis

It takes less than 3 minutes, is complimentary, and available only from Sypore.

www.sypore.com

Do You Spend Your Time As You Prefer?

• Physicians work an average of 50 hours per week

• 20% of their work-time is spent on non-patient, administrative tasks

• This equates to about 40 hours per month or 480 hours annually

Annual value of this time:

$72,000 per physicianEvery year!

www.sypore.com

Summary

• Claims are submitted within 48 hours of receipt• EMR superbills come to an integrated PMS

• Paper encounter sheets are received via a secure digital channel

• Rejections & denials are managed daily• Prioritized to prevent any loss due to timely filing

• Payments are posted within 24 hours• ERA are posted directly to the PMS

• EOB are manually posted in the PMS

• Customer has 24 x 7 transparent access to all practice financial data

• Service includes all essential components

www.sypore.com

Sypore Custom Platforms

www.sypore.com

You have 24 x 7 access to fully transparent status of Credentialing for every provider with every payer, using our own ParTrackercloud-app.

www.sypore.comFor more information, please contact us at:

Phone: 800.373.1943

E-mail: sales@sypore.com

www.sypore.com