Imagination at work

DenialsIQ™ know before you go, MGMA 2015 APS Channel Partners

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DenialsIQ 2015 Commercial Playbook

Build market awareness and demand for Advanced Analytics Analyst meetings | blogs | social media | thought leadership | customer traction

C-Live MS (OPTIMUS) HFMA ANI MGMA HIMSS

4/12 4/29 6/22 10/11

Product Positioning

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To effectively position DenialsIQ you need to be able to position…

What it is

What it does

Why it is different

What is DenialsIQ?

DenialsIQ is an advanced analytics solution

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Ok great… what does that mean??

Analytics solutions address key questions to help drive specific business results

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Reporting: Real-time, native reporting tools to

monitor daily activities.

Ex: Crystal Reports, Centricity Analytics

Business Intelligence: Infrastructure to support

optimized historical reporting and dashboarding from multiple data sources.

Ex: Informatics, Reimbursement Analytics

Advanced Analytics: Advanced algorithms,

dynamic visualizations that represent large,

complex datasets and concepts.

Ex: DenialsIQ

JB31590US

What does DenialsIQ do?

DenialsIQ… uncovers unseen patterns from within claims denials

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Riiight , so does everything else…..

DenialsIQ surfaces unseen patterns to help capture missed opportunities

JB31590US

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Imp

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Reduce Cost

Our challenge was that the trends we were working took too long to define and usually didn’t pay off, even if we fixed them.

Corporate Director, Physician & Professional Services Orlando Health

Advanced statistical algorithms from GE Global Research identify

patterns by root cause factors

Refined by customers Using FastWorks methodology with four customer partners and built on Predix platform

GE’s revenue cycle experience Serving customer for over 40 years,

to help improve financial performance

Cost of rework – MGMA. Denials - The Advisory Board “Driving the Denials Management Initiative A Renewed Focus”

What makes it different?

DenialsIQ… helps administrators automatically identify the root

cause of their claims denials, so that they can work them more

quickly and do so without research.

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Proooooooooove iiiiiiiiitttt…..

DenialsIQ identifies denials patterns through root cause factors and prioritizes based on value, providing powerful insights that drive action, without research

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DenialsIQ

Where are my most costly and unexpected denials patterns? How do I fix them more effectively?

A “pile” of denials, each with a reason 300 denials x 1

Trends queried based on experience, intuition

With Insights

“The stuff we don’t know about.”

Patterns are identified automatically, can be resolved as a unit and

common themes provide context without research

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Visu

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Invoice Count

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Level of unexpectedness

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Traditional denial resolution approach

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So if a customer asks something like… “hey, what is this new DenialsIQ

thing I just got an email about,” what would you tell them?

What is DenialsIQ? DenialsIQ is an advanced analytics solution What does it do? that uncovers unseen patterns from within claims denials, What makes it different? helping administrators automatically identify the root cause of their claims denials, so that they can work them more quickly and do so without research

11 Excuse me - my customers need more than a fancy statement to convince them

What data is DenialsIQ using?

How is DenialsIQ getting the data?

Revenue Cycle application

What data is being used by DenialsIQ and how is it getting to the data center?

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Centricity Business

Centricity Group Management

Centricity Practice Solutions

Mostly EDI data, but supplementing with CB-specific data for better fidelity

Mostly EDI data, but supplementing with GM-specific data for better fidelity

All of the data for DenialsIQ for CPS is coming directly from EDI

Weekly extract from EDI & weekly extract from CB using Client Metrics extractor

Weekly extract from EDI & weekly extract from GM using scheduled queries

Weekly extract from EDI

Commercially available date

Production live w/ customer use

Revenue Cycle application

When is DenialsIQ available?

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Centricity

Business Centricity Group

Management Centricity Practice

Solutions

Commercially available now!

Commercially available now!

Commercially available now!

Production live now! Production live week of October 9th

Production live week of November 17th

Comprehensive financial management solution to help thrive through industry changes

1. Representative results realized by Children’s Orthopaedic and Scoliosis Surgery Associates, St. Petersberg, FL. 2. Average results experienced by a sample of ten practices with 11 or more physicians. 3. UC Irvine reduction in claims denials in their first month of using DenialsIQ

Improve productivity and increase revenue cycle efficiencies

• Reduce days in A/R by 18% within 3

months2

A/R Accelerator

Reimbursement Analytics

Monitor and benchmark KPI’s vs. peers

• Customizable business intelligence tool that

helps optimize practice performance

Hosted Claims Manager

Real time clinical editing engine

to optimize first-pass yield

• Reduce claims rework up to 50%1

DenialsIQ™

Uncovers hidden patterns based on root cause factors

• Reduced denials by 47% in first month

Productivity Optimization Services

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Schedule demos – In the booth we will have 2 CPS demo stations, and one each for

Pop Health, CB and DenialsIQ. Schedule private demos using the tool at the link below. Simply browse out to the dates of the conference and block times on the calendar during the exhibit hours shown below. https://GEHealthcareIT.resourcescheduler.net/resourcescheduler (if this is your first time logging in and you have issues, try logging in and leaving the password blank) Exhibit hours - The meeting will be at the Gaylord Opryland Resort and Convention Center. We are booth number 600. Booth schedule follows: Sunday, October 11 4:30 pm-6:30 pm Monday, October 12 9:00 am-5:00 pm Tuesday, October 13 9:00 am-1:30 pm

Product portfolio discussion and differentiation

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Using DenialsIQ, one customer experienced outstanding results in just one month…

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Case Study: UC Irvine Physicians Billing Group

Improve denials performance

Improve eligibility related denials

Improve coding related denials

Work more effectively

Improves financial performance by reducing denied claims

Challenges Solution Outcomes

PRODUCTS:

Centricity Business DenialsIQ

800+ physicians | $500M claims submitted per year | 30 Billing and Accounts Receivable groups

Reduced denied charges by 47%

Reduced by eligibility related denials by 29%

Reduced coding related denials by 7%

Reduced re-work cost $93k

The strong cash flow and stable financial performance that Centricity Business delivers helped us earn good ratings for the bonds we needed to fund the building of our Critical Care Hospital.

– Elizabeth Burrows IT Director Physicians Billing Group UC Irvine Health Results may vary and do not constitute a representation, warranty or performance guarantee.

Content - Provide dynamic resources that span the customer journey to help accelerate deals and maximize wins

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Name Location Status/Notes

DenialsIQ product FAQ • CB: SFDC click here

• GM: complete • CPS: complete

• CB: Complete

• GM: In Zinc ETD 9/2 • CPS:

Product brief • Zinc – Click here • Complete

ROI calculator • Web – Click here • Final edits: ETD 9/4

AutoDemo • Web – Click here for preview • ETD: FW37

Whitepaper • Gated version: Click here • Non-gated: Click here

• Complete

Website • Google DenialsIQ or click here • Complete – updates ongoing

Sales presentation • CB: SFDC click here • GM: SFDC click here

• Complete

Recorded product demo • Services portal: Click here

DenialsIQ Content Pack!!!!! Click Here

Introducing analytics with resources

Content Training Digital

Centricity Solutions for Financial Management: Analytics The right insights at the right time to help solve your biggest problems

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Reporting Advanced Analytics

Business Intelligence

L1: BI-Reporting L2: BI-KPI L4: Decision Support L5: Prediction L6: Prescription L3: Alerting & monitoring

Reimbursement Analytics: Helps

manage claims denials workflow and improve productivity with

• Pre-packaged and customizable KPI

reports, alerts and dashboards

• Peer-to-peer benchmarking vs. local and

national like practices

• Also includes: Claims, procedural and

productivity data

DenialsIQ: Surfaces unseen patterns based

on root cause factors that traditional reports and BI tools would not find

• Patterns delivered automatically without

human intervention by advanced algorithm

• Dynamic visualization display patterns by

dollar value, invoice count and impact

allowing users to fix problems in bulk

Solution Spotlight: Claims denials

Overview of IMP Activity Strategy/Tactics

Planning and content • Cross CBS segmentation

• Dynamic content strategy

Sales enablement • Sales training – product, market, content

Awareness • Thought leadership presentations w/ UC Irvine (HFMA, WRUG, ANI) • Digital – Blog, twitter

Demand gen • Group webinars • Launch communications • Tradeshows

Service and loyalty • Customer collaborators – build reference program

Channels • Direct - ongoing support and training for direct teams (PSS, ADM,

Services) • Indirect – working with APS VAR team

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