Physician Revenue Cycle Management Capabilities

© 2016 NAVIGANT CYMETRIX – ALL RIGHTS RESERVED1© 2016 NAVIGANT CYMETRIX – ALL RIGHTS RESERVED

Physician Revenue Cycle Management Capabilities

© 2016 NAVIGANT CYMETRIX – ALL RIGHTS RESERVED2

Agenda

1. Navigant Overview and Vision

2. How We Can Help:• Physician Outsourcing Experience

• Model Flexibility

• Results Driven Culture

3. How We Are Different:• Patient Experience and Training: Cymetrix Organizational Development

Leadership Team Experience/Customer Service Never Rests

• Sustained Results: Aligning RCM Operations, EMR and Service for Sustained Results and NPR Lifts

• End-to-End Solution: Physician and Hospital

• People: Hospitality Professionals, Educators, Consultants and Operators


1. Navigant Cymetrix Overview: Leading Provider of End-to-End Revenue Cycle Solutions

Navigant brings people (consulting), process (outsourcing), and technology (EHR optimization) to customers in a focused and integrated manner to improve yield, lower cost to manage and operate RCM, and access information.

We Provide Clients Enterprise Wide Revenue Cycle Consulting and Co-Sourcing: 1. We provide the strategy2. We provide the operational plan to execute the strategy3. We will provide the human capital to accelerate the strategy

We Focus On:• Yield (better and more reimbursement; you can’t just focus on yield as if the cost to

collect is high, it diminished the overall impact) • Cost (reduced cost and enhanced efficiency). • Risk mitigation and Performance Optimization (Financial, operational)• Transformation Platform (pop health, patient engagement)

Value Proposition: By leveraging a customized assessment, Navigant Cymetrix reveals the best path for success, with an average of 10% lift in physician revenue realization, while also optimizing the EHR creating a 1-3% lift in NPR for a truly integrated, clinically-driven revenue cycle.


1. Navigant Cymetrix Overview: Enterprise Wide End-to-End Revenue Cycle Management

RESULTS:

1. Better Yield

2. Lower Cost to manage and operate RCM

3. Improved Access to Information

4. Supported by Stronger Capabilities

5. Enhanced ROI such as EMR

Our Methodology Is Designed To:• Use our consulting practice to design and implement best practice preparing clients for a successful outsourcing

relationship.

• Help organizations be at the top tier of Revenue Cycle Financial and Operational Performance.

• Position health systems to make necessary investments demanded by the market

• To Partner: If you win, we win.

• Provide Business Process Management Option that maintains edge for continuous growth


1. Navigant Cymetrix Overview: Physician Revenue Cycle Management


1. Navigant Cymetrix Overview: Third Party Recognition

Recognized as a top physician revenue cycle

management firm in Black BookTM report

Recognized as one of the largest revenue

cycle management firms by Modern

Healthcare

Our clients benefit form our Operational Transparency and Data Transparency

that is engrained in our culture.


2. How We Can Help: Business Practice Management Client Example: 1000+ Specialty Practice on Epic

Metric Result

Days in A/R Reduced AR from 70 40.7 days

Net Collection Ratio 101%

< 98% is best practices

Gross 42-44% Monthly Average

Payment per wRVU Up $2.00 over 13 months

Payment per RVU Up $4.60 over 13 months

A/R over 120 Reduced AR over 120 days from 36% 18%

Total A/R Down 18%

Result Oriented Partnerships:

Our Physician Outsourcing Capabilities provided results within the first year:


2. How We Can Help: Flexible Business Models: Rebadging is Not the Only Option


3. How We Are Different

We work with Health Systems to be their Transformational Partner

In 2016 Medical Groups Considering Outsourcing: 73% of medical group practices

working with consultants on accountable care reimbursement strategies are considering

outsourcing RCM in 2016 as they evaluate technology vendors.

• Navigant provides the intersection of Consulting, IT Support and Outsourcing:

- One of the Largest Physician Enterprise Consulting Practices

- One of the Largest Epic Revenue Cycle Consulting Practices

- One of the Largest Physician Outsourcing Organizations

• Our Revenue Cycle Tools are Physician Practice Focused AND Hospital

Focused:

- We have dedicated Physician Practice Management Tools

- We are not taking tools from the hospital and trying to make them function on the physician side

• We can provide Epic and EMR Support, Model Flexibility, Lifts in NPR and

System Configuration Flexibility


3. How We Are Different: Training and Organizational Development

Customer Service Never Rests: It is part of our Heartbeat and is discussed in our daily

operations:• We take a white glove approach;

• We anticipate the need of a patient need; That is why this hospitality experience is very important

Cymetrix OD Leadership Team Experience: • Processionals with leadership roles with industry leaders such as:

• The Walt Disney Company

• Starwood Hotels and Resorts Worldwide

• Healthcare

• Manufacturing

• Food & Beverage service companies.

• Degreed Psychology experts as well as those who carry a Master degree in Education

Navigant Cymetrix Formally Trains at the Moment of Onboarding New Hires • The benefit to our clients is setting the service standard up front.

• Minimize Risks for HIPPA and Compliance

• All our training is face-to-face interactive sessions (80 courses and over 210 hours available)

Annually Retraining: • HIPPA / Compliance

• Customer Service Recertification (minimum of 3 hours of classroom instruction),

• Recertification Leadership Training (8 hours session) If you are a new hire to our business; If you are newly promoted; Or if

you a in line for a new role


3. How We Are Different: Training and Organizational Development

Onboarding

New Team Member Onboarding

• 10 courses, 8 hours

Customer Service & Compliance


Essentials of Leadership


Account Manager Training


Performance Management


Over 80 Courses, Over 210 Hours

Foundation & Role Specific

Foundation


Patient Access Services (Hospital)


Insurance, Role Specific


Self-Pay, Role Specific


Certification

Certification Assessment

• Approx. 90-days into role

Re-Training & Coaching Available

• Multiple courses

Annual Re-Certifications

• HIPAA, HITECH, Data

Protection, Sexual harassment

awareness

Technology

METRIXSM


CUBS (Hospital)


System SME – Ops Led

• Epic, Siemens, MEDITECH,

McKesson, etc. courses

41 Required Courses

113 Hours Classroom & Online

35 Required Courses

60 Hours Classroom

Proprietary and Host Systems

22+ Hours Classroom

7 Required Courses

24 Hours Classroom & Online

2016

Technology

Training

2016


3. How We Are Different

RCM Operations and EMR: We align best-practice revenue cycle operational strategy with next-generation EMR platforms.

Alignment of Technology AND Service: We provide clients People, Process and Technology to make change happen.

Physician and Hospital End-to-End Solution: We provide clients an integrated solution. Other vendors are trying to put pieces together to try and go end-to-end revenue cycle.

Sustained Results: Our reputation is known for performance AND execution. That is how we can provide clients the NPR lifts of 10% in Physician Outsourcing.

Industry Experts: We bring a blend of industry experts from leading healthcare systems, consulting firms, who understand today’s constantly changing healthcare environment.

Integrating Operations with EMR: This broad base of experience allows us to effectively integrate our best-practice processes with the EMR platform and leverage EMR’s capabilities to the fullest extent to achieve maximum ROI for our clients.

Why Navigant: In selecting your Revenue Cycle Operations partner, we believe that you should consider Navigant Cymetrix as the most qualified firm to provide this assistance because of the following:

- We know how to integrate Consulting, Operations and Technology together to sustain results

- Have one of the largest physician enterprise consulting business units in the industry

- Provide clients Best-in-KLAS Outsourcing Capabilities

Health & Medicine

Physician Revenue Cycle Management Capabilities