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® Client driven. Patient approved. REVENUE CYCLE MANAGEMENT SERVICES THAT WORK.

Cardon Outreach 2016

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®

Client driven.Patient approved.

R E V E N U E C Y C L E M A N A G E M E N T S E R V I C E S T H AT W O R K .

We meet the mission of our clients. One patient at a time.

®

“The deep experience that

Cardon Outreach provides in patient

advocacy promotes the collection of

robust data, and that translates into

benefits for our revenue cycle.”

– Director of Revenue Cycle Operations, Client for 2 years

“Cardon Outreach’s customer

service is outstanding and they

work with us as a true partner.”

– Director of Patient Financial Services, Client for 6 years

Our integrated solution produces

optimal results.

We have evolved to meet client needs. More than two decades ago,

we began as a provider of Eligibility services. Today, many of our client relationships

still begin that way, but our company has evolved to be a provider of revenue cycle

management services that supports all self-pay account management needs for a

healthcare facility. Our customer base has realized that the strength of our people,

processes and technology extend beyond Eligibility and many of them have selected us

for a combination of Eligibility, Early Out, A/R Services and Disability Advocacy.

We take pride in our relationships. We are more than a service provider, we

are a trusted partner. This is evident through our long-standing relationships: one-third

of our customers have relied on our services for ten years or more, and 55% have

selected us for more than five years. This means a lot to us knowing that services are

often put out for proposal every year or two.

Your mission becomes our mission. The success achieved on behalf

of healthcare facilities can best be attributed to the combination of our passionate

advocates and our advanced technology. Together, more is achieved – sometimes as

much as 30% more than our competitors in head-to-head comparisons. Yet, we never

compromise your mission for the sake of numerical results. We began as a company

with compassion and integrity, and that’s the way we will always be.

Clients consistently realize increased net patient revenue and reduced bad debt, while their patients experience improved access to healthcare.

Our Strength in Numbers

• 23 years of experience

• 800+ healthcare facilities

• 1,000+ patient advocates

• 95% client satisfaction*

• 97% patient satisfaction*

• 85%+ conversion on

accepted accounts

• 90% of inpatient accounts

screened on site

* Measured during the HFMA Peer Review process.

Eligibility Services

ELIGIBILITY

Our patient-centric approach finds appropriate assistance to help pay for care, in fewer days than

other providers of eligibility services.

Our innovative screening process begins at the patient’s bedside with the utilization of customized tablets to capture information

quickly and easily. Every step is designed to focus on the patient, while effectively increasing the number of patients that can

be screened per day. Patients who cannot be screened in the hospital are quickly followed up with by our extensive network

of seasoned advocates. The field team not only assists with application materials, but they ensure appointments are kept and

transportation needs are met.

Our people are exceptional, and our technology has been built with decades of their knowledge in the industry. Our sophisticated

software platform helps our advocates quickly screen for all potential federal, state, county and community programs, and patient

files continue to be rescreened in real time until a final diagnosis is reached. This is especially helpful for organizations wanting to

provide evidence of due diligence as it relates to identifying the most appropriate coverage for their patients.

Disability Other Programs

• SSI Applications

• SSDI Applications

• Representation at Hearing Level

• Appeals Council Support

• Qualified Health Plan Enrollment

• State and County Programs

• COBRA Assistance

• Victims of Crime Services

• Indian Health Services

Medicaid

• Enrollment Assistance

• In-State & Out-of-State

• Long-Term Care Assistance

• OB Pre-Registration Program

• Medicaid Secondary

EARLY OUT

Early Out ServicesWe improve the patient experience by aggregating and summarizing patient hospital and physician

balances. Then, we accelerate revenue recovery through sophisticated account segmentation and

efficient patient communication.

Our Early Out services are a natural complement to the work we do for Eligibility clients. Once the search for

appropriate programs has been exhausted, we can continue to communicate effectively with patients to resolve

their account balance over time. We can even serve as an ambassador of the hospital’s charity program when

requested, assisting with the necessary paperwork.

• We make a series of calls

from a toll-free number, used

exclusively for each client at a

frequency that may not have

been possible through internal

teams or another vendor.

• We identify as the hospital

brand and ensure patients

receive exceptional service.

• Statements are issued with

each client’s logo, customer

service number, hours of

operation and hospital or clinic

address with client-approved

language.

• We send correspondence

to patients at a cost and

frequency that an internal team

or another vendor may not be

able to do.

• We offer patients the ability to

pay over the phone or through

a secure web site.

• We ensure the minimum

payment is not too high or too

low by working with each client

to achieve their revenue goals.

• We combine payments for ease

of resolution and process them

appropriately.

A/R ServicesThe identification of a potential payer differs from actually receiving revenue. We span the gap

between identification and payment, while at the same time increasing revenue, mitigating denials,

and avoiding bad debt.

Out of StateDenials

Management

• Facility Enrollment

• Facility Billing Support

• Physician Enrollment

• Physician Billing Support

• Electronic Claims Management

• Administrative/Technical Appeals

• Clinical Appeals

• Unresponsive Patient Denials

• Aged Receivables

We are often able to negotiate quick settlements within hospital parameters using our in-house legal support team,

and help hospitals stay in compliance by coordinating timely execution of our efforts around provider agreements,

Medicaid and Medicare laws. We increase payments by enrolling hospitals with out-of-state Medicaid agencies to

reduce first bill submission denials with our proprietary claims editor technology. We are committed to helping our

clients understand the root cause for their denials and how to prevent them in the future.

A/R

Accident Liability

• Motor Vehicle Accidents

• Slips and Falls

• Other Liability

• Workers’ Compensation Billing

• Workers’ Compensation Denials

• Electronic Claims Management

Disability AdvocacyOur experienced disability team is comprised of attorneys, certified nurses, former Social Security

Disability Adjudicators, qualified representatives and hundreds of experts in the field.

Cardon Outreach’s Disability program is comprehensive and effective in converting disabled patients to either SSI or SSDI because

we have the legal, technical and medical capability to identify and pursue disability cases on behalf of the hospital and patient.

Our successful conversions can provide the following benefits to hospitals:

• Additional Medicaid reimbursement

• Higher DSH percentages

• Increased 340B cost benefits

• More Medicare-eligible patients over time

• Expanded long-term care options

• Most Appropriate Coverage compliance

We are often asked what differentiates us from

the competition. It’s not a quick answer because it

isn’t any one thing.

Our advantage is the combination of our four service lines, operating

through the use of a single technology platform (MPOWER), managed

by a knowledgeable staff serving patients with the utmost respect and

with regards to compliance with healthcare regulations. In the end, these

advantages combine to produce measurable revenue acceleration for our

clients. Let us prove it to you!

DISABILITY

We invest in the opinions of clients, patients and peers.

®

855.801.1513

cardonoutreach.com

Cardon Outreach has

engaged KJT Group, Inc.,

a professional firm that

specializes in measuring

client satisfaction within the

healthcare landscape. This

independent approach helps

to guide process improvements

and service line development

that benefit the healthcare

facilities we serve.

* HFMA staff and volunteers determined that this product has met

specific criteria developed under the HFMA Peer Review process.

HFMA does not endorse or guarantee the use of this product.