David Henshaw– National Accounts Manager

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Presentation transcript:

David Henshaw– National Accounts Manager 100% ERA Webinar Presented By: David Henshaw– National Accounts Manager

AGENDA Introductions Housekeeping Background – Setting the Stage 100% ERA Solution Product Demonstration Q and A

Housekeeping Attendees will be placed in listen only mode Questions – use the goto Webinar chat box Technical Issues – please call PI at 1 713 333 6000 PPT from today’s webinar will be available More information Practices – please contact your reseller for more information Resellers – please contact myself

Background According to American Medical Association A provider can save approximately $10,000 per year by implementing ERA/EFT and automating the claims process For a provider submitting 6200 claims per year ERA represents approx. 70% of an average provider’s remittance Therefore 30% of remittance is coming back via paper

Background Implications Sign up for ERA/EFT wherever you can This solution coupled with the Lockbox Services will ensure 24 hour turnaround All Checks deposited in provider’s bank account within 24 hours Save time opening, sorting and processing the mail Paper remits are scanned, imaged and matched with claim data to generate 835s If you PM offers electronic posting you will have achieved 100% of paper remits Eliminate EOB and Correspondance storage and archive expense

Faster Turnaround times Efficiencies in Secondary Claim Filing Background How will 100% ERA Contribute to efficiencies in my office? One Workflow Reporting Accuracy Faster Turnaround times Efficiencies in Secondary Claim Filing

Lockbox Services - BancTec We help organizations of all sizes in the medical industry improve their bottom line by providing remittance automation solutions and efficient outsourcing services for complex business processes.

BancTec Lockbox Services - Worldwide Company with 2800 employees in Europe, Asia and the Americas Forty Years experience in the lockbox industry BPO Americas Total Retail Remittance Payments – 168 million/yr Total Wholesale Payments – 4.6 million/yr Total pages scanned – 26.2 Million/yr Total documents indexed – 10.65 million/yr

Lockbox Services - BancTec Stability, Flexibility, Scalability BancTec has been an industry leader in Remittance and Document processing for nearly 40 years Strict adherence to SLA and customer experience HIPPA, SAS70, PSI Compliant BancTec provides complete business resumption in the event of operational disruptions 7 Operations Centers Countrywide

Lockbox Services - BancTec Mail is received, opened & sorted at the BancTec Operations Center Check are deposited the day they arrive EOB’s & correspondence are scanned to PI via SFTP No BancTec Account Required Current local banking relationship is maintained Simplified account reconciliation

Lockbox deposit is made (day 1) Lockbox Services - BancTec How It Works Lockbox deposit is made (day 1) Collected funds are transferred to customer’s local bank (same day) Funds are credited to customer’s local bank account (same day)

How It Works Provider Image 835 Processing Scanning/Lockbox Claim Check EOB Image 835 Processing EOB Image Scanning/Lockbox

Product Demo Jump into EDI insight

100% ERA Recap Conversion of Paper EOB to Post-able 835 format A complete post-able file mapped to original claim to fill gaps in the remit, formatted to meet providers patient accounting system specifications. Conversion of all proprietary codes to HIPAA standard codes Established crosswalk tables for all major payers, Real time update of new codes and payers. Enhanced Denial Reporting in PI Denial reporting on all payments including paper eob’s. Non EDI documents Non EDI documents will be loaded into PI task management system for review Turnaround Time In most cases 24 hours, unusually heavy production days 48 hours.

QUESTION AND ANSWER