proprietary and confidential health information management solutions date

Proprietary and Confidential

Health Information Management Solutions

Date


SourceHOV

SourceHOV energizes our clients’ success with platform-driven business process solutions for core functions.

We provide total life cycle services and analytics that increase efficiency and quality while providing critical quantitative insight.

SourceHOV delivers high-value business outcomes for leading organizations including more than half of the Fortune 100.


Established Credibility, Advantageous Flexibility

$3.5BSettlements distributions

$500M2011 Revenue

(USD)

$4M+

59Clients with over $1M in annual billings

State tax fraud prevented

Healthcare under-payments recovered

600KHealthcare claims processed daily

12,500Employees in 6 countries

U.S. locations with HIPAA-certified,

citizen and classified options

70+

$1.5B 4,000Legal claims

administration projects


Here’s what we know about your business

Insert what we know about the customer’s pain points and what are their top priorities right now


A balanced portfolio of solutions, for both providers and payers, that encompass the full life cycle of back office processes.

Providing a roadmap, from physical to electronic including our online self-service platform, for rapid and transparent two-way interactions.

High caliber analytics for complex adjudication and payment processing, ending in solutions to capture revenue, prevent fraud, reduce waste, and assure contract compliance


Proven, Scalable and Innovative Payer solutions, delivered to many of the largest private and public health insurers, that beneficially change payer/provider communication processes, accuracy and costs.

Intelligent, Tested and Effective Provider solutions, serving acute care facilities across the US, supporting ongoing efforts to reduce revenue capture cycle times, minimize claims resubmissions, and reduce operational waste thus putting more budget toward patient care.


Full Life Cycle Healthcare Back Office Solutions

Accepting member and provider submissions using physical, electronic and online models and providing robust verification and entitlement

Electronic and physical payments and lockbox services, presentment and communications to accurately fulfill claims processes

Trained for operational excellence, our global team help clients improve revenue cycles through quality, speed and scale

Deep industry expertise combined with robust platforms allow us to provide payers and providers hard dollar reimbursement savings and knowledge-based solutions at the core of their claims

Beneficially changing how claims and resubmissions are managed with paperless speed and online process visibility

Comprehensive Enrollmentand Verification

Payments, Presentment and Communications

Coding, Consulting, and Training

Online Self-Service

Complex Adjudication and Analytics


Proven Performance in Healthcare Information Management

ExperienceOur difference: 30+ years in HIM, 40+ years in document management

Quality and AccuracyExceeding 96% accuracy via AHIMA certified staff

700HIM directors

served in hospitals,

outpatient facilities and labs

nationwide

Our team members are SourceHOV employees, not contractors

PeopleDedicated Account and

QA Management

Processes


Spectrum of HIM Services

HIM directors can significantly improve resource utilization and mitigate documentation management challenges while raising service levels, achieving greater satisfaction and improving quality as a direct result of SourceHOV | Healthcare Solutions

Enhancing revenue cycle effectiveness and satisfaction:• Coding resource support• Interim Management• Corporate Compliance Program

Identifying and implementing improvements:• ICD-10 Coding

Training• Clinical

Documentation Improvement

• Audit Services• Workflow• Billing Edit Reviews

Providing a roadmap to a paperless environment: • Medical document and image

storage • On-demand digitization• Storage and destruction

CodingConsulting

Records Management


Serving HIM Directors with Flexible Coding Solutions

• RHIT, RHIA, CCS, CCS-P, RN credentialed staff

• AHA, AHIMA, CMS Compliant

• Regular quality reviews and accuracy assessments

• Industry leading internal training requirements

• SLAs and facility-specific policies and procedures

• Dedicated account and QA manager per facility

• Remote coding via scanned images, electronic

records or hybrid systems

• HIPAA compliant and fully secured centers

• 3M Preferred Partner



• Maintaining skills and productivity• Ensuring revenue capture and cash flow• Minimizing coding backlogs

Challenges:

• Onsite Coding• Remote Coding – Domestic and Global• ICD-10 Training• Vacations, Leave, Staff Augmentation and

Outsourcing• Experience with All Coding Systems

Solutions:


Supporting the Transition from Paper or Film to Digital

• Serving over 3,000 healthcare clients

• Medical record document storage facilities

throughout the U.S

• Approx. 50 million medical records managed

• Radiologic and mammography analog image storage

• DICOM film digitization

• Vendor neutral archiving and image sharing

• NARA compliant facilities supporting federal

government clients including several VA healthcare

facilities



• EMR conversion and transition• Improving efficiencies and minimizing bottlenecks

to revenue

Challenges:

• On-demand medical record digitization and retrieval

• Medical image digitization and retrieval• Medical record document storage and destruction• Day forward and back scanning of medical records

documents• NARA certified storage

Solutions:


Extending Value Through Consulting Services

• Custom training for all practice specialties and non-

physician practitioners

• Concurrent med records reviews

• ICD-10 fundamentals education

• Outpatient audits for all care settings

• Code validation and analysis

• Audit to audit comparison reviews



• Document risk management• Improving coding accuracy

Challenges:

• Clinical Documentation Improvement• Coding Process Improvement and Analysis• Documentation Review, Education and Feedback• Coding Audit and Revenue Impact Assessments• Performance based Analytics

Solutions:


Coding

450 bed teaching hospital

• Reduced backlog by $11.5 million per week at 98+% accuracy

• Transitioned all coding offsite to SourceHOV | LexiCode US facility

• Former HIM space repurposed for physicians


Document Management

VA Health System

• Outsourced solution will drive expected savings of $1.75 million

• SourceHOV handles all:

• Chart management

• Prep/reassembly

• Scanning/indexing/archiving

• Facilitates electronic document access


Coding

National sub-specialty lab

Lab’s coding function was costly compared to peer group and backlog represented substantial lost revenue

• Transitioned to 100% outsourced solution

• Reduced coding operating expense 50%

• Reduced turnaround time to 24 hours


Industry Know-how Supported by Platform Driven SolutionsSo

lutio

ns

ManufacturingRetailPublishingConstruction

% 2012 Revenue

BFSILendingBankingProperty and Casualty

LegalLaw FirmsCorp. CounselGov. Attorneys

HealthcarePayerProvider

Public SectorFederalStateLocal

Claims Admin.NotificationExpert TestimonyLitigation Support

Claims Proc.Doc. Mgmnt.Revenue CycleFraud/Abuse

Application Proc.Doc. Mgmnt.Revenue CycleLitigation Support

Doc. Mgmnt.F & A Proc.HR Proc. Mgmnt.Content Mgmnt.

30%28% 12%

20%

11%

Document Transformation and

Management

Business Process Workflow

Claims Administration

Financial Management

Content ManagementPlatf

orm

s

Claims Proc.Doc. Mgmnt.Revenue CycleAnalytics


Industry Know-how Supported by Platform Driven SolutionsSo

lutio

ns

ManufacturingRetailPublishingConstruction

% 2012 Revenue

LendingBankingProperty and Casualty

Law FirmsCorp. CounselGov. Attorneys

PayerProvider

FederalStateLocal

Claims Admin.NotificationExpert TestimonyLitigation Support

Claims Proc.Doc. Mgmnt.Revenue CycleFraud/Abuse

Application Proc.Doc. Mgmnt.Revenue CycleLitigation Support

Doc. Mgmnt.F & A Proc.HR Proc. Mgmnt.Content Mgmnt.

30%

28% 12%

20%11%

Document Transformation and

Management

Business Process Workflow

Claims Administration

Financial Management

Content ManagementPlatf

orm

s

Claims Proc.Doc. Mgmnt.Revenue CycleAnalytics

OtherBFSILegalHealthcare Public Sector


Content CreationAuthoringPlain LanguageNotificationsProject ManagementPorting Consulting

Economic and Statistical Consulting

Construction ConsultingTax Consulting

Business Communications

FulfillmentPresentment

RecallsBreach

Member ManagementEnrollmentApplicationsRegistrationEmployment

AnalyticsVerificationCredentiallingeDiscoveryeForensicsRevenue Integrity

Fraud, Waste and AbuseCase Management

Document Life Cycle

ConversionBack-fileNDTMailroom

WorkflowLitigationVital RecordsLending

AdjudicationMedical and Legal ClaimsAP/ARTax Returns

StoreDistribute DestroyPhys./Elect.Lockbox

Customer CareClearinghouseSelf-ServiceCall Centers

SourceHOV Core Capabilities


• Add client HIM specific challenges

Add health system name or client specific HIM challenges

NotesNotes Notes

Records Management ConsultingCoding


The End

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proprietary and confidential health information management solutions date

Documents

claims resubmissions

claims processestrained

effective provider solutions

revenue capture cycle

knowledgebased solutions

innovative payer solutions

physical payments

revenue cycles