Keys to Success 

The key to our success will be flexibility. Cain's Electronic Medical Billing Services understands that each medical practice is unique. Even practices of the same specialty will have different staff and offer different services. Cain's Electronic Medical Billing Services will evaluate the needs of each practice and offer solutions to help the practice become more efficient. Some may want all the services we offer and some may select only a few. Our billing will be customized to each office's needs.
A third key is our diversified services. Cain's Electronic Medical Billing Services offers a one-stop-shopping experience for medical administrative services.
Our position in the market will be a full-service medical reimbursement business with individual pricing. As stated previously, our goal is one-stop shopping for medical practices when it comes to administrative functions. Cain's Electronic Medical Billing Services policy is to customize our charges based on the work we do and the needs of each office. We find that each practice is unique and, therefore, we do not quote a "standard charge" for services.
As practices begin experiencing the benefits of electronic submission, many will see the advantage of out-sourcing other administrative functions. Cain's Electronic Medical Billing Services full-featured practice management software will allow us to meet those needs. Patients can be billed for co-payments or amounts which their insurance company did not cover. Secondary and supplementary insurance can be tracked and payments and balances applied accurately. The software utilizes state-of-the-art, open-item accounting, where most other systems use balance-forward systems. Outstanding receivables can be tracked with insurance aging reports, in several different sequences for ease of use. A complete practice analysis will increase office efficiency by showing where money is coming from. For each procedure, the charges and percentage of total charges they represent are calculated and printed for immediate reference. Transaction Journals and Detail Ledgers provide an accurate overall picture of the practice.
With managed care sweeping the country, it is imperative for medical practices to evaluate the benefits they receive from affiliation with different organizations. Our managed care contract service tracks payments and analyzes the information to produce customized reports showing profitability, or lack of profitability, with each managed care facility. These reports are critical when decisions need to be made on renewing and negotiating contracts.
Claim Systems' state-of-the-art software will allow the physician to do complete dictation transcription. This allows the physician to meet the needs of the new strict HCFA mandate on clarity of all Medicare claims.

Service Description

Cain's Electronic Medical Billing Services number one goal is to provide outstanding service.
We show our dedication to service by providing the physician one-stop shopping for all his or her billing and claims needs. The services we provide are as follows:

• Complete patient record setup.
• Electronic and manual medical claims filing.
• Patient billing.
• Claims posting and patient record updating.
• Complete practice analysis.
• Volume discounting.
• Follow up on unpaid claims.

Competitive Comparison

An evaluation is performed on each medical practice during the marketing phase. This will allow us to determine the needs of the practice and how to charge for services rendered.
During the evaluation certain facts are gathered, such as:

The time it will take to key patient and claims information into the software.
The approximate number of claims a practice will submit monthly.
The approximate "total dollars" a practice submits monthly to insurance carriers.
How accurate is the information obtained from the office (is it complete and easy to enter or does it require extensive editing and follow-up?).
How often will the information need to be gathered (based on claims volume).
What method is best to collect the information (personally, mail, FAX, Federal Express, downloading via modems).
What other services may interest the practice.
From this information Cain's Electronic Medical Billing Services will be able to customize charges for each practice. This ensures that the client is not being overcharged or undercharged for the services they desire. See the section on Pricing Strategies for additional information on customized pricing of services. Currently our competitors are not offering full analysis service. Our competitors also are not able to offer two-way computer communications and record posting and file updates.

Competitive Edge

Cain's Electronic Medical Billing Services can provide the following benefits:

1. Free State-Of-The-Art Practice Software. (HIPAA Compliant)
2. Two-way Computer Communications.
3. Next Day Patient Record Updating.
4. Complete Practice Analysis.
5. Full Service Medical Claims Management.
6. Superior Service.
7. Experience. 

No one else in the local market can offer this service package.

Pricing Strategy

Cain's Electronic Medical Billing Services pricing strategy is a two part program:

Part 1:
The first question that must be asked in the negotiation process is, "Does this practice want complete claims management?" If the answer is yes Cain's Electronic Medical Billing Services will negotiate services based on a percentage. Usually the percentage will be from 6 to 10 percent based on the size of the practice.

Part 2:
If the practice simply wants claims filing, the pay-for-services rendered will be based on a sliding scale with ranges between $3.50 and $5.00. This scale is divided as follows:

# Patients Price Per Claim

Cain's Electronic Medical Billing Services
Phone Number: 432.332.1039
E-mail: cainselectronicmbs@cableone.net