FALL 2020
CONNEC T I O N OPGA MEMBER MAGAZINE
RETURN OF THE AUDITS . . . page 7
Could a Narrow Network Be in Your Future? . . . page 11 What’s Happening With Medicare? . . . page 17 1
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NEWS From the President In a normal year, I would be starting this message off by saying how great it was to see so many OPGA members and supplier partners at the recent AOPA Assembly, but as we all know, 2020 has been anything but a normal year! As we head into the last quarter of the year, I would like to congratulate the majority of you for your resiliency, adaptability, and compassion you have shown during the pandemic. I have heard countless stories of ways O&P providers have adjusted their “normal” care models to accommodate patients, as well as stories of courageous business decisions that have kept O&P practices up and running successfully. I am proud to be associated with the OPGA community and am happy we have been able to assist many of our members during this challenging time. As we wind down and get ready to say goodbye and good riddance to 2020, we look forward to the
new year and continuing to help all in our community achieve their business goals. Please continue to explore the different programs and services provided by OPGA as we continue to add to our offerings in the attempt to ease your pain points, improve business efficiencies, and most importantly, allow you to focus on what is most important— delivering excellent care to the patients you serve. In your service,
Todd Eagen President, OPGA todd.eagen@vgm.com P 877-250-7951 | C 319-464-0415
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Table of Contents Letter From OPGA President Todd Eagen.................................................................... 2 O&P1................................................................................................................................... 2 Upcoming OPGA Webinars............................................................................................. 3 OPGA Member Benefits................................................................................................... 4 PEL/Össur............................................................................................................................ 6 Return of the Audits ...................................................................................................... 7-8 By Wayne van Halem, AHFI, CFE, President of The van Halem Group Comfort Products................................................................................................................ 9 Breg...................................................................................................................................... 10 Could a Narrow Network Be in Your Future? .......................................................... 11-14 By Brian Gustin CP, President, Vanguard Metrics and Analytics Knit-Rite............................................................................................................................... 15 Thusane................................................................................................................................ 16 What’s Happening With Medicare? ............................................................................ 17 By O&P Insight Vanguard Metrics and Analytics..................................................................................... 18 Coyote Design.................................................................................................................... 19 Cintas................................................................................................................................... 20 Nymbl................................................................................................................................. 21 Welcome to Nymbl The Future of O&P Practice Management................................................................. 22-23 By Nymbl
UPCOMING OPGA WEBINARS SPINOMED TRAINING THROUGH EDUCATION Thursday, October 1 | 10 a.m. CDT | 60 minutes
Check out the OPGA website regularly for upcoming webinars: www.opga.com/education/webinars
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OPGA has the
ANSWER
Member Benefits
Practice Management Software
859-493-1620
Nymbl Systems’ O&P practice management system is a game changer. It is a comprehensive, cloud-based practice management system that is 100% HIPAA compliant and extremely user friendly. Nymbl’s functionality allows practitioners to access patient records, submit insurance claims, schedule appointments, and purchase supplies, all from the convenience of any mobile device.
www.nymbl.healthcare
Audits, Fraud, and Abuse
WAYNE VAN HALEM
404-343-1815
The van Halem Group, LLC, a division of VGM Group, Inc., has become one of the nation’s most respected Medicare consulting and auditing firms. Collectively, The van Halem Group’s leadership team has more than 130 years of experience. Since 2006, they have helped clients navigate complex issues related to Medicare and Medicaid. The firm specializes in compliance, audits, investigations, medical review, appeals, enrollment, coding, and education.
www.vanhalemgroup.com
VGM Technologies
319-874-6952
VGM Forbin, managing VGM Technologies services, is here to help you with anything technology-related. We specialize in technology risk and compliance for the healthcare industry. This includes vulnerability assessments, penetration testing, and much more.
www.vgm.com/services/technology
VGM Market Data
866-394-6868
VGM Market Data can help pinpoint referral opportunities and give your practice an edge over the competition. By gaining access to the largest national HCPCS claim database with referral information on more than 8 million practitioners and 1.2 billion claims, you will be able to find local physicians who perform amputations, rank physicians by volume of procedures/diagnoses, and list key physicians and providers in your area. schedule a free demo today! | info@opga.com
Patient Outcomes: Limb Loss Mobility Management Program
BRIAN GUSTIN 920-544-5045
OPGA has partnered with Vanguard Metrics and Analytics to provide members with a functional mobility outcomes program that collects data that is truly meaningful to the two most important entities: patients and payers. This outcomes measurement tool is designed to deliver measurable results that can provide data about effectiveness of O&P services provided, assist with prior authorization, differentiate true patient-centric clinics from those who simply want to bill a device with maximized coding for reimbursement, and much more.
vanguardmetrics.biz
Buying Alliances
800-214-6742
Originally formed as a buying group, OPGA continues to partner with leading product and service suppliers in the O&P profession. These partnerships offer competitive pricing to the independent O&P facility that they may not have been able to negotiate on their own. Some of the suppliers that OPGA partners with include PEL Supply, Össur, and Breg. These suppliers have a strong commitment to the independent O&P profession and bring exceptional value to our members.
www.opga.com
Managed Care Network
800-214-6742
VGM HOMELINK eases the trouble of competing with national chains on managed care contracts. HOMELINK processes more than 100,000 referrals annually through a nationwide, community-based network of HME, custom rehab equipment, IV therapy, O&P, home health nursing, as well as physical, occupational, and speech therapy providers. HOMELINK’s Dealer Direct Program allows OPGA members to accept out-of-network patients. click on managed care , under “services” | www.opga.com ®
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Insurance
RILEY ANDERSON
319-274-6607
VGM Insurance Services is the leader in insurance and surety bonds for DMEPOS providers. With more than 30 years of experience, they have the knowledge to provide the correct coverage for your company. Complimentary insurance reviews are available. VGM Insurance Services can work with you directly or with your local agent to ensure there are no coverage gaps and that you get the best value for your insurance dollar.
www.vgminsurance.com
866-940-8491
Government Relations and Regulatory Affairs
OPGA offers a wide array of services to members seeking help with governmental and regulatory issues. Our in-house government relations staff can help OPGA/POINT members work with federal agencies and interpret new regulations. click on government relations, under “services” | www.opga.com
Print and Direct Mail Services
888-852-3731
Strategic Imaging offers the latest in printing, variable data, and a host of “results-getting” capabilities. They are leaders in producing return on investment through relevant and targeted marketing.
www.strategic-imaging.com
Education/Training
866-227-8171
VGM Education is committed to providing affordable, quality O&P profession training programs as well as programs for long-term care organizations. Continuing education units (CEUs) are available through online ABCand BOC-accredited courses. These courses address employee training, accreditation requirements, maintaining licensures, and ever-changing rules and regulations. By partnering with participating vendors and industry experts, VGM Education offers training on the latest products, technology, and services.
www.vgmeducation.com
Web Design, Social Media, and Search Marketing
877-374-4921
Get found on the internet! With more than 700 HME and O&P websites deployed, VGM Forbin will get your business found on the web. Get a fresh new site and professional consultation from our full team of designers, developers, copywriters, social media, and search specialists.
www.vgmforbin.com
Marketing Materials
888-875-7707
VGM’s Off the Shelf Marketing Program offers professionally pre-designed and written cost-conscious print marketing to help members promote their business to both consumers and referral sources. The OTS Program offers a full suite of standard and customizable pieces.
www.vgmt-ots.com
Promotional Items and Apparel
888-852-3731
OPGA members have access to Strategic Imaging, which has a complete line of promotional items and clothing that can be customized with your company logo. Prices are always competitive and quality is excellent!
www.strategic-imaging.com
Billing
PRUDENTIAL BILLING AND CONSULTING 888-862-9377
OPGA is partnered with Prudential Billing and Consulting, which is a full-service billing and collection service that provides initial insurance verification through final payment posting—including any denial management or appeals. On a consultation basis, we also provide review and assistance with claim appeals and provider education. Contact Prudential Billing today and find out how they can help maximize your practice efficiency.
www.prudentialbilling.org
Financial Services
CHAD HAMANN
800-532-4656
OPGA’s in-house financial division, VGM Financial Services, understands the needs of orthotic and prosthetic patient care providers. VGM Financial Services provides equipment financing and flexible equipment leasing programs to help OPGA members manage their cash flow.
www.vgmfs.com
Do you need ANSWERS?
Contact OPGA at 800-214-6742 or opga.com 5
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Return of the Audits By Wayne van Halem, AHFI, CFE, President of The van Halem Group
Very quietly in a document released in July, ironically entitled “Coronavirus Disease 2019 (COVID-19) Provider Burden Relief Frequently Asked Questions (FAQs),” CMS announced that audits will resume on Aug. 3, 2020 regardless of the state of the Public Health Emergency (PHE). This news took quite a few by surprise, including me. While we all knew audit activity would not be ceased forever, all the other waivers that CMS announced were to be in place for the duration of the PHE, which is still in effect now through the end of September. I guess many of us assumed that would be the case with audits as well.
T:11”
[
We also learned that Targeted Probe and Educate (TPE) Prepayment reviews, the most common type of review pre-pandemic, would not be a part of this initial audit phase. The reason being is that CMS indicated that (1) they do not want to hold up payments to providers, and (2) due to claim processing system limitations, there are less flexibilities to grant extensions for those providers that would need more time to respond. What they mean by this specifically is that with prepayment reviews, if no documentation is received by the due date, the system will automatically deny the claim.
[ ]
Providers are still struggling to take care of their patients, deal with equipment inventory issues, and maintain the safety and well-being of their employees.
Another reason many of us were caught off-guard is the fact that at the time of this announcement in July, and even today, many parts of the U.S. are still dealing with large numbers of COVID patients and increased hospitalizations. Providers are still struggling to take care of their patients, deal with equipment inventory issues, and maintain the safety and well-being of their employees. To confound the situation, many organizations are struggling with the reality that the billing or administrative staff that would normally handle audit responses are working remotely, making the accessibility to mail and patient records even more difficult. After this announcement, I had an opportunity to meet with representatives of CMS Central Office to discuss their plan for the return of audits. We learned that while the date to begin medical review functions is Aug. 3, there will likely be a delayed time frame before audit requests officially go out. During the July meeting, CMS was still working to develop instructions for contractors. They indicated that they had no intention of opening up the flood gates for a large volume of audits, but rather, they described their strategy as a “toe in the water” type of approach. In a later publication on Aug. 6, they indicated medical review activities would begin on Aug. 17.
We can be looking at large overpayments that must then be fought through the often lengthy and frustrating appeals process.
]
A main area of concern though is the impact that post-payment audits have. While I appreciate CMS not wanting to hold up a provider’s payments, asking for refunds on claims that have been paid is equally, if not more, damaging. In this environment, many providers are already financially impacted by the fact that many patients are no longer going to see their doctors or having surgical procedures, both of which are big sources of referrals. Also, what CMS did not indicate is whether these post-payment reviews will be on a single claim or a sample of claims. If it is a sample of claims, we can be looking at large overpayments that must then be fought through the often lengthy and frustrating appeals process. CMS has directed audit contractors to only review claims submitted prior to March 1, 2020. CMS also indicated that they do intend to audit claims submitted during the PHE at this particular time. I would imagine that later, claims during the pandemic will be analyzed by CMS. For this reason, it is necessary to remind everyone that the claims you submit are always open to scrutinization, and those submitted during the pandemic will be no exception. CMS has not provided any details as to whether there will be a requalification process for patients whose claims may not have otherwise met the requirements had they been submitted outside 7
Return of the Audits continued... By Wayne van Halem, AHFI, CFE, President of The van Halem Group
of the pandemic (e.g. missing signatures), but I imagine there will be, depending on the products. For that reason, you should be tracking these patients, and you should maintain notes in your system that easily explain the circumstances under which the equipment was provided. You should also be able to refer back to these patients at a later date and understand exactly why the equipment was provided, despite not meeting certain requirements (that were temporarily waived). Of course, our counsel is always to continue to try to get all the required documentation if you can, but if you can’t, you’ve notated that and flagged it in your system. What does the future hold? Time will tell, but for now, I anticipate that CMS will maintain a relatively low volume of audits through the rest of 2020. Depending on the state of the PHE, it could continue further than that. However, one thing that we all need to keep in mind is the impact that the PHE has had on the backlog of appeals at the Administrative Law Judge level. Even prior to the pandemic, the amount of appeals being filed by providers was much less than what normal volumes had been previously. The backlog of appeals can be attributed to the Medicare Recovery Audit Contractor (RAC) program, which had a significant impact on orthotic and prosthetic providers. Since reorganizing the RAC program, CMS has restricted the RAC’s audit activity considerably, especially in comparison to before. From 2011–2014, RACs were given free range to audit as many claims as they liked. While there were limits to the number of claims they could audit per provider, they were not limited in the number of providers they could audit. Since they are paid a contingency, they understandably went after as much as they could. Often, choosing expensive prosthetic components because
of their high dollar reimbursement. Thus, the backlog ensued nearing one million cases at one point. Following updates to the RAC program, CMS would only provide approval for the RAC to audit between 500–2000 claims per audit issue identified. CMS would then analyze the impact on the appeal process before allowing RACS to audit more. If there was no impact on appeals, CMS would then approve an additional 500–2000 claims.
[
The alternative and more likely solution would be to give the RACs a green light to audit at a higher volume.
]
Since that time, the Office of Medicare Hearings and Appeals (OMHA) has opened up seven new offices and hired 70 new judges. The backlog was expected to be resolved in 2021, but with the extreme slowdown of new cases entering the system during PHE, it will likely be sooner. As appeal representatives, we have seen the number of hearings being scheduled increase rapidly. My concern is that once the backlog is resolved, OMHA has the infrastructure in place to manage up to 300,000 cases annually. That is nowhere near what they are receiving right now. I do not see them closing offices and laying off judges. The alternative and more likely solution would be to give the RACs a green light to audit at a higher volume. The RAC program made the auditors and the government hundreds of millions of dollars. It is unlikely that, with the staff in place and the budget to handle the volume, CMS would not further pursue that path. For more information on proactive and reactive audit services provided by The van Halem Group, please visit vanhalemgroup.com.
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Could a Narrow Network Be in Your Future? By Brian Gustin CP, President, Vanguard Metrics and Analytics
It has been 10 years now since the passage of the Patient Protection and Affordable Care Act (PPACA, AKA the ACA) in March 2010. In this period of time, many provider groups have collaborated with many payer groups to achieve better healthcare. There certainly are
proponents for and against this act, however, one of the best aspects of this act was the creation of the Triple-Aim. Who could argue against these goals?
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Could a Narrow Network Be in Your Future? continued... By Brian Gustin CP, President, Vanguard Metrics and Analytics
Narrow Networks Defined Almost 70% of all ACA plans have a limited or narrow range of providers/suppliers. This means they include 25% or less of the providers in the area. McKinsey & Company defines a narrow network as one containing 70% or less of the hospitals in a rating area. Providers and suppliers (O&P) will contract with payers at a more favorable rate in exchange for access to many enrollees. The more favorable rates can take the form of a traditional discount to an established fee schedule or other types of alternative payment models (APM’s) where providers/suppliers assume some risk with bundled or fixed rates. However, since the passage of the ACA, a quality component has been added. The Evolution of Plan Development In the 10 years following, provider-payer partnerships have formed many different types of Accountable Care Organizations (ACO’s), including those referred to as Medicare Shared Savings Plans. Medicare established a list of both cost and quality benchmarks an organization has to meet or exceed in order to share in the savings created. In other words, to get paid a bonus. Essentially, these plans were allowed to establish their own benchmarks and then they were “graded” against these benchmarks. To establish the benchmarks, the providers and payers had to look at their operational and clinical structure to ensure effective and efficient services relative to cost and quality partially measured by the patient via outcome measurement instruments. In the beginning, not all of these ACO’s were profitable. Some faded away and others kept refining their processes. As time went on, not all provider groups were equal, and payers began to be selective in who participated in their plans. Payers recognized it is less expensive to retain an existing customer, employer group, or individual than it is to acquire a new customer, and providers recognized their ability to demonstrate cost and care effectiveness would also retain and attract new patients.
panels to only those who could meet certain benchmarks. As payers and providers refined their processes, they became profitable in the ACA plans, and are now beginning to move upstream in the Medicare Advantage plan market which can be profitable. Payers have moved from the low or no margin market of Medicaid Managed Care to the attractive ACA exchange plans. Now, in the early 2020’s payers are targeting the Medicare Advantage plans, and they are bringing along their narrow networks of providers and suppliers and their data base or results. Opponents will say limiting patient’s choice of providers will lead to poor and expensive care. However, consider this. How do we get better at doing anything? By doing more of it of course. Likewise, we reduce cost by doing more of something. We learn how to refine processes, leverage technology, and manage supply chains better. It only makes sense for payers to limit the number of providers/suppliers their insureds can go to while at the same time requiring their provider network to measure their results against a standard. This is more than pay to play, this is prove to play! Prove you can deliver the Triple-Aim and the world is your oyster. According to the Kaiser Family Foundation, total Medicare Advantage enrollment was at its low in 2003–04 at 5.3 million. Total enrollments took off in 2006 at 6.8 million and have grown every year through 2019 with total enrollments at 22 million. This is 34% of all Medicare beneficiaries and this number is projected to grow to 47% by 2029. It just so happens this population also makes up the majority of prosthetic patients. To see where your state is, click here. Interestingly, most of the Medicare Advantage plans are operated by three payers: 1. UnitedHealthcare – 26% 2. Humana – 18% 3. BlueCross Blue Shield Affiliates – 15%
Thus, payers naturally began to narrow the provider
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Could a Narrow Network Be in Your Future? continued... By Brian Gustin CP, President, Vanguard Metrics and Analytics
Three companies control 60% of a growing Medicare market. Also, of interest given, the overall cost of O&P services, especially prosthetics, Medicare Advantage enrollees average out-of-pocket expenses are: •
$5,059 for in-network services
•
$8,649 for in-network and outof-network PPO services
Along with a shift towards these Medicare Advantage programs is the requirement for prior authorizations by 80%of the Advantage plans. This is a concept the private payers have a great deal of experience with, and Medicare is just now requiring on a limited basis for prosthetic services. Not only are payers and provider groups changing the care landscape affecting how O&P will interface with them from a cost and quality standpoint, so too will technology affect who is an O&P player in the narrow network. The input of digital scanning and telemedicine combined with lower cost yet competent care extenders has the potential to change who provides what to whom, when, and at what cost. Does the traditional O&P model continue to work moving forward? The Focus on Quality has Arrived The upshot here is the concept of narrow networks based on cost and quality are growing, and Medicare Advantage plans are growing as well. The Kaiser Family Foundation also indicates 72% of Medicare Advantage enrollees are in plans receiving fourstar (out of five) quality ratings and related bonus payments. O&P practices need to be cognizant of these changes and adapt accordingly to remain viable. While O&P is not eligible for bonus payments, you can ensure you are part of the Narrow Network Club, soto-speak, by being able to demonstrate your quality metrics through an objective patient-centered outcomes program. This is called an Evidence-Based Practice (EBP) approach, which I wrote about in a previous article.
Among the benefits mentioned in this article, an EBP can add value to your operations in five critical ways: 1. Clinicians stay current with best practices a. Collecting data from your patients allow you to see in almost real time what is working and what is not relative to best practices. 2. Access to your data as it comes in a. Clinician’s time is valuable and there never seems to be enough time in the day, especially with documentation demands being what they are. So, how does one stay up to date with journal reviews? Also, given published materials relative to the effectiveness of O&P has been questioned by policymakers, we have to rely on our own data based on our own patients. If patient scores are high, then we continue as is. But if scores are less than an acceptable standard, then we have to make some analysis of what needs to be done to improve scores. 3. Accountability and value creation through transparency a. If you have an objective patient-centered outcome approach, you will be able to differentiate yourself from others in the value chain to payers, employers, and patients in an objective manner. 4. Improved quality a. Because O&P does not have a well-defined standard of care, fragmentation exists by region within an organization and within an individual office leading some patients to be under served, over served, or not served at all. An effective evidence data collection methodology can help improve the quality of care because clinicians have access to the results of their previous care decisions.
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Could a Narrow Network Be in Your Future? continued... By Brian Gustin CP, President, Vanguard Metrics and Analytics
5. Improved functional outcomes a. The old saying goes, you cannot manage what you do not measure. If we measure the effectiveness of our clinical treatment decisions in a definable and repeatable way, we can continually make changes to our clinical protocols to improve the human impact we have on our patients. A number of O&P companies have asked why the contracts presented to O&P are at discounts to the Medicare fee schedule whereas many others in healthcare are at some percent above Medicare rates. The answer quite simply is we (O&P) have not given payers any evidence for an alternative payment model (APM). If you begin to measure the effectiveness of your current prescriptive habits by your patients’ actual functional and quality-of-life status and can demonstrate how you have iterated your processes to improve your scores, you can eventually go to the narrow network panels to request to be part of the “Club” and argue for
different payment methodologies. One of the growing trends in Employer Sponsored Plans will be network cost containment. National price transparency efforts and those in O&P who can demonstrate both cost control and quality will prevail. Also, by understanding your data and acting upon what you have learned, you can assume some risk with payers based on knowledge and can drive these alternative payment models. Conversely, if you do not have any data on your patient’s actual vs. potential performance, any payment discussions can only be based on price driven by the payer; a slippery slope indeed. If you want to be part of the “Club,” Vanguard Metrics and Analytics has developed a program making it affordable and easy for you to participate. Your participation can make a difference! Contact Brian Gustin, CP at blg.gustin@gmail.com, 920-544-5045, or www.vanguardmetrics.biz to learn more about how this can help you sustain your business into the future.
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What’s Happening With Medicare? By O&P Insight
With COVID-19 putting a halt to many major Medicare projects, suppliers and providers have been able to breathe a little over the past five months and focus on the health and well-being of their staff and patients. Even though COVID-19 is still a very real threat, our break from the reality of claim reviews and new programs is now over. Prior Authorization is nothing new in the insurance industry, but it is still relatively new for Medicare. Medicare first launched their Prior Authorization program a few years ago with a handful of Power Mobility Device (PMD) codes. The success of the program has resulted in the inclusion of additional PMD codes as well as some Pressure Reducing Support Surface (PRSS) codes. COVID-19 delayed the expansion of the Prior Authorization program to Lower Limb Prosthetics (LLP) earlier this year, but Phase 1 is set to begin for Dates of Service (DOS) Sept. 1, 2020 for beneficiaries whose permanent address is California, Michigan, Texas, and Pennsylvania. Expansion to the remaining U.S. and U.S. territories will go into effect for DOS Dec. 1, 2020. This won’t apply to all LLP codes, just six specifically selected codes that happen to be microprocessor components that require the patient to be at or above a K3 functional level.
in place. If you have one already, when was it last reviewed/updated? O&P Insight has been actively working with our clients to develop customized policies and procedures manuals that will work to protect the business, including owners, staff, and patients. Having a current and thorough policies and procedures manual in place can help ease the “growing pains” of changes to payer policies and coverage for the patients you serve. Let us help you prepare for the future and curate a policies and procedures manual just for you. Let O&P Insight help prepare your business for Prior Authorization, inevitable claim reviews or the ups and downs of owning a business. We offer assistance with process improvement/development, staffing infrastructure, training/education, revenue cycle management, and so much more. When it comes to Medicare, it’s always better to be proactive and prepared than reactive and blindsided. For more information about our team and services visit www.oandpinsight.com. For more information on Medicare and the programs mentioned in this article, visit www.cms.gov.
Suppliers have been on a “claim review hiatus” since the beginning of the COVID-19 pandemic, however, CMS has announced that post-payment claim reviews have restarted as of August 2020, some of which for claims with DOS prior to March 2020. Although it has not been officially announced, it is expected the pre-payment claim reviews, also known as the Targeted Probe and Educate (TPE) program, will restart in the near future as well. It’s commonly said that the only consistent thing about Medicare is that it’s constantly changing. One can be actively prepared for such changes with a thorough and comprehensive Policies and Procedures Manual
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Is “BIG DATA” working for you? If you said no, you’re not alone. There are no standards for data collection or analysis, leading to individual, one-off studies that may have unreliable or invalid outcomes. This makes developing an effective data plan nearly impossible.
But there is a tool available to help:
Vanguard Metrics and Analytics. Vanguard Metrics and Analytics is a long-term outcomes measurement tool designed to deliver results that can: EVIDENCE Provide evidence of effectiveness of the services provided
DIRECTION Differentiate true patient-centric clinics from those who simply want to bill a device with maximized coding for reimbursement
ASSISTANCE Assist with Prior Authorization approval
ENDLESS OPPORTUNITIES And so much more.
To learn more about what Vanguard Metrics and Analytics can do for you, contact Brian Gustin at 920-544-5045.
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THE EQUIPMENT AND SUPPLIES YOU NEED TO KEEP YOU AND YOUR PATIENTS SAFE
Order your Coyote® safety supplies • • • •
Reusable Masks Masks - 3 Ply Disinfecting Wipes 2oz. Hand Sanitizer Bottles
• 10oz. Hand Sanitizer Bottles • Set of 3 safety cling signs • New medical grade filters for the Kleenaire
See all the Coyote safety products and packages available at:
www.coyotedesign.com/safety Call Coyote® for our new medical grade replacement filters for the Kleenaire.
PH: (208) 429-0026 19
Keep your facility clean, stocked and safer
Your commitment to meeting expectations for a clean, safe facility has never been stronger. Make sure you exceed those expectations, and provide peace of mind, with the help of essential products and scheduled service visits from Cintas.
RENTAL FACE MASKS
DISPOSABLE FACE MASKS AND GLOVES
HAND SANITIZER SERVICE
SURFACE DISINFECTANT SPRAY AND SURFACE SANITIZER SPRAY SERVICE
LEARN MORE CINTAS ULTRACLEAN RESTROOM CLEANING ®
UNIFORMS
Contact the Cintas National Service Team at 800.795.7368 or NationalServiceTeam@cintas.com.
| FACILITY SERVICES | FIRST AID & SAFETY | FIRE PROTECTION
210021 R0820
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nymbl.systems
100% Cloud-Based
The Future of O&P Practice Management Data Security
Ease of Use
Accessible Anywhere
Integrated with
Scan this QR code with the camera app of your smart phone to schedule a free demo of Nymbl today! Or schedule a demo today at www.nymbl.healthcare
nymbl.systems
Welcome to Nymbl The Future of O&P Practice Management Patient Profile - Nymbl Systems
http://nymbl.healthcare
Why switch to Nymbl? Simplified Workflow
Cloud-Based
A standardized workflow that's flexible yet efficient. Minimal effort to complete claims via Nymbl's revolutionary work-in-progress.
Nymbl is currently the ONLY 100% Cloud-Based O&P Specific Practice Management Software on the market.
Best UX/UI in O&P Nymbl is simple. For example, one of our new customers created a patient, added a prescription, generated a delivery ticket, and billed the claim, all in under 40 minutes with no training.
Data Security Nymbl Systems is currently the most secure O&P practice management software on the market.
Customizable Workflow All practices are run differently, so we allow your practice to customize your work in progress, checklist, etc. to maximize productivity specific to your practice's needs.
Multiple Tabs w/ Web-Based Platform Easily navigate and work within Nymbl's software by opening up multiple tabs in order to view everything you need without having to switch between modules.
To schedule a full demo of Nymbl’s software, reach out to Chad Feinberg at chad@nymbl.systems, or scan this QR code with the camera app on your smart phone. (www.nymbl.healthcare/schedule-a-demo/)
The Nymbl Dashboard Enjoy an overview of everything important pertaining to your workflow from the Nymbl dashboard as soon as you log on. Customize your widgets on our appealing user interface, and access everything you need for the workday via the dashboard.
Patient Profile Easily see a patient summary overview via the patient profile screen. Viewable patient balance, basic information, prescriptions, and much more! Customize the patients profile by adding a picture and critical messages specific to that patient.
The Calendar Easily send text and email appointment reminders via the calendar. Easily drag and drop appointments to reschedule. Customizable color indicated appointment types specific to your practice, along with being able to view the calendar in multiple views.
100% Cloud-Based
Mobile Friendly
All data is stored safely on our 100% HIPAA compliant AWS servers. Don’t worry about buying or upgrading your server ever again.
nymbl.systems
Access anywhere at anytime
With Nymbl you have access to everything you need, no matter where you are, or what device you have. No need to install or download anything when using a new device.
A Division of VGM & Associates
1111 W. San Marnan Dr. PO Box 1467 Waterloo, IA 50704 800-214-6742 www.opga.com
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