View
215
Download
2
Category
Tags:
Preview:
Citation preview
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
$3.5BSettlements distributions
$500M2011 Revenue
(USD)
$4M+
59Clients with over $1M in annual billings
State tax fraud prevented
Healthcare under-payments recovered
600KHealthcare claims processed daily
12,500Employees in 6 countries
U.S. locations with HIPAA-certified,
citizen and classified options
70+
$1.5B 4,000Legal 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 Enrollmentand 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
ExperienceOur difference: 30+ years in HIM, 40+ years in document management
Quality and AccuracyExceeding 96% accuracy via AHIMA certified staff
700HIM directors
served in hospitals,
outpatient facilities and labs
nationwide
Our team members are SourceHOV employees, not contractors
PeopleDedicated 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
CodingConsulting
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 SolutionsSo
lutio
ns
ManufacturingRetailPublishingConstruction
% 2012 Revenue
BFSILendingBankingProperty and Casualty
LegalLaw FirmsCorp. CounselGov. Attorneys
HealthcarePayerProvider
Public SectorFederalStateLocal
Claims Admin.NotificationExpert TestimonyLitigation Support
Claims Proc.Doc. Mgmnt.Revenue CycleFraud/Abuse
Application Proc.Doc. Mgmnt.Revenue CycleLitigation 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 ManagementPlatf
orm
s
Claims Proc.Doc. Mgmnt.Revenue CycleAnalytics
Proprietary and Confidential
Industry Know-how Supported by Platform Driven SolutionsSo
lutio
ns
ManufacturingRetailPublishingConstruction
% 2012 Revenue
LendingBankingProperty and Casualty
Law FirmsCorp. CounselGov. Attorneys
PayerProvider
FederalStateLocal
Claims Admin.NotificationExpert TestimonyLitigation Support
Claims Proc.Doc. Mgmnt.Revenue CycleFraud/Abuse
Application Proc.Doc. Mgmnt.Revenue CycleLitigation 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 ManagementPlatf
orm
s
Claims Proc.Doc. Mgmnt.Revenue CycleAnalytics
OtherBFSILegalHealthcare Public Sector
Proprietary and Confidential
Content CreationAuthoringPlain LanguageNotificationsProject ManagementPorting Consulting
Economic and Statistical Consulting
Construction ConsultingTax Consulting
Business Communications
FulfillmentPresentment
RecallsBreach
Member ManagementEnrollmentApplicationsRegistrationEmployment
AnalyticsVerificationCredentiallingeDiscoveryeForensicsRevenue Integrity
Fraud, Waste and AbuseCase Management
Document Life Cycle
ConversionBack-fileNDTMailroom
WorkflowLitigationVital RecordsLending
AdjudicationMedical and Legal ClaimsAP/ARTax Returns
StoreDistribute DestroyPhys./Elect.Lockbox
Customer CareClearinghouseSelf-ServiceCall Centers
SourceHOV Core Capabilities
Proprietary and Confidential
• Add client HIM specific challenges
Add health system name or client specific HIM challenges
NotesNotes Notes
Records Management ConsultingCoding
Proprietary and Confidential
The End
Thank you for your time
Recommended