Submit Search
Upload
Linked In Conifer Overview
•
2 likes
•
835 views
M
muncheck
Follow
A brief overview of Conifer Revenue Cycle Solutions
Read less
Read more
Business
Economy & Finance
Report
Share
Report
Share
1 of 13
Recommended
Accretive Health - Revenue Cycle Management - Medical Billing Services
Accretive Health - Revenue Cycle Management - Medical Billing Services
AccretiveHealth
Insurance Industry 2016: PwC Top Issues
Insurance Industry 2016: PwC Top Issues
PwC
How to Use HubSpot's New ABM Features
How to Use HubSpot's New ABM Features
Knoxville HUG
McKinsey presentation
McKinsey presentation
Constructingeq
EcoVadis Presentation BM2_EN_2016
EcoVadis Presentation BM2_EN_2016
achagnon
Introduction to service management quizes
Introduction to service management quizes
nuwulang
Mit cc turn into action - digital strategies banking v march2012-
Mit cc turn into action - digital strategies banking v march2012-
Claire Calmejane
Document Management Software Brochure
Document Management Software Brochure
Osource
Recommended
Accretive Health - Revenue Cycle Management - Medical Billing Services
Accretive Health - Revenue Cycle Management - Medical Billing Services
AccretiveHealth
Insurance Industry 2016: PwC Top Issues
Insurance Industry 2016: PwC Top Issues
PwC
How to Use HubSpot's New ABM Features
How to Use HubSpot's New ABM Features
Knoxville HUG
McKinsey presentation
McKinsey presentation
Constructingeq
EcoVadis Presentation BM2_EN_2016
EcoVadis Presentation BM2_EN_2016
achagnon
Introduction to service management quizes
Introduction to service management quizes
nuwulang
Mit cc turn into action - digital strategies banking v march2012-
Mit cc turn into action - digital strategies banking v march2012-
Claire Calmejane
Document Management Software Brochure
Document Management Software Brochure
Osource
Introduction To Iso 20022
Introduction To Iso 20022
Jk Mohanty
Remote IT Infra - lower cost & higher efficiency
Remote IT Infra - lower cost & higher efficiency
Abimanyu V
Workday Human Capital Management
Workday Human Capital Management
jlindley
IBM Cognos TM1
IBM Cognos TM1
Vipul Munot
Recovery audit services
Recovery audit services
Genpact Ltd
M&A success: Using an integration playbook to make your deal work
M&A success: Using an integration playbook to make your deal work
Grant Thornton LLP
Managed Services Overview
Managed Services Overview
SVAM International, Inc.
Managed Services Presentation
Managed Services Presentation
Scott Gombar
Temenos Architecture for Armenia
Temenos Architecture for Armenia
ArmeniaFED
Medical Billing - Login Services Profile
Medical Billing - Login Services Profile
LoginClinic Inc.
15_Mooney_RevenueCycle_Final
15_Mooney_RevenueCycle_Final
finance42
Manage the Revenue Cycle
Manage the Revenue Cycle
MaggieLewis
Commercial terminologies
Commercial terminologies
habrashni
Organization-wide ICD-10 Training
Organization-wide ICD-10 Training
Care Communications, Inc.
Survey 5e ch3_lecture
Survey 5e ch3_lecture
camhenlin
Hvantage RCM Capabilities
Hvantage RCM Capabilities
HVantage Technologies Inc. USA.
Profile labdhie associates outsourcing
Profile labdhie associates outsourcing
labdhieassociates
Medical billing process flow chat
Medical billing process flow chat
Narasimhan K
Accounts Outsourcing To India
Accounts Outsourcing To India
labdhie
Sub chapter 6 financial statement
Sub chapter 6 financial statement
ha_taru
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
optum
Quintessence services portfolio
Quintessence services portfolio
Nirmal Kumar Rajachandran
More Related Content
What's hot
Introduction To Iso 20022
Introduction To Iso 20022
Jk Mohanty
Remote IT Infra - lower cost & higher efficiency
Remote IT Infra - lower cost & higher efficiency
Abimanyu V
Workday Human Capital Management
Workday Human Capital Management
jlindley
IBM Cognos TM1
IBM Cognos TM1
Vipul Munot
Recovery audit services
Recovery audit services
Genpact Ltd
M&A success: Using an integration playbook to make your deal work
M&A success: Using an integration playbook to make your deal work
Grant Thornton LLP
Managed Services Overview
Managed Services Overview
SVAM International, Inc.
Managed Services Presentation
Managed Services Presentation
Scott Gombar
Temenos Architecture for Armenia
Temenos Architecture for Armenia
ArmeniaFED
What's hot
(9)
Introduction To Iso 20022
Introduction To Iso 20022
Remote IT Infra - lower cost & higher efficiency
Remote IT Infra - lower cost & higher efficiency
Workday Human Capital Management
Workday Human Capital Management
IBM Cognos TM1
IBM Cognos TM1
Recovery audit services
Recovery audit services
M&A success: Using an integration playbook to make your deal work
M&A success: Using an integration playbook to make your deal work
Managed Services Overview
Managed Services Overview
Managed Services Presentation
Managed Services Presentation
Temenos Architecture for Armenia
Temenos Architecture for Armenia
Similar to Linked In Conifer Overview
Medical Billing - Login Services Profile
Medical Billing - Login Services Profile
LoginClinic Inc.
15_Mooney_RevenueCycle_Final
15_Mooney_RevenueCycle_Final
finance42
Manage the Revenue Cycle
Manage the Revenue Cycle
MaggieLewis
Commercial terminologies
Commercial terminologies
habrashni
Organization-wide ICD-10 Training
Organization-wide ICD-10 Training
Care Communications, Inc.
Survey 5e ch3_lecture
Survey 5e ch3_lecture
camhenlin
Hvantage RCM Capabilities
Hvantage RCM Capabilities
HVantage Technologies Inc. USA.
Profile labdhie associates outsourcing
Profile labdhie associates outsourcing
labdhieassociates
Medical billing process flow chat
Medical billing process flow chat
Narasimhan K
Accounts Outsourcing To India
Accounts Outsourcing To India
labdhie
Sub chapter 6 financial statement
Sub chapter 6 financial statement
ha_taru
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
optum
Quintessence services portfolio
Quintessence services portfolio
Nirmal Kumar Rajachandran
Accounting in insurance companies basic concepts
Accounting in insurance companies basic concepts
Avik Saha
Ma 1.1 fundamentals of managerial accounting2
Ma 1.1 fundamentals of managerial accounting2
Varadraj Bapat
Promantra RCM Capabilities
Promantra RCM Capabilities
russellpin
Product Sheets 2 Cb
Product Sheets 2 Cb
Anita Tyler
Quick Books Managing Your Business Finances
Quick Books Managing Your Business Finances
Cheryl Blazej
Quick Books Managing Your Business Finances
Quick Books Managing Your Business Finances
DonnaKizer
Entrepreneurship and good governance
Entrepreneurship and good governance
sangem
Similar to Linked In Conifer Overview
(20)
Medical Billing - Login Services Profile
Medical Billing - Login Services Profile
15_Mooney_RevenueCycle_Final
15_Mooney_RevenueCycle_Final
Manage the Revenue Cycle
Manage the Revenue Cycle
Commercial terminologies
Commercial terminologies
Organization-wide ICD-10 Training
Organization-wide ICD-10 Training
Survey 5e ch3_lecture
Survey 5e ch3_lecture
Hvantage RCM Capabilities
Hvantage RCM Capabilities
Profile labdhie associates outsourcing
Profile labdhie associates outsourcing
Medical billing process flow chat
Medical billing process flow chat
Accounts Outsourcing To India
Accounts Outsourcing To India
Sub chapter 6 financial statement
Sub chapter 6 financial statement
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
Shape your ICD-10 Technology Strategy: Be Ready for Change and Protect Revenue
Quintessence services portfolio
Quintessence services portfolio
Accounting in insurance companies basic concepts
Accounting in insurance companies basic concepts
Ma 1.1 fundamentals of managerial accounting2
Ma 1.1 fundamentals of managerial accounting2
Promantra RCM Capabilities
Promantra RCM Capabilities
Product Sheets 2 Cb
Product Sheets 2 Cb
Quick Books Managing Your Business Finances
Quick Books Managing Your Business Finances
Quick Books Managing Your Business Finances
Quick Books Managing Your Business Finances
Entrepreneurship and good governance
Entrepreneurship and good governance
Recently uploaded
Catalogue ONG NƯỚC uPVC - HDPE DE NHAT.pdf
Catalogue ONG NƯỚC uPVC - HDPE DE NHAT.pdf
Orient Homes
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
Paul Menig
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
Call girls in Ahmedabad High profile
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
Suhani Kapoor
Cash Payment 9602870969 Escort Service in Udaipur Call Girls
Cash Payment 9602870969 Escort Service in Udaipur Call Girls
Apsara Of India
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
divyansh0kumar0
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
DEPED Work From Home WORKWEEK-PLAN.docx
DEPED Work From Home WORKWEEK-PLAN.docx
RodelinaLaud
The Coffee Bean & Tea Leaf(CBTL), Business strategy case study
The Coffee Bean & Tea Leaf(CBTL), Business strategy case study
Ethan lee
Nepali Escort Girl Kakori \ 9548273370 Indian Call Girls Service Lucknow ₹,9517
Nepali Escort Girl Kakori \ 9548273370 Indian Call Girls Service Lucknow ₹,9517
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
KestrelPro Flyer Japan IT Week 2024 (English)
KestrelPro Flyer Japan IT Week 2024 (English)
Data Analytics Company - 47Billion Inc.
Insurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usage
Matteo Carbone
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
anilsa9823
Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...
Roland Driesen
The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024
christinemoorman
Sales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for Success
Aggregage
Best VIP Call Girls Noida Sector 40 Call Me: 8448380779
Best VIP Call Girls Noida Sector 40 Call Me: 8448380779
Delhi Call girls
Call Girls in Gomti Nagar - 7388211116 - With room Service
Call Girls in Gomti Nagar - 7388211116 - With room Service
discovermytutordmt
Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023
Neil Kimberley
M.C Lodges -- Guest House in Jhang.
M.C Lodges -- Guest House in Jhang.
Aaiza Hassan
Recently uploaded
(20)
Catalogue ONG NƯỚC uPVC - HDPE DE NHAT.pdf
Catalogue ONG NƯỚC uPVC - HDPE DE NHAT.pdf
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girls Pune Kirti 8617697112 Independent Escort Service Pune
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
Cash Payment 9602870969 Escort Service in Udaipur Call Girls
Cash Payment 9602870969 Escort Service in Udaipur Call Girls
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
VIP Kolkata Call Girl Howrah 👉 8250192130 Available With Room
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
DEPED Work From Home WORKWEEK-PLAN.docx
DEPED Work From Home WORKWEEK-PLAN.docx
The Coffee Bean & Tea Leaf(CBTL), Business strategy case study
The Coffee Bean & Tea Leaf(CBTL), Business strategy case study
Nepali Escort Girl Kakori \ 9548273370 Indian Call Girls Service Lucknow ₹,9517
Nepali Escort Girl Kakori \ 9548273370 Indian Call Girls Service Lucknow ₹,9517
KestrelPro Flyer Japan IT Week 2024 (English)
KestrelPro Flyer Japan IT Week 2024 (English)
Insurers' journeys to build a mastery in the IoT usage
Insurers' journeys to build a mastery in the IoT usage
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...
The CMO Survey - Highlights and Insights Report - Spring 2024
The CMO Survey - Highlights and Insights Report - Spring 2024
Sales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for Success
Best VIP Call Girls Noida Sector 40 Call Me: 8448380779
Best VIP Call Girls Noida Sector 40 Call Me: 8448380779
Call Girls in Gomti Nagar - 7388211116 - With room Service
Call Girls in Gomti Nagar - 7388211116 - With room Service
Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023
M.C Lodges -- Guest House in Jhang.
M.C Lodges -- Guest House in Jhang.
Linked In Conifer Overview
1.
Conifer Revenue Cycle
Solutions SM © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
2.
Revenue Cycle Operator
View Solutions High Full Revenue Cycle Complete Revenue Cycle is optimized to use existing resources Full Revenue Cycle Optimization on-site and leverage extended centralized centers of excellence Optimization Multiple Elements Multiple elements of the Revenue Cycle are optimized of the Revenue Cycle (ie. HIM/Coding + Billing & Collections) Single Element of An entire element of the Revenue Cycle is the Revenue Cycle optimized (ie. Billing & Collections) Value Functions of Pieces of the Revenue the Revenue Cycle Cycle are optimized Technology Cost Reduction Liquidity Revenue Cycle Management Improvements © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
3.
Conifer Revenue Cycle
Solutions Mission Statement We partner with our clients to improve healthcare delivery by providing: • Consistent financial stability and performance • Innovative ideas and integrated solutions • Industry thought leadership, and • Superior service. © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
4.
Conifer is Unique
5 Million Patient Accounts Processed Annually Over $9 Billion Annual Net Revenue Under Management Fully scaled operating platform and technology 60+ hospital, DIC and ASC clients 2,000+ Employees Stephen Mooney, President “We are a healthcare company whose strategies align directly with the providers’ mission of delivering quality care in the communities they serve.” © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
5.
Service Map
Pre-Registration Pre-Registration Billing, Collections, Financial Clearance Financial Clearance Billing, Collections, Payment Posting, Payment Posting, Denial Management: Financial Counselling Financial Counselling Denial Management: Insurance Insurance Medicare Medicare Patient Arrival & Patient Arrival & Check-In Check-In Medicaid Medicaid Self-Pay Real Time Registration Real Time Registration Self-Pay Real Time Clearance Real Time Clearance Real Time Counselling Real Time Counselling Pre-Certification Pre-Certification Initial and Continued Initial and Continued Medical Records Medical Records Stay Authorization Stay Authorization Coding Coding Case Management Case Management © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
6.
Conifer Fact Sheet
Performance Highlights • 7 Centers of Excellence for Revenue Cycle Managed Care Managed Care Medicare A/R Medicare A/R A/R Days A/R Greater than Greater than 60 Optimization across the U.S. A/R Days A/R Greater than Greater than 60 180 days 180 days days days • Proprietary technology and workflows • Cash Management expertise spanning over a Overall Reduced Reduced decade reduction MC A/R MCR A/R of 20 days by $264M by $29M • Local expertise with implementations at large or 27% or 55% or 46% local hospitals in most regions of the US Data Source: Tenet’s metrics December 31, 2003 – December 31, 2008 2,000+ Employees Geography Center for Patient Access Services (CPAS) Regional Patient Access QA Team Clinical Resource Center (CRC) National Medicare/Medicaid Center (NMC) National Insurance Center (NIC) Middle SG&A Support National Programs and Collections Modesto Conifer Headquarters 85 55 Medical Eligibility & Counseling Services On-Site Alhambra St. Louis (MECS) Technology Front 530+ FTE’s Services Back 180 240 Atlanta Anaheim Boca Raton Frisco © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
7.
Our Pre-Service &
Patient Access Differentiators • Pre-Service: CPAS & MECS – Pre-Service Financial Clearance – Pre-Service Patient Liability Calculation and Collection Efforts – Patient Financial Counseling and Center for Patient Access Services Eligibility Screening for Financial (CPAS) Assistance Medical Eligibility Counseling • Real-Time Service: Patient Access Services (MECS) Management Full On-Site Patient Access – Scheduling Management – Registration – Financial Clearance – Financial Counseling – Point of Service Cash Collection © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
8.
Our A/R Management
Differentiators • MicroSegmentation™ • Patient Friendly Communications • Patient Satisfaction Survey • Online Customer Portal Billing • Call Recording/QA • Proficient in over 30 Languages Collection & Follow-Up • System Integration Specialized Account Follow up • Six Sigma Black Belts Primary & Secondary Bad Debt • Results Driven Work Flows Collection • Customer Care Center Coordinated Legal Effort • Staff talent includes: – PhD – MBA – RN – CPA – M.Ed – PMP © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
9.
Key Performance Indicators
Indicators Conifer Leading Performance Practice Benchmark Self-Pay Collections - % of Revenue 12.0% >=10% (Uninsured)1 Self-Pay Collections - % of Revenue 63.6% >=60% (Balance After Ins) 1 Days in AR1,3 51 days <=55 days Total AR > 90 days1,3 17.5% 15% - 20% Insurance and MCR AR Aged >90 Days2,3 11.3% <= 15 - 20% Data Source: 1Accenture study of Tenet’s revenue cycle metrics September 2008 2HFM –RC Key Performance Indicators 3Includes A/R normally written-off to bad debt at 180 days © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
10.
Conifer’s data integration
solution allows new clients to be implemented efficiently Data Integration Technologies • Real-Time (HL7) Interface • Batch Services Data Management Technologies • Mapping Services • Data Integrity Audit Trail • Event Tracking & Control Reconciliation • File transfer processes include real-time, daily balancing programs • IT Operations provides weekly reconciliation reports on inventory IT Operations Dashboard • Monitors inbound and outbound data transmissions in real time to ensure timely and accurate processing • Configurable alerts identify anomalies and notify support staff immediately Productivity Technologies • Workflow Services • Payor Data Integration • Predictive Dialer • Identity & Credit Data • Skip Tracing • Letter Generation © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved. Client Portal • • Patient Portal
11.
Technology Map
Patient Liability Calculator ACE® HPF® ACE® HPF® InterQual® InterQual® ePREMIS® HPF® ACE® InterQual® © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
12.
Credentials & Industry
Commentary Most Recent CFO Survey Results, July 2008 “(Conifer’s) entrance into the market won’t 21% 4% “Had I engaged Conifer squash all other earlier we would have debt buyers, but it avoided many of our changes the game,” financial struggles” Michael Klozotsky, Joe Murgo, VP Health Analyst Kaulkin Ginsberg Partners of America Health Care 75% Exceeded Met “Sometimes it’s easier to Not Met “New healthcare sourcing models are outsource a complicated emerging in response to new business function and have and IS organization challenges. At the experienced personnel least, your healthcare organization should there ready to jump on it.” evaluate the sourcing potential for its HFMA, Executive Roundtable environment.” Gartner Research, Sourcing: Publication New Realities for Healthcare © Copyright 2009 Conifer Health Solutions, Inc. All Rights Reserved.
13.
experience innovation 877-CONIFER www.coniferhealth.com