Payment Accountability A New Standard in Healthcare 1 Payment - PowerPoint PPT Presentation

Payment Accountability A New Standard in Healthcare 1

Payment operations haven’t caught up with the needs of dynamic enterprises 2

We know… The healthcare system is vital and technology is continually advancing what’s possible, and yet, we are stuck. $130B $14B Savings if every claim Savings if administrative was paid correctly the complexity was reduced to same first time levels as other service industries AMA, 2013 Harvard Business Review, 2015 Broken promises. Missed opportunities. 3

From this… 4

To this… 5

Lets you… Plug in: Take control: Plan ahead: Streamlined integration Payment management Business intelligence One single place to connect your Manages all your critical data Analysis tools provide real-time core claim systems to our cloud- workflows by integrating core data on production level claims based reimbursement platform for functionality with the most and historical claims so that you editing, pricing, analytics and comprehensive and up-to-date can model ‘what if’ scenarios to network payment configuration. pricing data in the industry, all better navigate policy and We learn your environments and customizable to your specific pricing changes. scale as your business needs payment terms. change. 6

Obstacles Resolved Traditional Approach Burgess’ Approach Disconnected Systems Unified Platform Rigid Software Designed for Payment Flexibility Updates in Production Late Continuous CMS and Medicaid Updates Massive Implementations Start Quick, Scale Easily 7

Unified Approach. Better Outcomes. IT Finance Operations Single integration point for all Implement rules targeting leakage CMS and contract compliance claims Analyze harmful payment trends Reduce administrative expenses Automated processing in the “What If” contract modeling and Auditing and provider relations cloud analysis portals Editing, pricing, auditing and Forecast the financial impact of Extensible service to add-on modeling in one transaction new CMS and medical policies payment integrity rules and Utilizes your core system’s payment models routing language 8

Schedule a demo The Payment Accountability platform You need a better way to manage provider reimbursement. So, we developed Burgess Source: the Payment Accountability platform 9

Thank you 10