AUTOMATED WORKFLOW ELECTRONIC SIGNATURE CAPTURE PRINT MANAGEMENT OHIMA’12 Booth 33 Theresa Wilton

Founded in 1992 (20 years in healthcare)Enterprise Forms Management SoftwareOver 1,000 Healthcare CustomersDesigned and Engineered as a Seamless extension of your existing systemsStable Company with Strong Financials (45% growth in 2011)Everything under 1 roof (Sales, Implementation, R&D & Support)Focused on Six Sigma and Lean Healthcare Protocols

Moving up the pyramid is your goal

Automatically print customized forms and packets: – All chart forms – Surgery packets – Insurance forms – Consent forms – Wristbands and Labels Rules-based document output – Rules define what prints and where it prints i.e. If patient is under 18 print parental consent form at admissions desk Print Management

Eliminate patient consent forms Save thousands of man-hours annually Automatically index and integrate electronic documents with EMR and archiving systems Improve the patient experience

Online Coding Query – concurrent Post discharge

RAC has 60 days from receipt to send reviews Review letter from RAC (audit letter) Entered into system RAC is sent to notify a claim has been recouped Business Office RAC Coordinator Verify medical record is in the system Determines which dept. will review Coding Business Office Medical Records Utilization Review Registration Business Office Medical Records Coding Challenge letter - Supporting documents sent First review APPEAL $$$ Legal reviews and attend hearings RAC Coordinator Pull and SCAN medical records Medical records sent off Entered into system Letter from RAC – Records request TRANSACTION REVIEW CORRECT PATIENT TYPE REVIEW PROCESS Provider has calendar days to respond, or claim is denied Provider may request an extension Claim is denied if no response Interest begins to accrue after 30 days from determination Complex Review Automatic Review Provider must file an appeal by day 30 to stop automatic recoupment by the RAC Yes No RAC AUDIT PROCESS V. 3.0