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HealthTech:


   Eligibility Services

Innovative data services to help
reduce your bad debt exposure
                                                  1


       Serving community hospitals for 40 Years
HealthTech: Our Mission

HealthTech’s mission is to be the premier technology
         partner to community hospitals.


 Comprehensive breadth of services to address community
  hospital’s financial and operational needs
 Solutions provided through innovative technology that can
  be delivered cost effectively
 Results in measurable cost savings/revenue improvements
  for our clients
                                                              2


                Serving community hospitals for 40 Years
Eligibility Services - overview

 HealthTech review all facilities Self Pay patients for
retroactive eligibility
   o Patients are often qualified at another facility at a date later than
   your facilities DOS
   o Provides a backup (failsafe) to your onsite eligibility service
 Service provided on periodic basis - monthly
 Service provided on contingency basis – no risk to facility
   o if we don’t discover any eligible accounts no payment
 Facility is provided with list of eligible accounts to bill
 Results typically take less than a day from date of
submission
 HealthTech IT staff can assist with data extract

                   Serving community hospitals for 40 Years
Eligibility Services – key financial benefits

 Reduced bad debt expense
 Increased cash collections
 Higher Medicare DSH revenue (where applicable)
 Backup to onsite eligibility program
 No financial risk to provider
 Service done periodically – reduces timely filing issues




                Serving community hospitals for 40 Years
HealthTech: RCM Product Offerings
 Revenue Cycle Management                        Technology Solutions


 Revenue Recovery                        Business Intelligence Software
 Retroactive eligibility services          o Synapse Software Suite
  for Self Pay patients                             Collection Management
 AR Liquidation / Reduction                        Business Intelligence
  Products                                Claim Analytics
    Hospital                                 o myClaimIQ genie
    Physician
                                                    ED Claims analysis
 Outsourced BO                                     Missing implant charges
                                                    Correct data elements in claim
   o Hospital
                                                    Medical necessity
   o Physician
                                              o ClaimIQ ProFee
 Physician Billing /Collections
                                                                                      5


                     Serving community hospitals for 40 Years
Differentiated Approach to Revenue Cycle

 Current Revenue Cycle Model:             HealthTech Approach:
 o Facility based                          Correct cash focused
 o AR Day focused                                Cash collections
 o Lack of scale in operations                   Revenue optimized

 o Limited use of technology               Technology critical efficiency
 o Low level specialization                Centralized & scalable
                                           Highly specialized functions



    Results: Significant incremental ROI from reimbursement
         gains, reduced DSOs and increased cash flow

                                                                             6


                  Serving community hospitals for 40 Years
HealthTech: Comprehensive Service Offering
   Operations                  Rev Cycle              Supply Chain             Technology
    Consulting                 Collections           GPO                     BI
    Interim Staffing           Interim Staffing     Outsourced               Claims Analysis
                                                      Services
    Mgmnt Services             Outsourced BO                                  Collection
                                                       Consulting
    Ops Review                 A/R Recovery                                   Software


 Operations Management: provides (i) operations, clinical and case management
  consulting, (ii) outsourced management services (but will not employ C-suite executives),
  (iii) operations assessment services, and (iv) interim executive staffing solutions, including
  interim CEO’s, CFO’s and CNO’s.
 Revenue Cycle Management: provides (i) billing & collections services, (ii) outsourced
  business office management, (iii) accounts receivable recovery services and (iv) interim
  business office executive staffing solutions for hospitals and physician practices.
 Supply Chain Management: provides (i) GPO services, (ii) supply chain assessment and
  consulting services, and (iii) outsourced supply chain management.
 Technology Solutions: provides (i) business intelligence software, (ii) claims analysis
  software, and (iii) collections management software, through its Synapse Software Suite.
                                                                                                   7


                          Serving community hospitals for 40 Years
HealthTech – contact details



   For more information, contact us today at:
             800-228-0647 or email
        sales@healthtechsolgroup.com




            Serving community hospitals for 40 Years

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Health Tech Eligibility Services

  • 1. HealthTech: Eligibility Services Innovative data services to help reduce your bad debt exposure 1 Serving community hospitals for 40 Years
  • 2. HealthTech: Our Mission HealthTech’s mission is to be the premier technology partner to community hospitals.  Comprehensive breadth of services to address community hospital’s financial and operational needs  Solutions provided through innovative technology that can be delivered cost effectively  Results in measurable cost savings/revenue improvements for our clients 2 Serving community hospitals for 40 Years
  • 3. Eligibility Services - overview  HealthTech review all facilities Self Pay patients for retroactive eligibility o Patients are often qualified at another facility at a date later than your facilities DOS o Provides a backup (failsafe) to your onsite eligibility service  Service provided on periodic basis - monthly  Service provided on contingency basis – no risk to facility o if we don’t discover any eligible accounts no payment  Facility is provided with list of eligible accounts to bill  Results typically take less than a day from date of submission  HealthTech IT staff can assist with data extract Serving community hospitals for 40 Years
  • 4. Eligibility Services – key financial benefits  Reduced bad debt expense  Increased cash collections  Higher Medicare DSH revenue (where applicable)  Backup to onsite eligibility program  No financial risk to provider  Service done periodically – reduces timely filing issues Serving community hospitals for 40 Years
  • 5. HealthTech: RCM Product Offerings Revenue Cycle Management Technology Solutions  Revenue Recovery  Business Intelligence Software  Retroactive eligibility services o Synapse Software Suite for Self Pay patients  Collection Management  AR Liquidation / Reduction  Business Intelligence Products  Claim Analytics  Hospital o myClaimIQ genie  Physician  ED Claims analysis  Outsourced BO  Missing implant charges  Correct data elements in claim o Hospital  Medical necessity o Physician o ClaimIQ ProFee  Physician Billing /Collections 5 Serving community hospitals for 40 Years
  • 6. Differentiated Approach to Revenue Cycle Current Revenue Cycle Model: HealthTech Approach: o Facility based  Correct cash focused o AR Day focused  Cash collections o Lack of scale in operations  Revenue optimized o Limited use of technology  Technology critical efficiency o Low level specialization  Centralized & scalable  Highly specialized functions Results: Significant incremental ROI from reimbursement gains, reduced DSOs and increased cash flow 6 Serving community hospitals for 40 Years
  • 7. HealthTech: Comprehensive Service Offering Operations Rev Cycle Supply Chain Technology  Consulting  Collections  GPO  BI  Interim Staffing  Interim Staffing Outsourced  Claims Analysis Services  Mgmnt Services  Outsourced BO  Collection  Consulting  Ops Review  A/R Recovery  Software  Operations Management: provides (i) operations, clinical and case management consulting, (ii) outsourced management services (but will not employ C-suite executives), (iii) operations assessment services, and (iv) interim executive staffing solutions, including interim CEO’s, CFO’s and CNO’s.  Revenue Cycle Management: provides (i) billing & collections services, (ii) outsourced business office management, (iii) accounts receivable recovery services and (iv) interim business office executive staffing solutions for hospitals and physician practices.  Supply Chain Management: provides (i) GPO services, (ii) supply chain assessment and consulting services, and (iii) outsourced supply chain management.  Technology Solutions: provides (i) business intelligence software, (ii) claims analysis software, and (iii) collections management software, through its Synapse Software Suite. 7 Serving community hospitals for 40 Years
  • 8. HealthTech – contact details For more information, contact us today at: 800-228-0647 or email sales@healthtechsolgroup.com Serving community hospitals for 40 Years