AR Can of Worms Where We Started Starting Data for AR Clean Up Project Delivery Receipts Not Sent to Bill 501 Outstanding Claims Since 2007 653 Active Tasks 1024 All Open Tasks 5358 Total Dollar Amount of Patient Negative Payments (Possible Patient Refunds) $9,764.31 Total Dollar Amount of Unapplied Payments $198,435.00

What We Learned About Cleaning Up Your AR Cleaning up your AR is like getting back in shape Every team member has a role to play in the process Be ready to change the processes you thought were perfect Ask for help. You don’t always know best and OPIE has seen worse. Be responsible in writing off claim balances Request copies of your payer contracts

Changes We Made During Clean Up Task List Settings Task Auto Days Other 7 Adjust Account Appeal Authorize/Pre-Authorize 15 Authorization Complete Waiting for Delivery Bill Claim Claim Processed/Awaiting EOB 14 Compile/Send Internal Documentation Hold Statement Insurance Follow-Up Needed Note from OPIE Pending Receipt of External Documentation Post Patient Deposit Rebill Referred to Collection Agency 30 Refund Send Statement Submission Queued 2 Submit Claim Verify Claim Receipt Changes We Made During Clean Up

Where We Are Now AR Aging Days Outstanding 0 – 30 31 – 60 61 – 90 91 – 120 120+ Percent of Total AR 42.5% 11.8% 17.3% 4.5% 23.8% OPIE Month End Process http://www.oandp.com/opie/help/assets/pdf/OPIE_Month_End_Process.pdf Write Off Limits by Team Member Team Member Appeal Level Write Off Amount Team Member Can Approve Billing Team Member 1st Appeal Denied $0.00 - $25.00 Admin Team Member $25.01 - $100.00 2nd Appeal Denied Up to $1,000.00 CEO Greater than $1,000.00