Main Subject - Business

"Integrated patient relationship management and billing technologies have uniquely addressed horrendous complexities of financial care plan management and became indispensable in building large volume practices," says Dr. Brian Capra, a practicin

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

g Doctor of Chiropractic and Director at Advanced Chiropractic in New Jersey.

Financial care plan helps the patient to afford the care while establishing a guaranteed cash flow to the provider. The concept of financial care plan is based on a r

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

elative cost difference for the same service during the plan period and outside of it. The patient guarantees lower fee for each service encounter by committing to higher number of service encounters.

Financial care plan plays an important role

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

in patient relationship management as it improves the perception of service cost-benefit, because without the plan, the cost for the same service would be higher. Therefore, it is important to track the plan for each patient and, upon reaching

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

the end of the plan, immediately charge the regular (higher) fee.

But tracking multiple patient care plans becomes difficult upon reaching large numbers of patient visits, impeding the continued development of the clinic. Worse, the complexity

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

of individual plan management is exacerbated by varying sources of payments required for different kinds of visits. For instance, the fee for care during a specific period of time is paid either by the insurance company or by the patient. Finall

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

y, the number of visits in each plan is variable too, depending on patient health condition and specific plan. For example, the number of visits during the care plan period is indefinite but the number of recommended adjustments is typically fin

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ite.

Therefore, chiropractic office billing technology must be able to handle both kinds of complexities. First, it must be able to handle multiple care plans. Second, it must be able to allocate different charges separately to care plan while

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

managing the combined payment status for the same visit.

Care Plan Definition

A powerful care plan management system maintains three kinds of edits, namely, addition of a service encounter without adding charge, addition of plan paym

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

ent without adding a service encounter, and addition of both a service and a payment. Also, if the current plan is pre-paid in full at the beginning of the plan, the service charges during the care period must be discounted.

A care plan is defi

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

ned by three components, namely, time period, total amount of charges and payments, and total number of services provided to the patient. Services include adjustments but often exclude X-rays and exams, and always exclude supplies, such as pillo

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

ws or vitamins. To define a care plan in a Vericle-like system,

Select patient
Select care plan start and end
Update maximum plan visits
Update maximum care plan amount
Update ex

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

pected insurance payment

Update deductible

Select one of the following billing options:

Bill patient only (no insurance charge)
Bill insurance upon exceeding patient's maximum care plan amount
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
li>
Bill patient upon exceeding maximum care plan amount and write off patient's portion

Care Plan Status

Chiropractic office management system must be able to show status of both combined and care pla

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

n, which include:

Visits
Charges
Payments
Write-offs
Balance

Note that Care Plan Status must be available to both the provider and the Front Desk person, who will be able t

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

o discuss any outstanding balance with the patient upon arrival to the office. Colored display of relevant information helps the Front Desk person to react quickly and effectively to situations that require correction, e.g., bad plan definition

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

dates, missing visit data, or unpaid balance.

Care Plan Tracking

To begin charging the patients regular fees or define a new care plan upon care plan expiration, the office must track care plan end dates. Such care plan expiration trac

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

king function is accomplished in two ways:

Today's appointment list shows patients with expired care plans
Separate report lists patients with expired care plans within a given date range.

A financial care

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

plan is an important component of practice building strategy as it helps the patient to afford the care while establishing a guaranteed cash flow to the provider. But tracking multiple patient care plans becomes difficult upon reaching large num

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

bers of patient visits impeding the continued development of the clinic. Outsourced billing services leveraging integrated technology helps chiropractic clinic overcome care plan management complexity and building successful large-volume practice

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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