A HIPAA compliant, ISO 9001 / 27001 certified Health Care BPO.

1. Revenue
Cycle
Management
Promantra Synergy Solutions Ltd

2. Agenda
End-to-End Revenue Cycle
Management Services
Promantra Corporate Overview
Acute Care BPO Services
Value Proposition
Transition Methodology
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

3. Promantra Corporate Overview
About Promantra
Founded in August 2003
End-to-End Revenue Cycle Management / Long Term Care BPO Services / IT Services
Multiple clients across specialties
HIPAA Compliant, ISO 27001:2005 & ISO 9001 Certified Organization
Six Sigma to drive improvements
Capability on multiple billing platforms. Dedicated IT team
Robust Technology and Telecom Infrastructure
Proven Vertical & Lateral Scalable model
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

4. Promantra Corporate Overview
Industry Recognitions
Profiled-in Description
Emerging Leader Award for 2006
(surveyed in 2005)
Global Services Media (Global Top 100)
Featured in the top 100 BPOs for three
consecutive years (2004, 2005, 2006)
NASSCOM Showcase of Innovation Book 2006
Outsourcing Excellence Awards 2007
Enlisted as a finalist in March 2007
- Forbes Group
1st Healthcare BPO in Hyderabad (India) to be:
BS 7799 certified
ISO 27001:2005 Certified
Appreciated by BSI, KPMG and other external consultants for the Integrated
Management System built on ISO 27001:2005 & ISO 9001:2008
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

5. Promantra Corporate Overview
Business Framework & Quality Deployment
Integrated Management
System to meet all
requirements of
ISO 9001:2008 &
ISO 27001:2005
• Metric-Based Performance Management (Web-based Dashboards)
• Statistical Quality Control and Six Sigma deployment
• Scientific Staffing Model
• Workflow Management
• Specific Training & Mentoring Program
• Experienced Transition Teams
• Continuous learning from CMS (Centers for Medicare and Medicaid Services)
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

6. Promantra Corporate Overview
Security Best Practices
Promantra has outlined its approach to data security along three dimensions
Security Measures System Security & Monitoring
Access Controls
• 24/7 on-campus security • Firewalls • Regular reviews of firewall
staff • Point-to-point network logs
• Secure and dedicated connectivity with routers • Periodic network and host
infrastructure configured with encryption vulnerability audits
• No tail-gating is allowed at both ends • Client audit teams are
• Controlled access to Printer • Anti-Virus software allowed to conduct security
• Instructions to shred all • User-IDs and passwords to audits on the dedicated
papers containing client log into the client systems network provided for their
information • Disabled floppy, CD drives, services
• Clean Desk approach USB, Ports, Wi-Fi etc… • Information security
• Critical Documents and management and control
Electronic Data (backed up in audits as per ISO
DLT tapes, DVDs) are stored 27001:2005 standards
in Fire Proof cabinets
• Staff screening and
background checks
• Confidentiality agreements
with staff
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

7. Promantra Corporate Overview
HIPAA Compliance
As a matter of practice, Promantra signs a Business Associate
Agreement with all clients before exchange of any data
A dedicated HIPAA Compliance officer ensures that our HIPAA Compliance policy:
Outlines handling and protecting confidential information
Trains employees about the “acceptable use” of PHI
Engages employees in securing Promantra’s critical systems
Explains the importance of security policies while conducting business
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

8. Promantra Corporate Overview
Competitive Advantage
Cost Benefits
Up to 40% Cost Differential
High Quality Faster Turnaround Time
Up to 98% Accuracy 12 -24 Hours TAT
Compliance Complete Business Partner
Total HIPAA Compliance Business, Clinical
& Software Services
Experience
Multiple US Based Providers
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

9. Acute Care BPO Services
Revenue Cycle Management Services
Demographic
Entry
Post Discharge Stage AR Follow-
Patient
Admission Stage
up & Denial
Registration
Mgmt
Payment AAPC Certified Insurance
Posting Verification
Coders / Certified
AR and Billing
Specialists /
Experienced
Claims
Generation
Transaction Process Medical
and
Transmission
Associates Transcription
Charge
Billing
Capture
Discharge Stage Treatment Stage
Medical
Coding
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

10. Acute Care BPO Services
Specialties
OB/GYN
Radiology Plastic Surgery
Cardiology
Pathology Urology
Pain Management Anesthesia
Gastroenterology
General Surgery
Orthopedics ENT General Medicine
E/M, Consultations
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

11. Acute Care BPO Services
Medical Coding
AAPC certified coders with an average experience of 4-5 years
Experience in multiple specialties
Capability working on multiple coding platforms
Evaluating and interpreting health records in order to accurately code diagnoses
and procedures
Monitor, analyze and improve client’s documentation for coding to avoid / reduce
denials
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

12. Acute Care BPO Services
AR Follow-up
Our AR specialists are AAHAM certified CPAT and CCAT
Our A/R and Denial Management Specialists have a minimum of 4 years of
experience in handling ageing receivables for hospitals and physician practices.
Experience and capability to work on multiple billing platforms
Aggressive follow-up starts 21 days after claim submission.
Our Specialists are chosen for their analytical skills and are provided with
access to all the documentation required to make sure that the claim is paid on
the first call.
E.g. When the Insurance rep says that the claim is “Not in system”,our Specialists
are taught to immediately retrieve the clearinghouse confirmation from our
database and fax it while still on the call.
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

13. Acute Care BPO Services
Denial Management
As Denial management is a subsection to Accounts Receivables of any medical facility,
we religiously follow the below methodology of managing denials from payers. Our
solution is focused around the three key fundamentals to effective denial management.
Prevention
Analysis
Tracking and Trend Management
Denied claims are worked on, rectified and resubmitted within 24 Hours on
receipt of EOB.
All Denials which require additional documentation, are sent to the Doctor’s
office on the same day that the EOB is posted.
We specialize in working your old Account Receivables and we are well versed
with using correct appeal procedures in conjunction with Healthcare Laws.
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

14. Acute Care BPO Services
Other Transaction Based Functions
Receiving Schedules from the Hospital (Via FTP, Fax or E-mail)
Verify coverage on all Primary and Secondary Payers
Eligibility
Contact patient for additional information if required
Verification
Provide the client with the results which include eligibility and benefits
information such as member ID, group ID, coverage end and start dates, co-
pay information and much more.
Gathering all charge documents from all departments
Charge Entry Posting charges to patients account
Super bills / forms / tablet PC’s used to ensure 100% charge capture
Payment Posting Payments from patient or insurance carriers are posted to patients account
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

15. Promantra – Value Proposition
• Adherence to multiple International
Quality Standards (ISO 9001)
Quality • Transaction level monitoring
• Deployment of Statistical Quality Control
& Six Sigma
Operational
Efficiency
Superior Services at Competitive Rates
• All staff with prior healthcare experience
• AAPC Certified Coders
People
• Capability on multiple billing
platforms
Fast & Effective
Business
Effectiveness Ramp-up
• Adhere to Productivity, Accuracy and
TAT commitments Capability
Process • 24*7*365 operations
• Global Delivery Model
• Global Compliance (HIPAA)
Strategic
Differentiation
• Data Security Standards (ISO 27001)
Technology
• Robust IT and Telecom infrastructure
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

16. Transition Methodology
Full
Team Identification and Pilot Production
Onsite Visit Documentation
Formulation Implementation (Delivery)
Requirements
Promantra Team Partner business Detailed process Cold-testing to Complete
Manager – RCM assessment, gap Maps along with check technology processing of all
Manager – Finance identification in Standard Operating setup (incl. sub-processes is
Manager – IT addition to gaining Procedures (SOPs) Business carried out by the
a complete are prepared Applications). Indian operations
Partner Team understanding of /updated detailing The Account Head team
Accounts Head, our clients’ AS-IS escalation or Dy Manager for Standardization of
Tech In-charge & processes). procedures. Where the Accounts team processes, process
Ops SPOC applicable Training at India undergo control systems
Detailed Should- plans and content training. and integration of
Partner audits and
BE process are detailed. the same with our
evaluate Pilot
Mapping SOW & SLA Integrated
teams production.
metrics (excluding Management
Reporting structure
Targets) are and formats are System (IMS)
detailed and finalized Continuous
signed-off by both SLA targets are process
parties revisited and improvements
finalized
Stabilize and
Promantra provides a ramp-up plan and ensures client expected quality and TAT are met
Grow
An ISO 27001:2005 and ISO 9001:2008 Certified Organization

17. Thank You
Russell P
AVP – Business Development
E-mail: russellp@promantra.net
An ISO 27001:2005 and ISO 9001:2008 Certified Organization