Best Practices…. “Cost Saving Process Improvement for Healthcare Revenue Cycle” Presented by;

2. Best Practices…. “Cost Saving Process Improvement for Healthcare Revenue Cycle” Presented by; RevCure Consulting Inc.

3. TABLE OF CONTENTS • About RevCure Consulting Inc. • Front End Best Practices Overview • Cost Saving Solutions for Revenue Cycle Improvement • Front End Solution(s) • Solution Description • Screen shot workflow • Understanding the Value • Back End Solution(s) • Solution Description • Screen shot workflow • Understanding the Value • Conclusion • How to Get Started……..

4. About Revcure Consulting Inc. RevCure Consulting Inc. (RCI) is dedicated to using its experience and knowledge to assist providers with Revenue Cycle improvement by connecting a providers revenue cycle needs with the best fit solutions and ensuring a successful implementation. RCI Experience: • Personally advised over 200 CFO’s on Revenue Cycle Technology • Implemented Revenue Cycle technology at over 75 Hospitals • Guest speaker for ‘Revenue Cycle Process Improvement’ at AAHAM, NAHAM and HFMA conferences hosted across the country RCI Services: • Revenue Cycle Solution Services (matching client needs with best fit vendor solutions) • Solution Implementation (managing the start to finish process of implementing new solutions) • Contract Review and Negotiation for current and new vendor solutions • Vendor/Solution replacement (finding vendor solutions that can replace current failed solutions/vendors) • RFP/RFI management and grading process

5. Overview: Front End Demographic, Insurance and Financial Verification Best Practice Process: • Automated identity verification (name, address, SSN, DOB and Phone #) at patient registration • Fraud Identification (Red Flag compliance) • Insurance Verification for Medicaid, Medicare and Private Payers • Automated healthcare financial assessment based on credit report data (includes charity decisioning and ability to pay) • Automated real-time pop-up box on registrars screen with demographic, insurance and/or financial info for optimal processing time and registration accuracy

6. Why is Front End so Vital?

7. “BEST IN CLASS”Revenue Cycle Solutions • 1) Demographic Verification and • 2) Insurance Verification Web-browser tool for real-time demographic verification, insurance eligibility and/or financial screening (includes pop-up boxes on registration screen for optimal efficiency) • 3) Financial Analysis Summary Tool (F.A.S.T.) Instant patient financial analysis based on credit data; includes charity care analysis, ability to pay and collections bucketing • 4) Program Eligibility Screening and Workflow Interview Wizard used to identify potential Medicaid and Charity Care eligibility. Includes automated application completion and workflow tools to enhance work flow and user experience.

8. Screen Shot Workflow 1) Registrar enters patients demographic information into the registration system

9. Screen Shot Workflow con’t Automatic Pop-up Box with demographic, insurance and/or Financial analysis (includes red flag messages and scripting options) Automatic Pop-up

10. Toolbar pop-up can verify patient demographics (name, address, SSN, phone #), insurance eligibility (including Medicaid), and provide a financial pathway (charity and/or ability-to-pay)

11. Easy Set-Up and Configuration for desired data in pop-up box Can opt to include demographic, insurance and/or financial data in pop-up box and can be controlled on a per user basis

12. Workflow Improvements and Value Proposition 1) Demographic Verification Receive demographic validations delivered via a real-time pop-up window sent directly to registrar screen • Reducing returned mail volumes begins with getting the correct address from the start, don’t wait for the patient to leave before you realize you have the wrong address • Red flag alerts on fraud and misinformation can be easily identified at time of registration (fraud equals bad debt) • Use the best data and the most efficient solution to improve registration process

13. Workflow Improvements and Value Proposition con’t 2) Electronic Insurance Verification Stream-line the adjudication process by receiving instant payer information via a real-time pop-up window with necessary insurance information • Empower your registrars by supplying them with instant, accurate insurance information for Medicaid, Medicare and Private insurance patients • Real-time pop-up window with information allows for efficient and user friendly process • Aggressive pricing and a large payer list makes this a great option for any provider

14. Workflow Improvements and Value Proposition con’t 3) Financial Analysis Summary Instant patient financial analysis including charity care, potential Medicaid and ability to pay for collections bucketing • Empower end-users to more accurately financially bucket self-pay and charity care accounts • Improve front and back end collections by understanding true ability to pay • Decrease financial fraud in charity care • Identify potential Medicaid applicants

15. Front End Solutions • Potential Results: • Up to 30% reduction in returned mail • Decrease in fraud and demographic inaccuracy • Improved insurance adjudication • Increased up-front collections • Improved efficiencies at Registration and Financial Counseling

16. Front End Solutions key I.T. and Operational Features IT Features • Web-based, instant access for staff • Quick and easy set-up • Real-time response (almost instant) • Option for automation through HL7 interface (setup time averages 3-6 hours) Operation Features • Simple to use and train (process supported by RCI) • Robust and reliable data from Credit Bureaus, White pages, US Post Office, and Professional database companies • Customizable screens and messaging • Management reporting

17. Overview: Back End Financial Screening, Workflow and Interview Wizard Best Practice Process: • Use credit data to predict Charity Care vs. True Self-Pay accounts • Assign and track accounts with workflow management solution • Interview uninsured patients for Charity Care and Medicaid benefits with an Interview Wizard • Populate/Complete applications using automated electronic process • Report on Charity Care, Medicaid and Collections totals using reporting module vs. manual spreadsheet reporting

18. Workflow / Interview Wizard • Key Features: • Automates the eligibility screening, submission, tracking and management of State Medicaid and hospital specific Charity Care programs • - Assignment Worklists including Case Prioritization • - Status Transition of applications • - Targeted interview ensures the fastest path to application completion • Screens the applicant for the complete array of assistance programs for which the applicant may be eligible in a single interview session • Utilizes “QuickScreen” technology to rapidly assess eligibility and allow for 24/7 coverage at all intake points • Electronic Referral process

19. Work listing Accounts Manage all Cases and Track Status

20. Interview Wizard for Charity Care and Potential Medicaid Rapidly assess eligibility at all intake points

21. Interview Wizard for Charity Care and Potential Medicaid con’t Electronically refer clients to counselors for follow-up

22. Interview Wizard for Charity Care and Potential Medicaid con’t Electronic folder for all case actions and documents

23. Interview Wizard for Charity Care and Potential Medicaid con’t Data entry screens to capture all categorical and financial information

24. Interview Wizard for Charity Care and Potential Medicaid con’t Displays potential eligibility for all Household Members

25. Automated Application Process Pre-populates all forms from screening interview

26. Document Verification Checklist Guides the user in acquiring and managing supporting documentation

27. Imaging Applet Acts as an image repository

28. Financial Assistance Account Report - 1 Robust tools generate a wide variety of management reports

29. Financial Assistance Account Report - 2 Robust tools generate a wide variety of management reports

30. Workflow Improvements and Value Proposition 4) Work flow, Interview Wizard and application completion • Minimize bad debt on uninsured accounts by increasing Charity Care and Medicaid conversions • Simplify Charity Care and Potential Medicaid Interview Process with • Don’t bad debt accounts that should be Charity Care or can be approved for Medicaid • Reporting available to extract results

31. Why Choose these solutions? Why are these solutions “Best in Class”? • Easy to setup, easy to use and the most efficient data delivery process • These solutions utilize the most accurate credit and insurance data due to strategic partnerships • Pricing model provides ‘high reward potential’ with ‘minimal financial risk’

32. Why Choose these solutions? High Reward Potential • These solutions directly affect high cost areas in the revenue cycle: returned mail, identify fraud (red flag), insurance adjudication, self-pay collections, charity care and potential Medicaid. • These solutions can greatly assist in improving each of these revenue cycle areas by allowing the end user to be more productive and accurate • Competitive pricing for these solutions allows clients to maximize success in terms of ROI. Low Risk • Extremely aggressive pricing allows clients to begin utilizing tools with minimal financial risk while still getting the maximum financial return. • Flat fee pricing is offered so clients can run high volumes of accounts and can easily predict monthly/yearly costs while guaranteeing lowest price per transaction. • Low start up costs minimize financial risk for clients who want immediate use for any of the above solutions.

33. How to Get Started…… Contact RevCure Consulting Inc. to get started; RCI will assist all interested providers to obtain proper contact and contractual information for vendor organizations that support the above demonstrated solutions. RCI Contact Info Spencer J. Collum RevCure Consulting Inc. President / CEO Phone: 954-347-1555 Email: spencer@revcureconsulting.com Website: www.revcureconsulting.com