Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Vertical Webinar

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Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Vertical Webinar

  1. 1. Fujitsu / AnyDoc® EOB (Explanation of Benefits) for Healthcare Insurance Vertical Webinar Kevin Neal Product Manager – Production Scanners Fujitsu Computer Products of America, Inc. Imaging Products Group (IPG) February 15, 2007
  2. 2. Agenda • Introductions of Fujitsu and AnyDoc Software – Kevin Neal, Fujitsu presenter – Megan Fowler, Fujitsu moderator – Jerry Evans, AnyDoc presenter • Fujitsu, Hospital Admission Facts & Figures – Challenges of EOB processing – Overcoming EOB challenges – Scanner consideration for EOB’s – Fujitsu AnyDoc EOB interpolation • AnyDoc and AnyDoc EOB overview – AnyDoc corporate – AnyDoc EOB • Questions and Answers Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  3. 3. Definition of Explanation of Benefits (EOB’s) • An Explanation of Benefits (EOB) is a statement detailing the medical benefits account activity of an individual or family. After services are received by a covered individual from a doctor, specialist, hospital or other facility an EOB is sent to the individual explaining the services provided and the charges paid and owed. • EOB – Explanation of Benefits. A statement from a healthcare provider that itemizes how benefits were approved or denied for a claim. Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  4. 4. Sample of ‘Explanation of Benefit’ form • Typical ‘John Q Customer’ • Fairly well structured form • 27 index fields • No discernable background dropout color • Lack of constraint for certain fields • Densely packed information • Poor print quality via dot matrix printer on multi-part form Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  5. 5. Challenges of ‘EOB’ processing • Physical document format – Small font size – Poor print quality • Time consuming Technical • Labor intensive • Access to information EOB’s present an • Form structure abundance of • Index fields Challenges • Error prone Financial Legal – Incorrect index – Inaccurate totals • Lost/misplaced documents • Volume of transactions Procedural Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  6. 6. ‘EOBs’ and the Paper Dilemma “…automating the complex process of medical remittance processing could save tens of billions of dollars in the United States alone.” • Lockbox processing for Explanation of Benefits article – Offered by banks as a service for high-volume EOB processing – Banks process EOBs themselves or outsource to Service Bureaus “The bank collects the remittances, reads them and deposits them directly into the client's account, thus reducing the time required for payment collection, processing, and availability.” Bank + Collect Read = Scan/Process Database Deposit * Source: http://findarticles.com/p/articles/mi_qa3947/is_200212/ai_n9158745 Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  7. 7. ‘EOBs’ and the Paper Dilemma • Healthcare remittance volumes are predicted to more than double by the year 2020 to an annual revenue of more than $26 billion • At the same time, the number of community hospitals in the United States is projected to decrease by 32% from 4,956 in 2000 to 3,370 in 2020. • Meanwhile the U.S. population continues to grow-and age. By 2020 the U.S. population over the age of 65 is expected to reach 53.3 million, a 51% increase from year 2000 estimates. Results: Increasing pressure Higher volumes Need: Greater speed Better accuracy Remittance Volume Community Hospitals Solution: Document scanners EOB processing s/w * Source: http://findarticles.com/p/articles/mi_qa3947/is_200212/ai_n9158745 Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  8. 8. Challenges of ‘EOB’ processing • 21 key index fields, unstructured form, lack of dropout color Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  9. 9. Overcoming ‘EOB’ processing challenges • Scanner specific concerns – Speed degradation at optimal 300dpi OCR speeds – Decreased double-sided scanning speeds – Automated forms processing accuracy ratio • Availability to billing information quickly – Individuals • AnyDoc EOB ‘snippets’ – Insurance providers – Banks/Financials – Legal (Dispute Resolution) Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  10. 10. Fujitsu scanners / AnyDoc® EOB Interpolation Remote Scan Image quality Paper handling Anchor Points Form Identification QA Classification Clean images Security/Rights Central No double-feeds Verification Benefits Database Look-up Availability Validation Compliance Service Regulation Data Extraction Reduce Costs Zonal OCR Efficiency Subtotaling Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  11. 11. Paper Orientation of ‘EOB’ forms • Landscape orientation, scan 20-30% faster! 8.5” Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  12. 12. Scanner considerations in EOB processing • Physical attributes – Automatic Document Feeder width – Dual interface design/3rd Party Slot upgrades • Double-feed detection – Length only vs. Ultrasonic DFD – Importance of potential missed billing • Daily scanning volume – Pages per minute/Images per minute – Scanning at preferred OCR resolution of 300dpi – Input hopper capacity • Centralized or De-Centralized scanning Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  13. 13. Fujitsu Scanners / QuickApp Interopolation TM When processing an obscure form outside of your standard set of templates AnyDoc QuickApp enables fast and effective indexing Remote ‘Roping’ Zones Scan “Banding” Image quality Auto-Indexing Paper handling Central Verification Benefits Database Look-up Availability Validation Compliance Data Extraction Service Regulation Zonal OCR Reduce Costs Subtotaling Efficiency Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  14. 14. Other Fujitsu IT Products in Healthcare Productivity Security Biometric Authentication Scanners Information Lifecycle Performance Gigabit Ethernet Switches Reliability Disk Drives Tablets Laptops Servers Compliance Degaussers Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  15. 15. Old School vs. New School EOB Procedure • Receive paper documents • Receive paper documents • Document preparation • Document preparation – Remove staples, etc. – Remove staples, etc. • Manual indexing • Automatic indexing – 20+ index fields – Varied form structure • Store documents – Copy information • Store for availability – Proper file location – Share via ‘sneaker-net’ • Retrieve documents • Retrieve electronically – Determine location – Fax files to recipients Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare
  16. 16. Speed Fujitsu fi-Series Scanner Line-up 100+ PPM fi-5900C $24,995 60 PPM fi-4860C $16,995 fi-5750C $7,995 fi-4860C2 $17,995 -VRS $8,995 fi-5650C $5,995 40 -VRS $6,995 PPM fi-4340C $4,995 fi-5530C $3,995 25 PPM fi-5120C $1,195 fi-5220C $1,995 fi-5110C $895 15 PPM fi-60F A6 Flatbed fi-5015C Scanner $395 $695 $1,000 $2,000 $4,000 $5,000 $8,000 $17,000 $25,000
  17. 17. More information • Fujitsu Document Scanners – Web Site: http://www.fcpa.com – E-mail: ecmWebinars@fcpa.fujitsu.com – Phone: 888-425-8228 • AnyDoc Software – Web Site: http://www.anydocsoftware.com – E-mail: info@anydocsoftware.com – Phone: 813-222-0414 Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare

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