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Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
Flatworld Billing Services
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Flatworld Billing Services

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  • 1. MEDICAL BILLING SERVICES © Flatworld Solutions, Inc. 2009
  • 2. AGENDA <ul><li>History Of Rapid Growth </li></ul><ul><li>Corporate Profile </li></ul><ul><li>Global Delivery Model </li></ul><ul><li>Flatworld Client Locations </li></ul><ul><li>Service Offerings </li></ul><ul><li>People </li></ul><ul><li>Practice Management Software </li></ul><ul><li>Process Transition </li></ul><ul><li>Reporting </li></ul><ul><li>Why Flatworld? </li></ul><ul><li>HIPAA @ Flatworld </li></ul><ul><li>Security </li></ul><ul><li>Other Services </li></ul><ul><li>Flatworld Infrastructure </li></ul><ul><li>Flatworld Facilities </li></ul>© Flatworld Solutions, Inc. 2009
  • 3. <ul><li>Flatworld Solutions is headquartered in the Silicon Valley of India, Bangalore, famous the world over for being the hub of outsourcing activity. </li></ul><ul><li>Our customers are located in the US, Canada, UK, Norway, France, Australia, The Netherlands, Switzerland, Israel, India, Sweden, Germany and UAE. </li></ul><ul><li>Our global delivery centres are located in Bangalore (multiple locations), Chennai (multiple locations), Coimbatore, Trichur, Mumbai, Philippines, Peru, Bolivia, Colombia, Paraguay, Mexico and Kenya. </li></ul>A HISTORY OF RAPID GROWTH © Flatworld Solutions, Inc. 2009
  • 4. CORPORATE PROFILE <ul><li>Over 10 years of US Healthcare Experience </li></ul><ul><li>Registered offices in US, UK and India </li></ul><ul><li>Current strength of over 70 Billing Specialists and Receivables Specialists. </li></ul><ul><li>Multiple delivery centers offering redundancy </li></ul><ul><li>Leading Provider in Billing, Teleradiology, Transcription and Software Solutions </li></ul>© Flatworld Solutions, Inc. 2009
  • 5. GDC-Argentina Cordoba GDC-Chile Santiago GDC-INDIA Bangalore, Mumbai, Chennai, Coimbatore, Pune, Trichur GDC-The Philippines Cebu City GDC-Bolivia La Paz & Santa Cruz GDC-Peru Lima GDC-Kenya Nairobi GLOBAL DELIVERY MODEL harnessing the world’s best resources for you… © Flatworld Solutions, Inc. 2009 GDC-Mexico GDC-Paraguay GDC-Colombia
  • 6. MEDICAL BILLING CLIENT LOCATIONS Flatworld coverage in US © Flatworld Solutions, Inc. 2009
  • 7. SERVICE OFFERINGS © Flatworld Solutions, Inc. 2009
  • 8. PEOPLE <ul><li>Operations headed by a Manager with 15 yrs of experience. </li></ul><ul><li>Operations Manager in industry since off-shoring trend of RCM 1994. </li></ul><ul><li>Over 70 Medical Billing and Accounts Receivables Specialists. </li></ul><ul><li>Coders, Billers & AR specialists have average experience of 3 years. </li></ul><ul><li>1/3rd of the professionals are post-graduates and the rest graduates. </li></ul><ul><li>Cross training on multiple specialties and PMS. </li></ul>© Flatworld Solutions, Inc. 2009
  • 9. SPECIALTIES <ul><li>Internal Medicine </li></ul><ul><li>Ambulance </li></ul><ul><li>Chiropractic </li></ul><ul><li>Physical therapy </li></ul><ul><li>Gastroenterology </li></ul><ul><li>Pediatrics </li></ul><ul><li>OBGYN </li></ul><ul><li>Urgent Care </li></ul><ul><li>Rheumatology </li></ul><ul><li>Endocrinology </li></ul><ul><li>Podiatry </li></ul><ul><li>Pathology </li></ul><ul><li>Ophthalmology </li></ul><ul><li>Anesthesiology </li></ul><ul><li>Psychiatry </li></ul><ul><li>Skilled Nursing Facility </li></ul><ul><li>Cardiology </li></ul><ul><li>Pediatric Neurology </li></ul><ul><li>Pediatric Nephrology </li></ul><ul><li>Orthopedic </li></ul><ul><li>Emergency Room </li></ul>© Flatworld Solutions, Inc. 2009
  • 10. PRACTICE MANAGEMENT SOFTWARE © Flatworld Solutions, Inc. 2009
  • 11. Requirement Analysis Pricing & Contracting Project Initiation Project Steady State Ramp-up PROCESS TRANSITION © Flatworld Solutions, Inc. 2009
  • 12. REPORTING © Flatworld Solutions, Inc. 2009 SCAN CONTROL LOG (CHARGES) – Daily Report Gives details about the # of pages received, # of charges and demos received on a day to day basis, how many completed, how many pending and the date completed SCAN CONTROL LOG (PAYMENTS) – Daily Report Gives details about the # of pages received on a day to day basis, value of payments received, how much posted & how much un-posted & the date completed . PENDING LOG  (CHARGES) – Daily Report Report Description: Gives details about the claims which require some clarification from client on the Patient Demographic or on the Encounter form. Field Names: Name of the batch, date when file was sent by client, patient name, DOS, Reason for pending & client comments. In the Client Comment section, the Client need to enter their comments and send us back the excel sheet to clear the pending issue.
  • 13. REPORTING © Flatworld Solutions, Inc. 2009 PENDING LOG  (PAYMENTS)– Daily Report Report Description: Gives details about the claims which require clarification from client on the EOBs. Field Names: Name of the batch, page number, the patient name, chart number, date of service and the reason for pending. It also has a “REMARKS” section where the Client needs to enter their comments and send us back the excel sheet to clear the pending issue. A/R REPORT- Weekly Report Report Description: This report will let the client know about the work FLATWORLD did for a week in terms of AR follow up. The # of calls made by the agent with the representatives of the insurance & the action to be taken for the claim. Field Names: Chart number, patient name, DOS, Insurance to whom the call was made, Total charges,  balance outstanding, the comments/notes i.e. the conversation between the caller and the insurance agent and the action needed to be taken on the claim and finally the action code
  • 14. Why FLATWORLD <ul><li>Knowledge of working with all insurance payors including Medicare & Medicaid </li></ul><ul><li>24/5 Operations </li></ul><ul><li>State of the art infrastructure </li></ul><ul><li>Elimination of hire-replace-train process </li></ul><ul><li>Knowledge retention </li></ul><ul><li>High employee retention rates – 92% in 2008 </li></ul><ul><li>Accessible via toll free number 8AM-5PM Mon-Fri during US Business hours </li></ul>© Flatworld Solutions, Inc. 2009
  • 15. Why FLATWORLD <ul><li>Reduction in Operational Costs up to 40-50% </li></ul><ul><li>Highly experienced Billing and AR Specialists </li></ul><ul><li>Coders certified by AAPC </li></ul><ul><li>Clean Claims, Fewer Denials </li></ul><ul><li>Follow-up on all claims not paid within 30 days </li></ul><ul><li>Guaranteed Improvement in Collections </li></ul><ul><li>Daily, Weekly and Monthly Reports </li></ul>© Flatworld Solutions, Inc. 2009
  • 16. HIPAA @ FLATWORLD <ul><li>Privacy </li></ul><ul><li>Every staff member signs a confidentiality agreement. </li></ul><ul><li>Client information access to staff is password protected and is provided on an ‘as-needed’ basis </li></ul><ul><li>Records of data access are maintained and supervised by an authorized security officer </li></ul><ul><li>All the documents received from the client are handled in electronic format. </li></ul><ul><li>Documents are not printed at Flatworld facilities. </li></ul><ul><li>Accessibility to external storage device is denied </li></ul>© Flatworld Solutions, Inc. 2009
  • 17. HIPAA @ FLATWORLD <ul><li>Security </li></ul><ul><li>Access to Flatworld is provided only via a secure VPN connection using firewall </li></ul><ul><li>Data is encrypted before transmission </li></ul><ul><li>Data is frequently backed up and stored </li></ul><ul><li>Access to the organizations’ information system is controlled through proper authorization, establishment and modification to access </li></ul><ul><li>Record of access authorization is maintained. </li></ul><ul><li>Controlled access to the stored data to accredited individuals to ensure accountability of all transactions </li></ul>© Flatworld Solutions, Inc. 2009
  • 18. SECURITY It is a process driven approach that significantly enhance the security of our IT infrastructure from internal and external threats using researched processes, procedures and tools. © Flatworld Solutions, Inc. 2009 People Process Technology Prevention Detection Response <ul><li>Awareness </li></ul><ul><li>Commitment </li></ul><ul><li>Action </li></ul><ul><li>Plan </li></ul><ul><li>Enforce </li></ul><ul><li>Check </li></ul><ul><li>Improve </li></ul><ul><li>Systems </li></ul><ul><li>Network </li></ul><ul><li>Applications </li></ul><ul><li>Tools </li></ul><ul><li>Authentication </li></ul><ul><li>Identification </li></ul><ul><li>Authorization </li></ul><ul><li>Access Control </li></ul><ul><li>Confidentiality </li></ul><ul><li>Integrity </li></ul><ul><li>Accountability </li></ul><ul><li>Audit </li></ul><ul><li>Intrusion Detection </li></ul><ul><li>Non Repudiation </li></ul><ul><li>Availability </li></ul><ul><li>Triage </li></ul><ul><li>Recovery </li></ul><ul><li>Reliability </li></ul><ul><li>Corrective Action </li></ul>
  • 19. OTHER SERVICES <ul><li>INDEXING MEDICAL RECORDS INTO AN EMR </li></ul><ul><li>TELERADIOLOGY SERVICES </li></ul><ul><li>MEDICAL ANIMATION AND ILLUSTRATION SERVICES </li></ul><ul><li>TELERADIOLOGY SERVICES </li></ul><ul><ul><li>Certified Reporting by US Board Certified, Licensed Radiologists </li></ul></ul><ul><ul><li>Preliminary Reporting by Indian MD Radiologists </li></ul></ul>© Flatworld Solutions, Inc. 2009
  • 20. POWER & NETWORK Generator UPS 1 2 3 UPS (servers) Electricity Power <ul><li>3 levels of redundancy </li></ul><ul><li>Primary Source – Available 500 KVA </li></ul><ul><li> – Facility Load 300KVA </li></ul><ul><li>Generator Backup – 450 KVA generator with fuel Storage for 24 hrs operation onsite with arrangements to sustain </li></ul><ul><li>UPS Network Centre – 1 X 60KVA (Redundant) </li></ul><ul><li>UPS Overall – 4 X 160KVA </li></ul><ul><li>All devices are with dual power supply and fed thru independent power paths. </li></ul><ul><li>3 tier architecture </li></ul><ul><li>Redundant L3 Core design </li></ul><ul><li>Servers terminate into the core through redundant connectivity </li></ul><ul><li>Redundant workgroup switches (with L3 capability) per floor collapses into the Core </li></ul><ul><li>Network fabric with port level physical redundancy </li></ul><ul><li>150 active ports per floor </li></ul>
  • 21. FLATWORLD FACILITIES
  • 22. WEBSITES www.outsource2india.com | www.nabler.com | www.flatworldsolutions.com © Flatworld Solutions, Inc. 2009
  • 23. THANK YOU Flatworld Solutions, Inc. Princeton Forrestal Village 116 Village Blvd, Suite 200 Princeton, NJ 08540 P +1- 213 784 5651 | F +1 646 619 4979 | ajit@flatworldsolutions.com © Flatworld Solutions, Inc. 2009

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