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RevCycle+™The next generation of coding and billing
• Dallas, TX• HQ, clinical contentand R&D COE• Williamsburg, VA• East physicianrevenue cycle COE• Kansas City, MO• Facilit...
Solutions For Entire ED Care Process3Notification,handoff andchart accessPCP referrals,care plans andpatient transition ma...
4• Little automation• Slower processing• Accuracy relies on skill ofthe individual coder or biller• Limited performancetra...
5Current collections rate averages 27% withgrowing self-pay/no-pay populations.Identity &InsuranceVerificationPre-registra...
Percentage of Covered Workers Enrolled in a High-Deductible PlanNote: These estimates include workers enrolled in HDHP/SO ...
T-System is Transforming the ProcessAutomating manualprocess for improvedefficiency and fewererrorsReal-time performancevi...
| RevCycle+™8Electronic eligibilityverification; claims, denial,aging and collectionsmanagement; A/RAdvanced coding withme...
Automating the Coding Process9Audit reportDetails how a level of servicewas calculated• Decrease the subjectivityof code c...
Bringing Collections ManagementSophistication to the ED10Predict patientpropensity to paybased on historical,local dataTai...
Providing Real-time PerformanceVisibility11• Real-time data• Easy-to-use web interface• Drill down, decomposition,and more...
Delivering an Expert Level of Service• Performance monitoring and proactiveidentification of issues• Ongoing physician tra...
info@tsystem.com(972) 503-8899Contact us today for a free assessment.
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RevCycle+, the next generation of coding & billing.

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RevCycle+™ provides sophisticated technology with unparalleled client services -- and T-System is the only company with the depth and breadth of experience and expertise across the entire emergency department (ED) process.

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RevCycle+, the next generation of coding & billing.

  1. 1. RevCycle+™The next generation of coding and billing
  2. 2. • Dallas, TX• HQ, clinical contentand R&D COE• Williamsburg, VA• East physicianrevenue cycle COE• Kansas City, MO• Facility coding COE• Cerritos, CA• West physicianrevenue cycleCOE• 39M+ patients each year• Clinical, workflow and revenuecycle solutionsT-System is everywhere emergency medicine is practiced.
  3. 3. Solutions For Entire ED Care Process3Notification,handoff andchart accessPCP referrals,care plans andpatient transition managementPDI, eRxfollow-upUtilizationreviewProfessional,facility, CPT,observation, ICDPOS collections, chargecapture, billing, denials,collectionsPatient access,Published wait times,pre-notificationTracking, triage,charting, orders,admit, transfer,optimization
  4. 4. 4• Little automation• Slower processing• Accuracy relies on skill ofthe individual coder or biller• Limited performancetransparency• Lack of education toprovidersToday, outsourced services are often performedas they would have been 20 years ago.
  5. 5. 5Current collections rate averages 27% withgrowing self-pay/no-pay populations.Identity &InsuranceVerificationPre-registrationRegistrationChargeCaptureCheck-Out CodingClaimsProcessingPostServicePaymentsCollectionsPatient access Billing & collectionsCollections
  6. 6. Percentage of Covered Workers Enrolled in a High-Deductible PlanNote: These estimates include workers enrolled in HDHP/SO and other plan types. Because we do not collect information on the attributes ofconventional plans, to be conservative, we assumed that workers in conventional plans do not have a deductible of $1,000 or more. Because ofthe low enrollment in conventional plans, the impact of this assumption is minimal. Average general annual health plan deductibles for PPOs,POS plans, and HDHP/SOs are for in-network services.Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2011.High-deductible plans are on the rise – estimated70% of US employers in 2013.
  7. 7. T-System is Transforming the ProcessAutomating manualprocess for improvedefficiency and fewererrorsReal-time performancevisibility to identifyareas of potentialimprovementClient service expertisesuch as ongoingtraining, payer contractnegotiation andcredentialing7RevCycle+™
  8. 8. | RevCycle+™8Electronic eligibilityverification; claims, denial,aging and collectionsmanagement; A/RAdvanced coding withmedical decisionmaking calculatorPOS collectionPatient responsibility & collections optimization, credentialing,contract management, documentation training, compliance+ Expert client services+ Real-time visibility+ Advanced technologyT-System clients increase collections by $10-30 per patient visit$500,000 to $1.5 million per year.
  9. 9. Automating the Coding Process9Audit reportDetails how a level of servicewas calculated• Decrease the subjectivityof code choice• Create a defensible auditreportWant to know how manycharts had no social history?RC+ can report by provider,by date, or other criteriaReportable dataMDM calculation• CT, lab, MRI, and more• Utilization data byproviderOngoing Q/A• Clinically trained codersmaintain consistency &accuracyRegulatory changes, ICD-10expertise, payer guidelines
  10. 10. Bringing Collections ManagementSophistication to the ED10Predict patientpropensity to paybased on historical,local dataTailor resources andcommunication tomaximize collectionsEstimate &collect patientpayment up front1) 2) 3)• Customize payment options• Calculate real-time eligibility• Capture patient satisfaction• iPad enabled• Define patient communicationplans, timing & methods• Improve patient engagementthrough specific activities• Reduce risk of inappropriatecollection activity
  11. 11. Providing Real-time PerformanceVisibility11• Real-time data• Easy-to-use web interface• Drill down, decomposition,and more for analysis at alllevels of data• Standard reporting pack• Security features to specifyaccess by log-in
  12. 12. Delivering an Expert Level of Service• Performance monitoring and proactiveidentification of issues• Ongoing physician training including ICD-10training for providers, scribes, mid-levels• Legal/compliance support• Credentialing• Contract negotiation• Regulatory change monitoring12T-System knows theED – and providesservice beyond justcoding & billing30+ years of experiencein clinical, revenue cycleand operational EDmanagement
  13. 13. info@tsystem.com(972) 503-8899Contact us today for a free assessment.

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