TBS Services Overview How can we help? Beth Elgort (443) 977-0247 - PowerPoint PPT Presentation

January 30, 2015 Rehmann Using your big data to give you big results. TBS Services Overview How can we help? Beth Elgort (443) 977-0247 The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 belgort@thebusinessside.com Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE LET US LIGHTEN LET US LIGHTEN Payment Assurance Eligibility veri fj cation done prior to patient arrival to assure insurance payment for services rendered. YOUR LOAD YOUR LOAD Charge Entry Demographic and charge entry and tracking with regular reporting to Using your big data to give manage receivables. you big results. A/R Resolution Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. PRE-ADMISSION PRE-ADMISSION Payment Posting COMPLIANCE COMPLIANCE Fast, accurate payment posting and reporting to evaluate and manage receivables for improved cash fm ow. Payment Collection Pursuit of full payment on claims, CLAIMS CLAIMS PAYMENT PAYMENT resolution of underpaid claims, and MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS submission of secondary claims. Credit Balance Clean-up DENIAL DENIAL Timely resolution of credit balances in MANAGEMENT MANAGEMENT receivables to meet governmental and internal compliance requirements. RAC Audit Response Analysis of RAC determinations, The Business Side, Inc. preparation of response, and oversight of 6835 Olney Laytonsville Rd appeal process. Laytonsville, MD 20882 Denial Analysis Phone: 301-519-9200 x1035 Big Data analytics to determine trends Fax: 301-330-6300 and patterns in denials in order to resolve info@thebusinessside.com them at their root cause.

REVENUE CYCLE Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION COMPLIANCE COMPLIANCE Payment Assurance Eligibility veri fj cation done prior to patient arrival to assure insurance payment for services rendered. CLAIMS CLAIMS PAYMENT PAYMENT MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS DENIAL DENIAL MANAGEMENT MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE Using your big data to give you big results. COMPLIANCE COMPLIANCE PRE-ADMISSION PRE-ADMISSION Charge Entry Demographic and charge entry and tracking with regular reporting to manage receivables. CLAIMS CLAIMS PAYMENT PAYMENT MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS DENIAL DENIAL MANAGEMENT MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE Using your big data to give you big results. COMPLIANCE COMPLIANCE A/R Resolution PRE-ADMISSION PRE-ADMISSION Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Payment Posting Fast, accurate payment posting and CLAIMS CLAIMS PAYMENT PAYMENT reporting to evaluate and manage MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS receivables for improved cash fm ow. DENIAL MANAGEMENT DENIAL MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE Using your big data to give you big results. COMPLIANCE COMPLIANCE PRE-ADMISSION PRE-ADMISSION Payment Collection Pursuit of full payment on claims, resolution of underpaid claims, and submission of secondary claims. CLAIMS CLAIMS PAYMENT PAYMENT MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS DENIAL DENIAL MANAGEMENT MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE Using your big data to give you big results. COMPLIANCE COMPLIANCE Credit Balance Clean-up PRE-ADMISSION PRE-ADMISSION Timely resolution of credit balances in receivables to meet governmental and internal compliance requirements. RAC Audit Response Analysis of RAC determinations, CLAIMS CLAIMS PAYMENT PAYMENT preparation of response, and oversight of MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS appeal process. DENIAL DENIAL MANAGEMENT MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION COMPLIANCE COMPLIANCE Denial Analysis Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause. CLAIMS CLAIMS PAYMENT PAYMENT MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS DENIAL DENIAL MANAGEMENT MANAGEMENT The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

REVENUE CYCLE HOW CAN WE HELP? HOW CAN WE HELP? Payment Assurance Eligibility veri fj cation done prior to patient arrival to assure insurance payment for services rendered. Charge Entry Demographic and charge entry and tracking with regular reporting to Using your big data to give manage receivables. you big results. A/R Resolution Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. PRE-ADMISSION PRE-ADMISSION Payment Posting COMPLIANCE COMPLIANCE Fast, accurate payment posting and reporting to evaluate and manage receivables for improved cash fm ow. Payment Collection Pursuit of full payment on claims, CLAIMS CLAIMS PAYMENT PAYMENT resolution of underpaid claims, and MANAGEMENT MANAGEMENT COLLECTIONS COLLECTIONS submission of secondary claims. Credit Balance Clean-up DENIAL DENIAL Timely resolution of credit balances in MANAGEMENT MANAGEMENT receivables to meet governmental and internal compliance requirements. RAC Audit Response Beth Elgort Analysis of RAC determinations, The Business Side, Inc. preparation of response, and oversight of 6835 Olney Laytonsville Rd appeal process. Laytonsville, MD 20882 (443) 977-0247 Denial Analysis Phone: 301-519-9200 x1035 Big Data analytics to determine trends Fax: 301-330-6300 belgort@thebusinessside.com and patterns in denials in order to resolve info@thebusinessside.com them at their root cause.