2. MedAmerica Billing Services, Inc. Nancy Templeton Director, Management Information Services

3. Agenda History & Background Critical Business Issues Solution Selection Implementation Results Future Plans Lessons Learned / Best Practice Q&A

4. History & Background

5. History Modesto, CA Established 1996 600 Employees 62 Client Practices 2M Visits/year

6. Services Billing & Collections –Electronic Submission –Collection –Automated Appeals Coding –Internal Training –Resources & Support –Auditing

7. More Services Clinician Education –Onsite –Offsite –Web Reporting (MARS) –Data Analysis –BI –Practice Management –Ad Hoc

8. Critical Business Issues

9. Billing Process Billing Input Coding Pre- CodingClaims Encounter Documentation Quality Control EOBs Paper Fax eMail Electr. Docs XML/HL7 A/R

10. Critical Business Issues Source Documents –High Volumes –Disparate formats & delivery –Laborious collation Shifting Costs Explanation of Benefits Where to Start Scanning?

11. Where to Start? Billing Input Coding Pre- CodingClaims Encounter Documentation Quality Control EOBs Paper Fax eMail Electr. Docs XML/HL7 A/R

12. Where to Start? Billing Input Coding Pre- CodingClaims Encounter Documentation Quality Control EOBs Paper Fax eMail Electr. Docs XML/HL7 A/R

13. Where to Start? Billing Input Coding Pre- CodingClaims Encounter Documentation Quality Control EOBs Paper Fax eMail Electr. Docs XML/HL7 A/R

14. Where to Start? Billing Input Coding Pre- CodingClaims Encounter Documentation Quality Control EOBs Paper Fax eMail Electr. Docs XML/HL7 A/R

15. Solution Selection

16. Solution Selection Timeline 1996:First Look 2001:Implemented CPU MedFM 2003: Implemented RVI 2004:CPU/Laserfiche Partnership Fall 2005:Looked at Laserfiche Dec 2005:Purchased Laserfiche & Lynx

17. Implementation

18. Implementation- Initial Phases Data Migration Program Back-End Scanning Mid-Scanning Configuration: –80 Full/ 250 Read Only –QF: All –Web Access –Toolkit –Audit Trail –Workflow

19. Workflow Today Mid-Process Scanning LynxPre- Coding ClaimsMail Room Hospital Teams CPU Laser- fiche CPUVisit Log

20. Workflow Today Front-End Electronic Document Import Lynx Pre- Coding Claims Hospital Teams CPULaserficheCPU Visit Log

21. Sample Templates Screenshot(s) needed

22. Sample Folder Structure

23. Results

24. Results- Initial Phases Achieved Goals: –Efficiencies –Reduced Expenses –Managing Greater Volumes Challenges: –Rendition Billing –QuickFields

25. Unexpected Benefits Reduction in write-offs for bad address accounts Quicker and less costly resolution & resubmission of corrected claims Decreased volume of work related injuries associated with document retrieval Use of retrieval patterns data to help anticipate bandwidth

26. Future

27. Future Plans Increase Electronic Record Capture Pilot Remote Scanning Harness Web Access Functionality Misc. Process Improvements: –Duplicate Charts –Dual Monitors –Granular Document Classification –EOB Redaction

28. Lessons Learned/ Best Practice

29. Implementing Multiple Products Phased Approach Technical Tips –Barcodes – use multi-band analysis –Search engine span –Restrict document creation authority –Default processing by alphabetical order –Use rollover volumes. Always.

30. Questions

31. Thank You For Attending