The Kingstree Group is a disability management firm founded to deliver better service than competitors and save customers money. They focus on achieving positive outcomes and significant savings for employer-customers through a proprietary medical management platform. Kingstree's staff delivers an unmatched service model through triage, predictive modeling, telephonic disability management, field case management, network management, FMLA management, short/long term disability management, and at-risk claims identification. Their internal K-Biz application increases information sharing and reporting capabilities. Kingstree aims to reduce indemnity costs up to 50%, medical costs up to 50%, benefit delivery costs up to 20%, and increase claims closure rates up to 20% through early intervention strategies.
Federal Health IT capability; Predictive Modeling/Analytics for Fraud and Abuse Detection;COTS Product and RICE capability; Integration and Reporting Capability
This document discusses health IT and clinical decision support (CDS) in Egypt. It describes a feedback loop model for CDS, using best practice guidelines, tailored health information for patients and populations, and real-time dashboards to monitor providers, populations, and individual patients. The document also outlines Penn Medicine's approach to implementing the "Five Rights" of CDS to improve outcomes: providing the right information to the right stakeholders in the right format through the right channels at the right point in the clinical workflow.
Our CLM solution captures rich business intelligence to deliver exceptional Expense Management, Mobile Device Management, Provisioning and Help Desk services.
Advocate Consulting provides communications lifecycle management solutions to help businesses reduce costs and complexity. They offer solutions to manage fixed and mobile communications, including invoice auditing, expense management, and mobile device management. Their experts identify ways to optimize spending, benchmark costs, and ensure the right policies are in place.
Datalink provides responsive customer support services for data storage technologies to help organizations maximize returns. With real-time access to support engineers, disruptions are resolved quickly. Datalink offers single point of contact support for solutions from multiple vendors. Support engineers are highly trained and certified, and Datalink's robust case management and escalation practices ensure quality service. Customer satisfaction surveys consistently show Datalink outperforming industry benchmarks.
1) The document discusses research conducted by Accenture in 2012 on customer tolerance. The research surveyed over 1,500 customers across 5 industries to understand factors that impact customer tolerance, such as wait times, call transfers, issue resolution.
2) Key findings from the research include that customers will tolerate a wait time of up to 3 minutes as long as the issue is resolved on the first call with no transfers or being put on hold. Transfers beyond one transfer significantly reduce customer satisfaction.
3) The research provides data to help customer service executives make informed decisions on balancing service attributes like wait times versus first call resolution and limiting call transfers to optimize the customer experience while managing costs. Understanding customer tolerance levels can help
The document discusses strategies for improving emergency department (ED) throughput. It begins by introducing the presenters, Dr. Maureen Anderson and Cheryl Ann Graf. It then discusses how low throughput can negatively impact patient safety, satisfaction, and hospital revenue. Current trends like healthcare reform, ICD-10, and ACO initiatives are further exacerbating throughput issues. The document outlines the significant financial incentives for improving metrics like length of stay and physician billing levels. It provides a 5-step process for selecting the right technology to support throughput improvement. Finally, it discusses 6 effective strategies across the patient experience to optimize performance at each stage from pre-ED to disposition. These include redirecting patients, rapid registration/triage, door
AHA Solutions provides hospitals with resources, education, and analytics to help achieve operational excellence. As the subsidiary of the American Hospital Association, AHA Solutions identifies significant issues facing hospitals. It assesses potential solutions through its proprietary review process and awards an exclusive endorsement to select products and services. AHA Solutions acts as a trusted partner for hospitals, convening stakeholders, conducting market research, and recommending solutions in areas like finance, operations, technology, and human resources to help streamline purchasing and drive efficiencies.
Federal Health IT capability; Predictive Modeling/Analytics for Fraud and Abuse Detection;COTS Product and RICE capability; Integration and Reporting Capability
This document discusses health IT and clinical decision support (CDS) in Egypt. It describes a feedback loop model for CDS, using best practice guidelines, tailored health information for patients and populations, and real-time dashboards to monitor providers, populations, and individual patients. The document also outlines Penn Medicine's approach to implementing the "Five Rights" of CDS to improve outcomes: providing the right information to the right stakeholders in the right format through the right channels at the right point in the clinical workflow.
Our CLM solution captures rich business intelligence to deliver exceptional Expense Management, Mobile Device Management, Provisioning and Help Desk services.
Advocate Consulting provides communications lifecycle management solutions to help businesses reduce costs and complexity. They offer solutions to manage fixed and mobile communications, including invoice auditing, expense management, and mobile device management. Their experts identify ways to optimize spending, benchmark costs, and ensure the right policies are in place.
Datalink provides responsive customer support services for data storage technologies to help organizations maximize returns. With real-time access to support engineers, disruptions are resolved quickly. Datalink offers single point of contact support for solutions from multiple vendors. Support engineers are highly trained and certified, and Datalink's robust case management and escalation practices ensure quality service. Customer satisfaction surveys consistently show Datalink outperforming industry benchmarks.
1) The document discusses research conducted by Accenture in 2012 on customer tolerance. The research surveyed over 1,500 customers across 5 industries to understand factors that impact customer tolerance, such as wait times, call transfers, issue resolution.
2) Key findings from the research include that customers will tolerate a wait time of up to 3 minutes as long as the issue is resolved on the first call with no transfers or being put on hold. Transfers beyond one transfer significantly reduce customer satisfaction.
3) The research provides data to help customer service executives make informed decisions on balancing service attributes like wait times versus first call resolution and limiting call transfers to optimize the customer experience while managing costs. Understanding customer tolerance levels can help
The document discusses strategies for improving emergency department (ED) throughput. It begins by introducing the presenters, Dr. Maureen Anderson and Cheryl Ann Graf. It then discusses how low throughput can negatively impact patient safety, satisfaction, and hospital revenue. Current trends like healthcare reform, ICD-10, and ACO initiatives are further exacerbating throughput issues. The document outlines the significant financial incentives for improving metrics like length of stay and physician billing levels. It provides a 5-step process for selecting the right technology to support throughput improvement. Finally, it discusses 6 effective strategies across the patient experience to optimize performance at each stage from pre-ED to disposition. These include redirecting patients, rapid registration/triage, door
AHA Solutions provides hospitals with resources, education, and analytics to help achieve operational excellence. As the subsidiary of the American Hospital Association, AHA Solutions identifies significant issues facing hospitals. It assesses potential solutions through its proprietary review process and awards an exclusive endorsement to select products and services. AHA Solutions acts as a trusted partner for hospitals, convening stakeholders, conducting market research, and recommending solutions in areas like finance, operations, technology, and human resources to help streamline purchasing and drive efficiencies.
The document summarizes that health plans are well positioned to improve healthcare through technology and payment evolution. It discusses how IT-enabled care collaboration can deliver higher value for purchasers by reducing resources, substituting lower cost options, and avoiding complications. It suggests health plans can support providers and value-based care by changing reimbursement models and leveraging plan assets to partner with providers through tools, analytics and shared care management services.
The Policlinico San Marco healthcare facility in Italy deployed a virtualized infrastructure with Dell blade servers and EqualLogic storage to increase efficiency. This reduced energy usage by 10% and simplified management. It also rolled out Dell desktops and laptops to enable mobile access to patient data at bedsides, improving healthcare services. The Dell solutions increased storage productivity by 50% and consolidated servers by 30%.
Learn why top practices choose to automate work processes and how your practice can benefit from affordable, on demand software applications for automating appointment reminders and message management.
Datalink helps companies address challenges with storing, managing, and protecting data through strategic consulting services and solutions. They work closely with clients to develop strategies that close gaps between business needs and what IT delivers to maximize the value of IT investments. Datalink's expertise comes from experience with complex, heterogeneous environments and partnerships with leading technology innovators.
Disruptive Data Science - How Data Science and Big Data are Transforming Busi...EMC
The document discusses how CareCore National evolved to utilize data-driven transformations, highlighting EMC's analytics platforms, tools, and services that can assist organizations in building their data science capabilities and teams to leverage big data and drive business value through predictive analytics and data mining. It also outlines the key components needed for a successful analytics transformation, including establishing a clear vision, understanding platform dependencies, embracing unified analytics platforms, building data science skills, and delivering initial wins to socialize analytics.
Panduit offers data center advisory services to help optimize a client's physical infrastructure. Their unified physical infrastructure approach considers the physical layer as the foundation that integrates critical systems. They assess a client's current infrastructure, identify risks, and design an optimized physical infrastructure plan to support business needs, increase flexibility, and reduce costs. Their services include assessments, reference architecture design, virtualization planning, consolidation support, and automation implementation.
Healthcare IT and Healthcare Services: The New Personalized Medicine Frontierthe Hartsook Letter
Presentation by LIsa Suennen co-founder and Managing Partner of Psilos from January 2012 presentation at the Personalized Medicine Conference Silicon Valley CA
This pharmaceutical company needed an IT services provider with healthcare experience to help safely dispense patient medicines. EarthLink Business provided secure cloud hosting, email security, and file transfer services to help the company comply with regulations and focus on patient care while reducing costs. Virtualization and cloud services improved redundancy, uptime, and security. The solutions saved staff time and lowered the IT bottom line within a year.
This document discusses how NextNine's Virtual Support Engineer helps companies transform their global customer service and support functions into profit centers. It does this by enabling an automated, proactive, and customer-centric approach to support. This drives profitability through both revenue generation and cost savings. On the revenue side, it helps protect existing maintenance and support revenues, fuel premium support services, and increase the strategic value of customer satisfaction. On the cost side, it increases overall efficiency, allows companies to scale without increasing headcount, reduces mean time to repair, avoids service level agreement penalties, and lowers onsite travel costs.
National Patient Safety Foundation 2012 Dashboard DemoEdgewater
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Models Collecting Dust? How to Transform Your Results from Interesting to Imp...Revolution Analytics
Data scientists sometimes lament, "Why can't I get anyone to use my predictions?" Great models that make accurate predictions are sometimes disconnected from organizational decision-making. This hurts the business and reduces the data scientists’ perceived value the within the organization. But it doesn't have to be this way. Leading expert James Taylor, author of Decision Management Systems: A Practical Guide to Business Rules and Predictive Analytics, has developed a practical approach you can use to improve adoption and elevate your organization.
Marsh U.S. Consumer provides business process outsourcing solutions for the insurance industry, including customer service, claims administration, billing, and other services. They have expertise in a wide range of insurance products and relationships with over 100 insurers. Outsourcing to Marsh allows insurance companies to focus on core activities while benefitting from Marsh's scale, technology, reliability and customer care.
This document discusses data governance at Guide Dogs. It introduces data governance and defines it. It explains why data governance is important due to Guide Dogs' growing programs, systems, and locations. It describes how Guide Dogs is ensuring data is handled compliantly across the organization through a Data Governance Board. The board addresses issues, defines data elements, and agrees on data quality and security requirements. The document outlines where Guide Dogs is in implementing data governance and next steps around a "Data Day," privacy campaigns, and streamlining the board structure.
Mankato Clinic improves staff productivity and better medical practice management solutions medical practice management http://www.mckesson.com/en_us/McKesson.com/For%2BHealthcare%2BProviders/Physician%2BPractices/For%2BHospitals/Horizon%2BPractice%2BPlus.html
Microsoft Licensing Business Continuity PlanElaine Noble
The document is an emergency response guide report prepared by University of Nevada, Reno students for MSLI to analyze and improve their business continuity management. It describes MSLI's operations in Reno, the project goals, an analysis of key support departments like Help Desk and Data Center, and recommendations to strengthen areas like exercises, cross-training, and alternative communication systems.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
This document provides an overview of Qbase, a decision support and professional services firm. It discusses Qbase's capabilities including decision support solutions, data analytics, legacy data migration, and geospatial solutions. It then describes Qbase's data management portfolio and approach to data cleansing and transformation to make data usable. Finally, it provides an overview of Qbase as a company, including its focus on government sectors, culture, and privately held status.
SAS Predictive Asset Maintenance enables organizations to reduce the risk of revenue loss by reducing asset and plant downtime. By predicting events that can cause outages, the solution can help reduce the amount of unplanned maintenance and maintenance costs. It also helps organizations run their assets at peak performance, improving quality and reducing energy costs.
HVantage Technologies provides revenue cycle management services and is a subsidiary of DCNPL Pvt. Ltd. HVantage was founded by members from premier institutes with experience at Fortune 500 companies. HVantage offers end-to-end revenue cycle management services including medical transcription, coding, billing, and accounts receivables management. The company aims to become the preferred partner for healthcare business process transformation and technology-driven solutions by maximizing revenue for clients.
Home Care Software Solutions introduces three agency management software solutions: CareSmart AMS, CareSmart Billing, and EDI Smart Reader. CareSmart AMS is a comprehensive agency management software that includes features like patient management, document management, medication reconciliation, secure messaging, electronic signatures, billing, and reporting. CareSmart Billing provides outsourced billing services for home health, hospice, and medical providers. EDI Smart Reader translates EDI response files into a readable format to help users understand rejection reasons and error codes.
The document summarizes that health plans are well positioned to improve healthcare through technology and payment evolution. It discusses how IT-enabled care collaboration can deliver higher value for purchasers by reducing resources, substituting lower cost options, and avoiding complications. It suggests health plans can support providers and value-based care by changing reimbursement models and leveraging plan assets to partner with providers through tools, analytics and shared care management services.
The Policlinico San Marco healthcare facility in Italy deployed a virtualized infrastructure with Dell blade servers and EqualLogic storage to increase efficiency. This reduced energy usage by 10% and simplified management. It also rolled out Dell desktops and laptops to enable mobile access to patient data at bedsides, improving healthcare services. The Dell solutions increased storage productivity by 50% and consolidated servers by 30%.
Learn why top practices choose to automate work processes and how your practice can benefit from affordable, on demand software applications for automating appointment reminders and message management.
Datalink helps companies address challenges with storing, managing, and protecting data through strategic consulting services and solutions. They work closely with clients to develop strategies that close gaps between business needs and what IT delivers to maximize the value of IT investments. Datalink's expertise comes from experience with complex, heterogeneous environments and partnerships with leading technology innovators.
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The document discusses how CareCore National evolved to utilize data-driven transformations, highlighting EMC's analytics platforms, tools, and services that can assist organizations in building their data science capabilities and teams to leverage big data and drive business value through predictive analytics and data mining. It also outlines the key components needed for a successful analytics transformation, including establishing a clear vision, understanding platform dependencies, embracing unified analytics platforms, building data science skills, and delivering initial wins to socialize analytics.
Panduit offers data center advisory services to help optimize a client's physical infrastructure. Their unified physical infrastructure approach considers the physical layer as the foundation that integrates critical systems. They assess a client's current infrastructure, identify risks, and design an optimized physical infrastructure plan to support business needs, increase flexibility, and reduce costs. Their services include assessments, reference architecture design, virtualization planning, consolidation support, and automation implementation.
Healthcare IT and Healthcare Services: The New Personalized Medicine Frontierthe Hartsook Letter
Presentation by LIsa Suennen co-founder and Managing Partner of Psilos from January 2012 presentation at the Personalized Medicine Conference Silicon Valley CA
This pharmaceutical company needed an IT services provider with healthcare experience to help safely dispense patient medicines. EarthLink Business provided secure cloud hosting, email security, and file transfer services to help the company comply with regulations and focus on patient care while reducing costs. Virtualization and cloud services improved redundancy, uptime, and security. The solutions saved staff time and lowered the IT bottom line within a year.
This document discusses how NextNine's Virtual Support Engineer helps companies transform their global customer service and support functions into profit centers. It does this by enabling an automated, proactive, and customer-centric approach to support. This drives profitability through both revenue generation and cost savings. On the revenue side, it helps protect existing maintenance and support revenues, fuel premium support services, and increase the strategic value of customer satisfaction. On the cost side, it increases overall efficiency, allows companies to scale without increasing headcount, reduces mean time to repair, avoids service level agreement penalties, and lowers onsite travel costs.
National Patient Safety Foundation 2012 Dashboard DemoEdgewater
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Models Collecting Dust? How to Transform Your Results from Interesting to Imp...Revolution Analytics
Data scientists sometimes lament, "Why can't I get anyone to use my predictions?" Great models that make accurate predictions are sometimes disconnected from organizational decision-making. This hurts the business and reduces the data scientists’ perceived value the within the organization. But it doesn't have to be this way. Leading expert James Taylor, author of Decision Management Systems: A Practical Guide to Business Rules and Predictive Analytics, has developed a practical approach you can use to improve adoption and elevate your organization.
Marsh U.S. Consumer provides business process outsourcing solutions for the insurance industry, including customer service, claims administration, billing, and other services. They have expertise in a wide range of insurance products and relationships with over 100 insurers. Outsourcing to Marsh allows insurance companies to focus on core activities while benefitting from Marsh's scale, technology, reliability and customer care.
This document discusses data governance at Guide Dogs. It introduces data governance and defines it. It explains why data governance is important due to Guide Dogs' growing programs, systems, and locations. It describes how Guide Dogs is ensuring data is handled compliantly across the organization through a Data Governance Board. The board addresses issues, defines data elements, and agrees on data quality and security requirements. The document outlines where Guide Dogs is in implementing data governance and next steps around a "Data Day," privacy campaigns, and streamlining the board structure.
Mankato Clinic improves staff productivity and better medical practice management solutions medical practice management http://www.mckesson.com/en_us/McKesson.com/For%2BHealthcare%2BProviders/Physician%2BPractices/For%2BHospitals/Horizon%2BPractice%2BPlus.html
Microsoft Licensing Business Continuity PlanElaine Noble
The document is an emergency response guide report prepared by University of Nevada, Reno students for MSLI to analyze and improve their business continuity management. It describes MSLI's operations in Reno, the project goals, an analysis of key support departments like Help Desk and Data Center, and recommendations to strengthen areas like exercises, cross-training, and alternative communication systems.
IJERA (International journal of Engineering Research and Applications) is International online, ... peer reviewed journal. For more detail or submit your article, please visit www.ijera.com
This document provides an overview of Qbase, a decision support and professional services firm. It discusses Qbase's capabilities including decision support solutions, data analytics, legacy data migration, and geospatial solutions. It then describes Qbase's data management portfolio and approach to data cleansing and transformation to make data usable. Finally, it provides an overview of Qbase as a company, including its focus on government sectors, culture, and privately held status.
SAS Predictive Asset Maintenance enables organizations to reduce the risk of revenue loss by reducing asset and plant downtime. By predicting events that can cause outages, the solution can help reduce the amount of unplanned maintenance and maintenance costs. It also helps organizations run their assets at peak performance, improving quality and reducing energy costs.
HVantage Technologies provides revenue cycle management services and is a subsidiary of DCNPL Pvt. Ltd. HVantage was founded by members from premier institutes with experience at Fortune 500 companies. HVantage offers end-to-end revenue cycle management services including medical transcription, coding, billing, and accounts receivables management. The company aims to become the preferred partner for healthcare business process transformation and technology-driven solutions by maximizing revenue for clients.
Home Care Software Solutions introduces three agency management software solutions: CareSmart AMS, CareSmart Billing, and EDI Smart Reader. CareSmart AMS is a comprehensive agency management software that includes features like patient management, document management, medication reconciliation, secure messaging, electronic signatures, billing, and reporting. CareSmart Billing provides outsourced billing services for home health, hospice, and medical providers. EDI Smart Reader translates EDI response files into a readable format to help users understand rejection reasons and error codes.
Features and Benefits of Claims Processing Software & TPA Software: DataGenixDataGenix
Claims Processing Software & TPA Software refers to custom software designed to automate and streamline the process of insurance claims in industries like healthcare and insurance sectors. Choose DataGenix, we create advanced technology solutions for Health Benefits Payors, TPAs, and Healthcare Insurance Companies with products that are fast, secure, powerful, and easy to use.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
ACO = HIE + Analytics. An ACO requires health information exchange capabilities to integrate clinical and claims data from various sources. It also requires advanced analytics to enable predictive modeling, population health management, and performance tracking against metrics like quality, costs, and health outcomes. The combination of HIE and analytics provides ACOs with insights needed to improve care coordination, reduce costs, and enhance overall population health.
InfosysPublicServices - Member Liability Estimator Solution | MLE ApplicationsInfosys
White Paper highlights Member Liability Estimation Solution a statistical model based framework & Web Based tool estimates the cost of care & member liability based on provider contact details. Know more on MLE Application offerings and Key features.
Klerity delivers resources to healthcare organizations in a timely manner to help them stay ahead of constant changes in the industry. They combine internal data and expertise to provide support and flexibility to clients to promote best practices, leadership, and excellence. Klerity advisors act as partners to increase clients' market share, outcomes, satisfaction, and initiative success through fact-based reviews and implementation of action steps.
Connecting healthcare providers and public health departmentsCureMD
Designed to optimize healthcare outcomes, CureMD intuitively collects standardized data & seamlessly connects it with public health departments for care quality, disease prevention & cost control.
With CureMD, clinicians can easily contribute surveillance data to Public Health Departments without changing workflows or incurring extra work. Our built-in business intelligence consolidates information with intuitive dashboards to make public health management more effective and timely.
This document discusses preparing for the transition from ICD-9 to ICD-10 diagnosis and procedure codes. It notes that ICD-10 will include significantly more codes than ICD-9, with codes containing alphanumeric characters rather than just numeric. The document outlines challenges hospitals and physicians may face in the transition, including updating systems, increasing documentation specificity, and budgeting for transition costs. It recommends starting preparations early given the magnitude of the changes required.
DCDM Consulting provides human resources management and payroll solutions built on Oracle and Microsoft software. They have implemented these solutions for government, parastatals, and private companies in Mauritius and the region. Their solutions offer features like recruitment, employee information, leave management, and payroll calculation that is compliant with Mauritian laws and regulations.
Remedy is a leading compensation consulting firm that partners with companies to improve their compensation strategies and link pay to company success. They provide consulting services related to executive compensation, sales compensation, workforce compensation, and equity strategies. Remedy also conducts custom compensation surveys and offers compensation management co-sourcing. They work with clients across various industries, including life sciences, technology, and manufacturing.
Cynergies is a certified woman-owned business that helps companies build, integrate, and support mission critical applications and infrastructures. They partner with clients to provide IT staffing solutions and leverage their network of resources to help clients operate without interruption and achieve their goals. Cynergies delivers projects through staffing, direct placement, temp-to-hire options, and outsourced recruiting services using local and regional resources with national delivery to provide quality, flexible, and best value solutions.
Minacs' speech analytics solutions automate the review of recorded customer calls to provide business intelligence. It analyzes customer sentiment and feedback to improve customer experience, identify issues with products or services, and assess marketing campaign effectiveness. The technology supports over 33 languages and can help companies reduce costs, enhance compliance, increase first-call resolutions and up-sell success rates through targeted agent training. Minacs is a business process outsourcing firm that uses speech analytics to transform contact center operations for its clients in various industries.
NRA offers a wide range of collection services including consulting, litigation, skip tracing, credit reporting, and customized reports. They have invested heavily in technology like electronic data transfer and predictive dialing to provide favorable recoveries. Their mission is to provide professional and ethical collection services through specialized programs in various markets, a client-centered approach, and a guarantee of proven results.
Customer Complaints Management in Financial ServicesRMM London
Root cause analysis that incorporates new real-time data sources will be key to the program of transformation around customer complaints management. The operating model and processes will be designed for early resolution of issues and a single customer view. Measurement frameworks and targets will reward drivers of stronger customer relationships, resolution of underlying service issues, and better products. This approach aims to deliver benefits like increased customer lifetime value, improved brand reputation, greater customer advocacy, and fewer recurring complaints through addressing root causes.
Tactical Management Inc. (TMI) provides data management solutions to healthcare organizations like physician practices and Medicare Advantage plans. They help clients improve accuracy, insight, and impact through informatics services, medical record retrieval, and technology solutions. TMI also offers education services to help providers document diagnoses more completely to ensure accurate risk adjustment scores and reimbursement levels.
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
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This document discusses Diagnosly, a platform that allows consumers to diagnose their health from anywhere using automated and optional 24/7 support. It conducted interviews with various stakeholders including patients, providers, payers, manufacturers, and experts. The platform aims to provide convenience, reduce costs for uninsured/high deductible plans, and improve patient outcomes. It discusses partnerships with pharmacies, medical device companies, payers, online health services, physicians, and independent representatives. A sample patient journey highlights how Diagnosly could reduce wait times and visits to the doctor's office by enabling at-home diagnosis and monitoring.
MitKat Advisory is a premium management consulting firm with pan-India presence. It comprises senior professionals with diverse backgrounds from consulting, armed forces, etc. They work collaboratively with clients to understand business issues, design solutions, implement them, and refine them over time. Their project delivery focuses on inquiry, insight, and impact to provide assurance, advice, and opportunities. They offer various services including information security, loss prevention, business resilience, physical security, fraud prevention, and change management. They helped one client comply with SAS 70 for information security through assessing risks, classifying information, identifying controls, and assisting with an ISO 27001 certification.
Ultimately, the key to success in a dynamic market environment is data, both financial and clinical. Practices must be able to demonstrate their value empirically. Anesthesia practices have more and better data about what happens in the operating rooms and delivery suites than any other source in the facility. The most successful practices have learned to use this to demonstrate their value to the facility. ABC’s suite of technology products allow practices to easily integrate the data they have into tools designed to collect more, provide insight and aid in decision making.
Similar to The Kingstree Group Solutions and Platform (20)
Billing for Anesthesiology and Pain Management Practices
The Kingstree Group Solutions and Platform
1. 900 West Valley Road, Suite 300
Wayne, PA 19087
888.853.6412
www.kingstree.net
2. Note from Kingstree
The Kingstree Group, Inc., a disability management firm, was founded with a single-minded
drive, to deliver a better service than our competitors and to save our customers money. We do
that every day, skillfully, efficiently and consistently.
At the Kingstree Group, the employer is our customer. Our proprietary medical service
delivery platform focuses on achieving positive outcomes and significant savings for our
customers.
Our commitment to our customers allows them to manage the cost of their risk without
jeopardizing the integrity of care required for their employees.
The Kingstree staff comes together with a variety of uniquely qualified backgrounds and
wealth of experience to deliver a service model that is unmatched by our competitors. We
understand the need for a custom fit and provide it. We know that “customer service” is not
just a buzzword and deliver it. We believe in our programs and people and it shows.
We invite you to call us to find out how to make the Kingstree difference work for you.
3. Work Solutions
Triage
“Medical drives Indemnity”…It’s become a catch phrase in managed care.
We at the Kingstree Group Inc. however understand the impact
on you, your injured worker, your bottom line.
Our triage team:
• The first step in setting the course for claims resolution
• Identifies the issues and develops the most expeditious plan for the claim from day one
• We do it every day, every claim, expertly, seamlessly and efficiently
Predictive Modeling
“20% of claims represent 80% of the costs”
• Science, evidence based questions were identified to measure claim cost and longevity
• Psychosocial indicators are inherent in the process and show predictive patterns with certain claim outcomes
• Early identification allows early intervention for medical resolution
• Predictive medical data mining means better medical outcomes and thus better claims outcomes
The 80/20 rule demystified.
Telephonic Disability Management
Triage identifies the issues and our telephonic division establishes
the plan to resolve them, expertly and seamlessly.
• Immediate identification of and plan for medical and claims issues
• Reserve detailing that saves you money
• Compliance to recommended course of action
• Return to work timeline, clearly and concisely detailed and achieved
Exceptional communication… a pre-requisite.
Field Case Management
The most difficult balance to achieve is the transition
from telephonic disability management to the field.
• Field team staff ready when and where needed
• Manage the cost of the risk without jeopardizing the integrity of the care needed
• Quick response in coordination with telephonic counterparts – seamlessly
• Clear, concise, goal focused communication with your entire team
Creatively and efficiently managing care… expected.
Network Management
Creative implementation of specialty networks that
cut your costs and streamline targeted, specialized care for your injured worker.
• Increased network penetration
• Exceptional treatment results – consistent follow up
• Focus on results…increased productivity and decreased costs
Finding the “right” provider… a must.
4. FMLA
Kingstree works directly with internal HR, General Counsel or other designees
to structure the optimal program.
• Data analysis to identify appropriateness of the leave request
• Seamless coordination of information
• Clear, fast and comprehensive reports
Determining appropriateness… critical.
Short/Long Term Disability
Kingstree understands the policy driven issues that drive your costs
and endeavors to resolve them.
• Analysis of the policy constraints so that only appropriate steps are taken
• Customized programs based on the policy constraints and claim specific issues
• Custom plan with report to resolve/mitigate the issues
Policy constraints… a reality.
At Risk Claims
When questionable claims/treatment are an issue,
Kingstree will immediately identify high risk medical issues and behaviors.
• Clear multi-option strategies are outlined
• Unnecessary or inappropriate claims are swiftly identified
Ability to see the “red flags”… essential.
KBIZ
Our experience produces superior results...
our technology provides superior performance
K-Biz, the proprietary internal web application for the Kingstree Group Inc.:
• Developed to increase the speed of information • System modification can be done with less
gathering to manage claims cumbersome programming and thus more
• Designed to create a central information point efficiently
for multiple users to handle medical/claims data • Standard and customized reporting for our
seamlessly; internally or remotely clients
• Utilizes a scripting language that allows for • User friendly environment
flexibility of technology integration • Secure data storage
5. Kingstree Service Delivery Platform
Goal: Implement an innovative, customized strategic medical management platform that will directly reduce
workers compensation losses. This results driven approach will dramatically impact your claims.
HOW IT WORKS
CUSTOMER THE TEAM ADJUNCT TEAM
KINGSTREE Claims Data Management
Pro-tailored Provider Panels
Specialty Networks
• Pharmacy Benefit Managers
BROKER / AGENT • All therapies
• Durable Medical Equipment
• Drug testing
- post accident
- medication compliance
ULTIMATE CONTROL CLAIMS • Language Services
ADJUSTER
Your Cost Controlled
• Average Indemnity Costs: Kingstree’s collaborative approach on early medical and return to work strategies
reduce average indemnity costs up to 50% per claim.
• Average Medical Costs: Kingstree’s collaborative approach involving ongoing medical management has
proven to reduce medical utilization and duration. Average medical costs on indemnity claims are reduced by
up to 50% per claim.
• Identify Hidden “Benefit Delivery” Costs: Benefit Delivery services such as out of network medical
management and legal related costs can be up to 25% of the total loss. Drive down average costs per claim
up to 20% for benefit delivery services and target proactive management strategies.
• Medical/Indemnity Claim Split: Early claim and medical management initiatives reduce claims paying lost
time benefits up to 25%.
• Claims Closure Rates: Early medical and return to work strategies increase the percent of claims closed
up to 20%, reducing both medical and indemnity costs on high dollar claims.