health tech eligibility services

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Serving community hospitals for 40 Years Serving community hospitals for 40 Years 1 HealthTech: Eligibility Services Innovative data services to help reduce your bad debt exposure

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Improve your self pay cash, reduce bad debt by using HealthTech\'s eligibility data services. Absolutely no risk to your facility or physician group.

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Page 1: Health Tech Eligibility Services

Serving community hospitals for 40 YearsServing community hospitals for 40 Years

1

HealthTech:

Eligibility Services

Innovative data services to help

reduce your bad debt exposure

Page 2: Health Tech Eligibility Services

Serving community hospitals for 40 Years

2

HealthTech: Our Mission

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

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

Page 3: Health Tech Eligibility Services

Serving community hospitals for 40 YearsServing 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 facilityo 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

Page 4: Health Tech Eligibility Services

Serving community hospitals for 40 YearsServing 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

Page 5: Health Tech Eligibility Services

Serving community hospitals for 40 Years

5

Revenue Recovery

Retroactive eligibility services for Self Pay patients

AR Liquidation / Reduction Products

Hospital

Physician

Outsourced BO

o Hospital

o Physician

Physician Billing /Collections

HealthTech: RCM Product Offerings

Revenue Cycle Management Technology Solutions

Business Intelligence Software

o Synapse Software Suite

Collection Management

Business Intelligence

Claim Analytics

o myClaimIQ genie

ED Claims analysis

Missing implant charges

Correct data elements in claim

Medical necessity

o ClaimIQ ProFee

Page 6: Health Tech Eligibility Services

Serving community hospitals for 40 Years

Results: Significant incremental ROI from reimbursement

gains, reduced DSOs and increased cash flow

6

HealthTech Approach:

Correct cash focused

Cash collections

Revenue optimized

Technology critical efficiency

Centralized & scalable

Highly specialized functions

Current Revenue Cycle Model:

o Facility based

o AR Day focused

o Lack of scale in operations

o Limited use of technology

o Low level specialization

Differentiated Approach to Revenue Cycle

Page 7: Health Tech Eligibility Services

Serving community hospitals for 40 Years

HealthTech: Comprehensive Service Offering

7

Operations

Consulting

Interim Staffing

Mgmnt Services

Ops Review

Rev Cycle

Collections

Interim Staffing

Outsourced BO

A/R Recovery

Supply Chain

GPO

Outsourced Services

Consulting

Technology

BI

Claims Analysis

Collection

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.

Page 8: Health Tech Eligibility Services

Serving community hospitals for 40 YearsServing community hospitals for 40 Years

HealthTech – contact details

For more information, contact us today at:

800-228-0647 or email

[email protected]