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Pride care presentation061113 Presentation Transcript

  • 1. Pride CareAmbulanceKalamazoo, MIJune 11, 2013Your trusted source for EMS billing and technology®
  • 2. Who We AreEstablished in 1984Established in 1984Based in Westchester County, NYBased in Westchester County, NYBegan as a software company for the medicalBegan as a software company for the medicaltransportation industrytransportation industryBilling Service established 1994Billing Service established 1994• EMS billing specialists & software integrationEMS billing specialists & software integrationexpertsexperts• Over $375 million in medical transportation claimsOver $375 million in medical transportation claimsprocessed annuallyprocessed annually• Technology is in our DNATechnology is in our DNA
  • 3. By the end of our first year atMemphis the City hadalready seen a $2.5Mincrease in revenue fromcollections
  • 4. Increase in Collections perTransportWe Maximize CollectionsMunicipal Clients
  • 5. Increase in Collections perTransportWe Maximize CollectionsHospital Clients
  • 6. Increase in Collections perTransportWe Maximize CollectionsPrivate Clients
  • 7. ...by Finding Insurance* based on 2010 Census Bureau DataWe Maximize CollectionsPercent of Population Insured*
  • 8. By finding insuranceBy connecting with your receiving hospital systems• By automating appeals• By outbound calling campaigns• By offering a convenient way to provide information• By creating easy-to-use invoicing• By helping your medics improve data collectionWe Maximize Collections
  • 9. We Collect Virtually Everything That isCollectibleWe Maximize Collections
  • 10. Why That’s ImportantWe Create and Own theTechnology24/7 supportEasier to customizeCustom reportsSpecification changes
  • 11. ToolsWe’ve Come a Long WayState of the Art1905
  • 12. IntegrationWe ARE a technology companyWe can seamlessly integrate with:Our TechnologyAll top-tier ePCR systems• Your receiving hospital systems• Your banking institution• External reporting tools• Excel• Crystal Reports
  • 13. IntegrationWe ARE a technology companyWe can seamlessly integrate with:Our TechnologyAll top-tier ePCR systemsYour receiving hospitalsystems• Your banking institution• External reporting tools• Excel• Crystal Reports
  • 14. IntegrationWe ARE a technology companyWe can seamlessly integrate with:Our TechnologyAll top-tier ePCR systemsYour receiving hospital systems• Your banking institution• External reporting tools• Excel• Crystal Reports
  • 15. IntegrationWe ARE a technology companyWe can seamlessly integrate with:Our TechnologyService Level ComparisonALS 2BLSAll top-tier ePCR systemsYour receiving hospital systems• Your banking institution• External reporting tools• Excel• Crystal Reports
  • 16. Allows us to find missingdemographic dataAccesses national databaseswith millions of records toidentify a SS# using just aname, phone number, oraddressPolls insurance databasesto find coverageOur TechnologyOur Proprietary Data Mining System
  • 17. OCR and barcode recognitiontechnologies provide full textsearch capabilitiesStore, organize, and retrieveall documents related to thetransport24/7/365 one-click access to alldocuments for authorized usersOur TechnologyOur Document Management Imaging System
  • 18. Our TechnologyOur Automated Appeals SystemAppeal-IT appeals short paid and deniedclaims automaticallyInsurance companies routinely short pay claims in the hopethat the billing company will take what they can getTurns one-way conversations with insurancecompanies into a spirited dialog betweensystems where WE are the last computerstanding
  • 19. Our TechnologyAutomated alerts issuedwhen significant deviationsabove or below establishednorms occurContinuous monitoring ofKey Performance IndicatorsKeeps our accountmanagers up to date andon top of current statusThe AutomatedAccount Watchdog Service Level Variance Report
  • 20. Our TechnologyPatient AccessSecure payment systemallows easy access foryour patientsPatients can updatedemographic orinsurance informationat their convenienceFacilitates credit cardpayments by theClient’s patients
  • 21. Our TechnologyAll the data you need in one placeCompletely customizableDrill down to any data pointAll the data you need in one placeCompletely customizableDrill down to any data pointFacts at Your Fingertips
  • 22. Our Technology
  • 23. Our TechnologyAccessYour data when you need it 24/7/365Call RecordsFinancial DataReports
  • 24. Our ExperienceManagement ExperienceOur senior staff has a deep background in medical transportationyears
  • 25. Our ExperienceSecurityHosting and ITPrivate Ambulance CompaniesCollection is paramountImaging systemsProficiency managing highvolumeHospital-Based Ambulance ProvidersPatient collection sensitivityMunicipal 911 andFire-BasedServicesProcessing speedWe work with all types of ambulance service providers
  • 26. 26%62%7%3%2%Billing ProcessCash Timing95% of All Payments are Collected within 90 days ofTransport
  • 27. Implementation: No Cash FlowInterruptionPhase I - ePCR DataTransmissionBilling Process
  • 28. Implementation: No Cash FlowInterruptionPhase II - Review, DataMining, Editing,Procedure CodingBilling Process
  • 29. Implementation: No Cash FlowInterruptionPhase III - InvoicingBilling Process
  • 30. Implementation: No Cash FlowInterruptionPhase IV - Remittanceand Disposition PostingBilling Process
  • 31. Our Tested Implementation Method is Systematic andEfficientImplementationNew Client Checklist
  • 32. Background ChecksAll Digitech employees are vettedthrough state and nationaldatabasesDHSE-VerifyNYS Office of theInspector GeneralUS Office of theInspector General
  • 33. Security and HIPAAComplianceEmail filters block any documents,attachments, and messages containingProtected Health InformationAll claim files and associated paperworkare transmittedvia secure FTP or secure websitesAccess tovia encrypted CITRIX portal withSecure Socket Layer certificateAnnual SOC 1 Type IIsecurity procedures auditby nationally recognized firm
  • 34. Sample InvoiceContent of invoice is worked outby mutual consent with client staffFRONTBACK
  • 35. Monthly Cash Receipts(Actual Memphis Experience - Prior Vendor Collections Estimated Assuming 45 Day Lag in Billing)Digitech’s Go-LiveDate Jan 15ImplementationTransitional Cash Flow
  • 36. ComplianceControls, Auditing, Compliance & Continuing Education• SOC 1 Type II certified - we undertake annual SSAE certification audits• Compliance & Auditing officer on staff• Continuous claim auditing by on-staff EMTs• Biennial independent claim review• Monthly internal claim audits• Continuing education• HIPAA Training• Coder Certification
  • 37. Data WarehousingTier 3 Data CenterFour Redundant Internet FeedsRedundant Cooling SystemGenerator Backup99.999% Up-timeDigitech’sServersUnderground Bunker (Former Union Carbide Building)Digitech’sColocation
  • 38. Reporting: Financial ScorecardDrill down to any data point from any screen
  • 39. Reporting: Financial ScorecardDrill down to any data point from any screen
  • 40. Follow the money at any point in the revenue cycleReporting: Financial Scorecard
  • 41. Reporting: Financial ScorecardResearch any part of the transport record
  • 42. Reporting: Financial ScorecardFollow a complete audit trailof every action and everychange to every record
  • 43. Reporting: Financial ScorecardView, retrieve, email, or print anydocuments associated with the transport6355 WALKER LN, ALEXANDRIA, VA 22314[ALEX] ALEXANDRIA INOVA HOSPITAL5000 FAIRBANKS AVE, ALEXANDRIA VA 22311MARY SECORD2701 PARK CENTERDR #302C ALEXANDRIA, VA1912-11-6FEMALE99.8 YRS555-555-0463Not Recorded046125046PHYSICIANS TRANSPORT SERVICE10/19/11[HIP DISLOC] HIP DISLOCATION hip dislocation
  • 44. Reporting: Financial ScorecardPHYSICIANS TRANSPORT SERVICE10/19/11hip dislocationUse built-in mapping toolsto calculate or verify mileage
  • 45. Accounts Receivable Roll ForwardReportMonth End Reports:Receivables
  • 46. Sales Report - CarrierSummarySales Report - Provider SummarySales Report - Carrier GroupSummarySales Report - Financial GroupSummaryMonth End Reports: Sales
  • 47. Adjustment Report - Carrier SummaryAdjustment Report - Financial GroupAdjustment Report - Carrier GroupAdjustment Report - Adjustment CodeSummaryMonth End Reports:Adjustments
  • 48. Cash Receipts - CarrierSummaryCash Receipts - Carrier GroupSummaryCash Receipts - Financial GroupSummaryCash Receipts - Original SalesSummaryMonth End Reports: CashReceipts
  • 49. Month End Reports: GraphicalPackageMonth End - Per TransportDataMonth End - Payer Mix & CollectionServicesTransports Net Charge per Transport Collected perTransportPayer Mix Aggregate Collection Percentage Collection PercentageInsurance
  • 50. Aggregate CollectionPercentageCollectionPercentage/MedicareCollectionPercentage/MedicaidCollectionPercentage/Medicare HMOCollection Percentage/Self PayMonth End Reports: GraphicalPackageBilled Transports
  • 51. Dashboard
  • 52. Dashboard
  • 53. DashboardNon-Emergency
  • 54. Dashboard
  • 55. Dashboard
  • 56. Dashboard
  • 57. Dashboard
  • 58. Dashboard
  • 59. Dashboard1002491125
  • 60. Dashboard$23,078.15$2729.87$2405.91$34,311.22
  • 61. PCR Lens
  • 62. PCR Lens
  • 63. PCR Lens
  • 64. PCR Lens
  • 65. PCR Lens
  • 66. Client ReferencesClient Name Contact Info Scope of ContractMemphis Fire DepartmentLt. Pamela KiestlerFormer Battalion Chief(901) 826-5377pamela.kiestler@memphistn.govAnnual Transports: 75,500EMS Billing ServicesImaging & HostingImageTrend ePCR integrationThird-party professional servicesJohnson County Med-ActTed McFarlaneEMS Director(913) 715-1960tmcfarlane@jocoems.orgAnnual Transports: 18,000EMS Billing ServicesImaging & HostingImageTrend ePCR integrationGwinnettAssistant Chief Dan HansenDirector, Business Services Division(678) 518-4838dan.hansen@gwinnettcounty.comAnnual Transports: 31,500EMS Billing ServicesImaging & HostingESO Solutions ePCR integrationBaltimoreKyle Parry, CPPBProcurement Specialist(410) 396-3002kyle.parry@baltimorecity.govAnnual Transports: 77,000EMS Billing ServicesImaging & HostingImageTrend ePCR integrationDallasKurt StewardFinance Department(214) 670-4624kurt.steward@dallascityhall.comAnnual Transports: 75,000EMS Billing ServicesImaging & HostingePCR integration
  • 67. “Digitech promised to be more than just our billers – they promised to be our subject matter experts – and they are.Somerset is now collecting 20% more revenue than when we were managing it internally.Kathy Price, EMS DirectorSomerset Medical Center, Somerville, New JerseyHere’s What They’reSaying“Combining a higher level of care with the significant revenue increase provided by Digitechs EMS billing expertisereally is a win-win situation for the citizens of Memphis.”Deputy Fire Chief Gary LudwigCity of Memphis, Division of Fire Services“Digitech’s support team has been exemplary. They have been responsive to our requests forcustomization, including building special invoicing routines that streamlined our processing and improved clientsatisfaction.”Randolph T. BretonChief Operating Officer, Physicians Transport Service, Herndon, VA“We were very impressed with Digitech’s methodical and cooperative approach, and they have made good ontheir promise to do better in every aspect of billing and customer service than our former contractor.”David MorandoJohnson County Med-ACT, Olathe, KS
  • 68. Questions