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Proxsys - bringing together technology for improved patient satisfaction Coordinated Access Management Solutions

Proxsys Presentation Gateway

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Page 1: Proxsys Presentation Gateway

Proxsys - bringing together technology for improved patient satisfaction

Coordinated Access Management Solutions

Page 2: Proxsys Presentation Gateway

Proxsys Who are we? Company now partnered with your hospital to

simplify and improve the pre-registration process Proxsys provides streamlined pre-admission and

pre-certification service to healthcare facilities and their affiliated physicians. By utilizing its own proprietary software and a skilled call center comprised of nurses and pre-registration coordinators, Proxsys not only enhances the overall patient experience, but improves front end collections, eliminates many claims denials and helps to stabilize and reduce bad debt. Some of the benefits offered include:

Page 3: Proxsys Presentation Gateway

Two Main Components of the Proxsys Solution

Software SolutionSoftware Solution Web Based Electronic Medical Record Four User Types/Screens

Physician Screen

Scheduling Screen

Call Center Screen

Facility Screen

Ability to view and print record, attachments and order

Proxsys employees

Routes request to hospital scheduling department

Entered by Physician or staff Beginning of revenue cycle Medical necessity check Creates legal order

““It starts with the physician”It starts with the physician”

Page 4: Proxsys Presentation Gateway

Two Main Components of the Proxsys Solution

Professional ServicesProfessional Services Insurance Verification and

Pre-certification• Nurses• Radiology Technicians

Pre-registration Provider Education

• Insurance and Collections training for hospital staff

• One on one training with Physicians and staff

Page 5: Proxsys Presentation Gateway

The Proxsys Solution . . .

Verifies membership & checks eligibility Obtains pre-cert for both physician &

hospital Performs medical necessity check

(LMRP/LCD) Routes /coordinate with scheduling Pre-registers patient Produces an electronic legal medical order

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Page 6: Proxsys Presentation Gateway

ProcessProcessPhysician determines that

patient needs a test or procedure; Office staff enters

the information into the Proxsys system.

Department schedules the test or Procedure; Proxsys staff verifies

insurance, obtains pre-certification and

Pre-registers the patient.

Information is entered into the hospital registration system; Hospital staff print a hard copy of the

order for the physical chart.

Page 7: Proxsys Presentation Gateway

Physician Office Benefits Easy to use (web-based) Sponsored by the hospital Increased physician office efficiencies (fewer faxes,

phone calls, paperwork) Insurance verification and pre-certification by Proxsys,

which frees up valuable staff time Performs “medical necessity” check to ensure proper

codes are used for billing purposes Produces electronic medical order Evaluate patients for financial assistance referral Improves patient satisfaction with registration process

Page 8: Proxsys Presentation Gateway

System Functionality• Did you know?

You can now create new requests off of cases that have already been entered into Proxsys using the Patient LookupPatient Lookup function.

• Did you know?You now have the ability to search for billable ICD 9 codes that meet medical necessity for any CPT Code in the Code book by using the Verify CodesVerify Codes function.

• Did you know?Proxsys also offers an automated fax and email notification system that enables you to receive update to date information on your patients progress through the Proxsys System.

• Did you know?Proxsys will also keep you up to date with all news pertaining to your office and payer information in our AnnouncementsAnnouncements section found at the top of the Proxsys page.

Page 9: Proxsys Presentation Gateway

System Functionality• Patient Look-upPatient Look-up

You can create new requests from previous cases entered into Proxsys.

Page 10: Proxsys Presentation Gateway

System Functionality

• Verify CodesVerify Codes

You can now verify whether a procedure will meet medical necessity before entering into Proxsys with the Verify CodesVerify Codes function.

Page 11: Proxsys Presentation Gateway

System Functionality• AnnouncementsAnnouncements

We will post any type of announcements that will impact your office fiscally and keep you abreast on all the latest news from Proxsys.

Page 12: Proxsys Presentation Gateway

Click here to Log in

Web-Based SoftwareWeb-Based Software

No additional software

Easy to use

Page 13: Proxsys Presentation Gateway

The Results

Strengthens the relationships between physician and hospital

Decreases denied or delayed claims payments

Reduces bad debt Creates efficiencies in pre-reg and

scheduling Improves patient satisfaction Facilitates communication flow

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Page 14: Proxsys Presentation Gateway

New Updates at Proxsys• Changes to the “New Request” Form:

• Contact Phone Number field has been relabeled as Patient Phone Number to help avoid confusion as to which number is requested.• The Alternative Contact Number field has been given a maximum length of 30 characters.

• Changes to “Patient Lookup” function:• A new column has been added to show active alerts that are present on the record being located through Patient Lookup.

Page 15: Proxsys Presentation Gateway

New Updates at Proxsys• Changes to “Edit Request” view:

• Pre-Registration Attachments has been renamed to “Attachments”• An “Alert” button has been added that shows the number of active alerts and the number of total alerts that have been created for the case.• Buttons to open the “Order” and “Record” for the patient have also been added to the “Edit Request” view.

• Changes to “Full Record” view:• The Notes section of the “Full Record” view have been reworked in order to hold the formatting used when the notes were entered into the New Request form.

Formatted on the Full

Record

Page 16: Proxsys Presentation Gateway

New Updates at Proxsys• Changes to “Procedure Code” Lookup:

• Since not all facilities are able to perform all the procedure codes that are listed in the CPT code book, facilities now have the option of excluding certain procedures from being selecting in the “Procedure Code” look up section.• The procedure codes that have been excluded by the facility will be listed in red and CAM will not allow you to select them. This will help with any confusion over which code a facility prefers when ordering.

Page 17: Proxsys Presentation Gateway

Important Upcoming EventsImportant Upcoming Events

• COMING SOON!!!COMING SOON!!! Instant Eligibility check when a patient is entered into Proxsys with an electronic payer.

Page 18: Proxsys Presentation Gateway

Why should you use Proxsys?