Proprietary and Confidential Health Information Management Solutions Date.

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Presentation transcript:

Proprietary and Confidential Health Information Management Solutions Date

Proprietary and Confidential SourceHOV SourceHOV energizes our clients’ success with platform- driven business process solutions for core functions. We provide total life cycle services and analytics that increase efficiency and quality while providing critical quantitative insight. SourceHOV delivers high-value business outcomes for leading organizations including more than half of the Fortune 100.

Proprietary and Confidential Established Credibility, Advantageous Flexibility $3.5B Settlements distributions $500M 2011 Revenue (USD) $4M+ 59 Clients with over $1M in annual billings State tax fraud prevented Healthcare under-payments recovered 600K Healthcare claims processed daily 12,500 Employees in 6 countries U.S. locations with HIPAA-certified, citizen and classified options 70+ $1.5B 4,000 Legal claims administration projects

Proprietary and Confidential Here’s what we know about your business Insert what we know about the customer’s pain points and what are their top priorities right now

Proprietary and Confidential A balanced portfolio of solutions, for both providers and payers, that encompass the full life cycle of back office processes. Providing a roadmap, from physical to electronic including our online self-service platform, for rapid and transparent two-way interactions. High caliber analytics for complex adjudication and payment processing, ending in solutions to capture revenue, prevent fraud, reduce waste, and assure contract compliance

Proprietary and Confidential Proven, Scalable and Innovative Payer solutions, delivered to many of the largest private and public health insurers, that beneficially change payer/provider communication processes, accuracy and costs. Intelligent, Tested and Effective Provider solutions, serving acute care facilities across the US, supporting ongoing efforts to reduce revenue capture cycle times, minimize claims resubmissions, and reduce operational waste thus putting more budget toward patient care.

Proprietary and Confidential Full Life Cycle Healthcare Back Office Solutions Accepting member and provider submissions using physical, electronic and online models and providing robust verification and entitlement Electronic and physical payments and lockbox services, presentment and communications to accurately fulfill claims processes Trained for operational excellence, our global team help clients improve revenue cycles through quality, speed and scale Deep industry expertise combined with robust platforms allow us to provide payers and providers hard dollar reimbursement savings and knowledge-based solutions at the core of their claims Beneficially changing how claims and resubmissions are managed with paperless speed and online process visibility Comprehensive Enrollment and Verification Payments, Presentment and Communications Coding, Consulting, and Training Online Self-Service Complex Adjudication and Analytics

Proprietary and Confidential Proven Performance in Healthcare Information Management Experience Our difference: 30+ years in HIM, 40+ years in document management Quality and Accuracy Exceeding 96% accuracy via AHIMA certified staff 700 HIM directors served in hospitals, outpatient facilities and labs nationwide Our team members are SourceHOV employees, not contractors People Dedicated Account and QA Management Processes

Proprietary and Confidential Spectrum of HIM Services HIM directors can significantly improve resource utilization and mitigate documentation management challenges while raising service levels, achieving greater satisfaction and improving quality as a direct result of SourceHOV | Healthcare Solutions Enhancing revenue cycle effectiveness and satisfaction: Coding resource support Interim Management Corporate Compliance Program Identifying and implementing improvements: ICD-10 Coding Training Clinical Documentation Improvement Audit Services Workflow Billing Edit Reviews Providing a roadmap to a paperless environment: Medical document and image storage On-demand digitization Storage and destruction Coding Consulting Records Management

Proprietary and Confidential Serving HIM Directors with Flexible Coding Solutions RHIT, RHIA, CCS, CCS-P, RN credentialed staff AHA, AHIMA, CMS Compliant Regular quality reviews and accuracy assessments Industry leading internal training requirements SLAs and facility-specific policies and procedures Dedicated account and QA manager per facility Remote coding via scanned images, electronic records or hybrid systems HIPAA compliant and fully secured centers 3M Preferred Partner

Proprietary and Confidential Serving HIM Directors with Flexible Coding Solutions Maintaining skills and productivity Ensuring revenue capture and cash flow Minimizing coding backlogs Challenges: Onsite Coding Remote Coding – Domestic and Global ICD-10 Training Vacations, Leave, Staff Augmentation and Outsourcing Experience with All Coding Systems Solutions:

Proprietary and Confidential Supporting the Transition from Paper or Film to Digital Serving over 3,000 healthcare clients Medical record document storage facilities throughout the U.S Approx. 50 million medical records managed Radiologic and mammography analog image storage DICOM film digitization Vendor neutral archiving and image sharing NARA compliant facilities supporting federal government clients including several VA healthcare facilities

Proprietary and Confidential Serving HIM Directors with Flexible Coding Solutions EMR conversion and transition Improving efficiencies and minimizing bottlenecks to revenue Challenges: On-demand medical record digitization and retrieval Medical image digitization and retrieval Medical record document storage and destruction Day forward and back scanning of medical records documents NARA certified storage Solutions:

Proprietary and Confidential Extending Value Through Consulting Services Custom training for all practice specialties and non- physician practitioners Concurrent med records reviews ICD-10 fundamentals education Outpatient audits for all care settings Code validation and analysis Audit to audit comparison reviews

Proprietary and Confidential Serving HIM Directors with Flexible Coding Solutions Document risk management Improving coding accuracy Challenges: Clinical Documentation Improvement Coding Process Improvement and Analysis Documentation Review, Education and Feedback Coding Audit and Revenue Impact Assessments Performance based Analytics Solutions:

Proprietary and Confidential Coding 450 bed teaching hospital Reduced backlog by $11.5 million per week at 98+% accuracy Transitioned all coding offsite to SourceHOV | LexiCode US facility Former HIM space repurposed for physicians

Proprietary and Confidential Document Management VA Health System Outsourced solution will drive expected savings of $1.75 million SourceHOV handles all: Chart management Prep/reassembly Scanning/indexing/archiving Facilitates electronic document access

Proprietary and Confidential Coding National sub-specialty lab Lab’s coding function was costly compared to peer group and backlog represented substantial lost revenue Transitioned to 100% outsourced solution Reduced coding operating expense 50% Reduced turnaround time to 24 hours

Proprietary and Confidential Industry Know-how Supported by Platform Driven Solutions Solutions Manufacturing Retail Publishing Construction % 2012 Revenue BFSI Lending Banking Property and Casualty Legal Law Firms Corp. Counsel Gov. Attorneys Healthcare Payer Provider Public Sector Federal State Local Claims Admin. Notification Expert Testimony Litigation Support Claims Proc. Doc. Mgmnt. Revenue Cycle Fraud/Abuse Application Proc. Doc. Mgmnt. Revenue Cycle Litigation Support Doc. Mgmnt. F & A Proc. HR Proc. Mgmnt. Content Mgmnt. 30% 28% 12% 20% 11% Document Transformation and Management Business Process Workflow Claims Administration Financial Management Content Management Platforms Claims Proc. Doc. Mgmnt. Revenue Cycle Analytics

Proprietary and Confidential Industry Know-how Supported by Platform Driven Solutions Solutions Manufacturing Retail Publishing Construction % 2012 Revenue Lending Banking Property and Casualty Law Firms Corp. Counsel Gov. Attorneys Payer Provider Federal State Local Claims Admin. Notification Expert Testimony Litigation Support Claims Proc. Doc. Mgmnt. Revenue Cycle Fraud/Abuse Application Proc. Doc. Mgmnt. Revenue Cycle Litigation Support Doc. Mgmnt. F & A Proc. HR Proc. Mgmnt. Content Mgmnt. 30% 28% 12% 20% 11% Document Transformation and Management Business Process Workflow Claims Administration Financial Management Content Management Platforms Claims Proc. Doc. Mgmnt. Revenue Cycle Analytics Other BFSILegalHealthcarePublic Sector

Proprietary and Confidential Content Creation Authoring Plain Language Notifications Project Management Porting Consulting Economic and Statistical Consulting Construction Consulting Tax Consulting Business Communications Fulfillment Presentment Recalls Breach Member Management Enrollment Applications Registration Employment Analytics Verification Credentialling eDiscovery eForensics Revenue Integrity Fraud, Waste and Abuse Case Management Document Life Cycle Conversion Back-file NDT Mailroom Workflow Litigation Vital Records Lending Adjudication Medical and Legal Claims AP/AR Tax Returns Store Distribute Destroy Phys./Elect. Lockbox Customer Care Clearinghouse Self-Service Call Centers SourceHOV Core Capabilities

Proprietary and Confidential Add client HIM specific challenges Add health system name or client specific HIM challenges Notes Records Management Consulting Coding

Proprietary and Confidential The End Thank you for your time