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MEDICAL BILLING SERVICES
© Flatworld Solutions, Inc. 2009
AGENDA
History Of Rapid Growth Corporate Profile Global Delivery Model Flatworld Client Locations Service Offerings People Practice Management Software Process Transition Reporting Why Flatworld? HIPAA @ Flatworld Security Other Services Flatworld Infrastructure Flatworld Facilities
© Flatworld Solutions, Inc. 2009
• Flatworld Solutions is headquartered in the Silicon Valley of India, Bangalore, famous the world over for being the hub of outsourcing activity.
• Our customers are located in the US, Canada, UK, Norway, France, Australia, The Netherlands, Switzerland, Israel, India, Sweden, Germany and UAE.
• Our global delivery centres are located in Bangalore (multiple locations), Chennai (multiple locations), Coimbatore, Trichur, Mumbai, Philippines, Peru, Bolivia, Colombia, Paraguay, Mexico and Kenya.
A HISTORY OF RAPID GROWTH
© Flatworld Solutions, Inc. 2009
CORPORATE PROFILE
Over 10 years of US Healthcare Experience
Registered offices in US, UK and India
Current strength of over 70 Billing Specialists and Receivables Specialists.
Multiple delivery centers offering redundancy
Leading Provider in Billing, Teleradiology, Transcription and Software
Solutions
© Flatworld Solutions, Inc. 2009
GDC-ArgentinaCordoba
GDC-ChileSantiago
GDC-INDIABangalore, Mumbai,
Chennai, Coimbatore, Pune, Trichur
GDC-The PhilippinesCebu City
GDC-Bolivia La Paz & Santa Cruz
GDC-Peru Lima
GDC-Kenya Nairobi
GLOBAL DELIVERY MODEL
harnessing the world’s best resources for you…
© Flatworld Solutions, Inc. 2009
GDC-Mexico
GDC-Paraguay
GDC-Colombia
MEDICAL BILLING CLIENT LOCATIONS
Flatworld coverage in US
© Flatworld Solutions, Inc. 2009
SERVICE OFFERINGS
© Flatworld Solutions, Inc. 2009
PEOPLE
Operations headed by a Manager with 15 yrs of experience.
Operations Manager in industry since off-shoring trend of RCM 1994.
Over 70 Medical Billing and Accounts Receivables Specialists.
Coders, Billers & AR specialists have average experience of 3 years.
1/3rd of the professionals are post-graduates and the rest graduates.
Cross training on multiple specialties and PMS.
© Flatworld Solutions, Inc. 2009
SPECIALTIES
Internal Medicine
Ambulance
Chiropractic
Physical therapy
Gastroenterology
Pediatrics
OBGYN
Urgent Care
Rheumatology
Endocrinology
Podiatry
Pathology
Ophthalmology
Anesthesiology
Psychiatry
Skilled Nursing Facility
Cardiology
Pediatric Neurology
Pediatric Nephrology
Orthopedic
Emergency Room© Flatworld Solutions, Inc. 2009
PRACTICE MANAGEMENT SOFTWARE
© Flatworld Solutions, Inc. 2009
Requirement Analysis
Pricing & Contracting
Project Initiation
Project Steady State Ramp-up
PROCESS TRANSITION
© Flatworld Solutions, Inc. 2009
REPORTING
© Flatworld Solutions, Inc. 2009
SCAN CONTROL LOG (CHARGES) – Daily Report
Gives details about the # of pages received, # of charges and demos received on a day to day basis, how many completed, how many pending and the date completed
SCAN CONTROL LOG (PAYMENTS) – Daily Report
Gives details about the # of pages received on a day to day basis, value of payments received, how much posted & how much un-posted & the date completed .
PENDING LOG (CHARGES) – Daily Report
Report Description: Gives details about the claims which require some clarification from client on the Patient Demographic or on the Encounter form.
Field Names: Name of the batch, date when file was sent by client, patient name, DOS, Reason for pending & client comments. In the Client Comment section, the Client need to enter their comments and send us back the excel sheet to clear the pending issue.
REPORTING
© Flatworld Solutions, Inc. 2009
PENDING LOG (PAYMENTS)– Daily Report
Report Description: Gives details about the claims which require clarification from client on the EOBs.
Field Names: Name of the batch, page number, the patient name, chart number, date of service and the reason for pending. It also has a “REMARKS” section where the Client needs to enter their comments and send us back the excel sheet to clear the pending issue.
A/R REPORT- Weekly Report
Report Description: This report will let the client know about the work FLATWORLD did for a week in terms of AR follow up. The # of calls made by the agent with the representatives of the insurance & the action to be taken for the claim.
Field Names: Chart number, patient name, DOS, Insurance to whom the call was made, Total charges, balance outstanding, the comments/notes i.e. the conversation between the caller and the insurance agent and the action needed to be taken on the claim and finally the action code
Why FLATWORLD
Knowledge of working with all insurance payors including Medicare & Medicaid
24/5 Operations
State of the art infrastructure
Elimination of hire-replace-train process
Knowledge retention
High employee retention rates – 92% in 2008
Accessible via toll free number 8AM-5PM Mon-Fri during US Business hours
© Flatworld Solutions, Inc. 2009
Why FLATWORLD
Reduction in Operational Costs up to 40-50%
Highly experienced Billing and AR Specialists
Coders certified by AAPC
Clean Claims, Fewer Denials
Follow-up on all claims not paid within 30 days
Guaranteed Improvement in Collections
Daily, Weekly and Monthly Reports
© Flatworld Solutions, Inc. 2009
HIPAA @ FLATWORLD
Privacy
Every staff member signs a confidentiality agreement.
Client information access to staff is password protected and is provided on an
‘as-needed’ basis
Records of data access are maintained and supervised by an authorized security
officer
All the documents received from the client are handled in electronic format.
Documents are not printed at Flatworld facilities.
Accessibility to external storage device is denied
© Flatworld Solutions, Inc. 2009
HIPAA @ FLATWORLD
Security
Access to Flatworld is provided only via a secure VPN connection using firewall
Data is encrypted before transmission
Data is frequently backed up and stored
Access to the organizations’ information system is controlled through proper
authorization, establishment and modification to access
Record of access authorization is maintained.
Controlled access to the stored data to accredited individuals to ensure
accountability of all transactions
© Flatworld Solutions, Inc. 2009
People Process Technology
Prevention
Detection
Response
Awareness Commitment Action
Plan Enforce Check Improve
Systems Network Applications Tools
Authentication Identification Authorization Access Control Confidentiality Integrity
Accountability Audit Intrusion Detection Non Repudiation Availability
Triage Recovery Reliability Corrective Action
SECURITY
It is a process driven approach that significantly enhance the security of our IT infrastructure from internal and external threats using researched processes,
procedures and tools.
© Flatworld Solutions, Inc. 2009
OTHER SERVICES
INDEXING MEDICAL RECORDS INTO AN EMR
TELERADIOLOGY SERVICES
MEDICAL ANIMATION AND ILLUSTRATION SERVICES
TELERADIOLOGY SERVICES
Certified Reporting by US Board Certified, Licensed Radiologists
Preliminary Reporting by Indian MD Radiologists
© Flatworld Solutions, Inc. 2009
Generator UPS
1
23
UPS (servers)Electricity
Power 3 levels of redundancy Primary Source – Available 500 KVA
– Facility Load 300KVA
Generator Backup – 450 KVA generator with fuel Storage for 24 hrs operation onsite with arrangements to sustain
UPS Network Centre – 1 X 60KVA (Redundant)
UPS Overall – 4 X 160KVA All devices are with dual power supply
and fed thru independent power paths. 3 tier architecture Redundant L3 Core design Servers terminate into the core through
redundant connectivity Redundant workgroup switches (with L3
capability) per floor collapses into the Core
Network fabric with port level physical redundancy
150 active ports per floor
POWER & NETWORK
FLATWORLD FACILITIES
www.outsource2india.com
|www.nabler.com
|www.flatworldsolutions.com
WEBSITES
© Flatworld Solutions, Inc. 2009
THANK YOU
Flatworld Solutions, Inc.Princeton Forrestal Village116 Village Blvd, Suite 200
Princeton, NJ 08540
P +1- 213 784 5651 | F +1 646 619 4979 | [email protected]
© Flatworld Solutions, Inc. 2009