ICD-10 Transition Services Presentation

Business Innovation. Smart Sourcing. Operations Management.

HEALTHCARE SERVICES COLLATERAL. © 2015.www.transbizsolution.com/healthcare

TBS Strategic Advisory

Consulting

The TBS“Solutium’’

Transnational Business Solutions'

ICD-10 Transition ServicesPresentation

Business Innovation. Smart Sourcing. Operations Management.Healthcare Industry

Overview of the current status of the industry.

Introduction:

ICD-10Transition

As the Healthcare Industry transitions to ICD-10, changes and restructuring of organizational policies and procedures will be necessary. This transition will affect much more than the coding department, if not prepared, it will significantly affect your organization’s revenue flow.

IS YOUR ORGANIZATION PREPARED FOR THE OCTOBER 1 DEADLINE?

TBS is positioned to help develop a transition plan that will avoid the potential for productivity losses and other challenges that can negatively impact revenue. Properly preparing for this transition will take more than just training coding professionals.

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The healthcare industry is in an unprecedented situation where success will depend on right collaboration of technology and the people who will drive it.

ICD-10Get ready for ICD-10!TBS can help you.

TBS has the experience necessary to analyze an organization’s current as well as projected needs surrounding the transition to ICD-10 coding requirements and what could happen if not prepared.

Business Innovation. Smart Sourcing. Operations Management.What is your ICD 10 Readiness?

Transition to ICD-10

Based on a Hospital’s annual revenue of $100,000,000 as an example, here is a look at the potential impact of not being prepared for the ICD10 Deadline of October 1, 2015:

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Let’s assume the current amount of coders needed to meet billing requirements is, as an example 10 coders regardless of whether they are in house or remote contracted coders.

Many organizations including Blue Cross Blue Shield are reporting Hospitals are finding ICD-10 coding can take 2-3 times longer than ICD-9 coding.

Transition to ICD-10 on 10/1/2015 would then require approximately 20 coders to clear the same amount of charts as it is estimated that each chart will take as much as 50% longer to complete

Consequently if you consider of the 10 average charts each coder is estimated to complete per day(which is half of today’s production) it is expected that half of them could be denied because of mistakes with the new ICD-10 codesBased on your average monthly billing of $8,333,333 and a denial of between 40-50% more of monthly claims filed you could have a cash shortfall of 3.3 to 4.1 million dollars per month.

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TBS ICD-10 Transition ServicesOur engagement & implementation.

TBS ICD-10 Transition Services

Provide consultation services to assess your medical coding needs for transition to ICD 10 and develop plans to assure readiness

1. Assess Coding Needs

2. CDI Training

3. Supply Trainers

4. Reserve Vetted Coders

6. Underpayment Recovery

5. Help Acquire Funding/Capital

Administer CDI training for staff to better understand the documentation requirements for the additional information needed in ICD -10 Coding

Supply AHIMA Certified Trainers to improve skill and audit the ICD 10 coding of your current coding staff.

Reserve the amount of coders needed for the ICD 10 transition from the TBS pool of fully vetted and certified remote medical coders. TBS will contract with you to supply, manage and pay these contracted medical coders as outsourced staffing

TBS will align you with a funding source to help manage any

potential short term cash flow caused by ICD 10 transition issues.

Provide a prior 12 month audit review of all zero balance accounts to identify and rebill any underpaid

claims to offset the costs of additional coders needed.

Our Team at TBS could help you plan and prepare for ICD-10 and avoid potential cash flow shortages with the following service options:


HEALTHCARE SERVICES COLLATERAL. © 2015.www.transbizsolution.com/healthcare 0

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Our team recognizes the complex and unprecedented challenges facing the healthcare industry today. Be it in the area of business process management, interoperability, population health management or patient engagement, we work closely with clients in developing, what we refer to as the “TBS Healthcare Solutium”. This is a unique and highly customized business solution that TBS has created, along with its consortium of selected delivery partners, that enables us to fulfill the client's exact requirements.

About TBS

TBS is a strategic advisory and operations consulting firm has an abundance of experience and knowledge of the issues facing the business of healthcare today. Transnational's healthcare practice vertical is headed by highly experienced healthcare professionals along with veteran business executives with deep insight about the challenges and continually evolving landscape of the healthcare industry. Together our team utilizes proven business practices to identify the key issues facing an organization and works with specific subject matter partners to provide proven solutions for their particular needs.

WHO WE ARE

Overview of our operations.

Business Innovation. Smart Sourcing. Operations Management.Our Leadership Team

For the Healthcare vertical.


Sumantra Sen Founder & Managing Director

[email protected]

Dr. Charles AswadDirector - TBS Healthcare Services

[email protected]

Manab SenPrincipal Strategic Advisor

[email protected]

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Tim KirschConsulting Partner

[email protected]

Janet HortonMedical Billing & Coding Manager

[email protected]

Leadership Team Bios available at: www.transbizsolution.com/leadership

Our management team consists of Healthcare and Business Experience with decades of success.

We have assembled a consortium of service Partners that bring the best practice solutions to the issues facing healthcare today.

Our process preserves your current strengths, and adds improved solutions to prepare for the needs of tomorrow.



VISION&

MISSION

What we believe inOur guiding principles.

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TBS recognizes the unprecedented and complex challenges facing the healthcare industry today. Our vision is to provide holistic and integrated solutions to the new emerging healthcare system.

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Our mission is to drive our client’s success through our deep domain knowledge of healthcare, along with best practice solutions with our consortium of proven partnered providers.



TBS Service ApproachOur Approach

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This Includes: Decision making tools for care

planning and implementation Patient engagement Improvement of operational

efficiency Coordination of care efforts of

hospital and physician groups into one Participating Provider System (PPS).

Care Provision

Care Management

Our team recognizes the complex and unprecedented challenges facing the healthcare industry today. Our role is to transform healthcare organizations from “Care Provision” to “Care Management” in line with the trend towards performance based reimbursement.

OUR HEALTHCARE

SERVICES

The TBS Process

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Discovery Design

Implementation and Results

Once our solutions are implemented, we will then work with our clients to bring measured results along with continued process improvements.


We engage with our clients to get a deep understanding of their immediate challenges as well as those that lie ahead.

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Our engagement & implementation. Once we identify the needs, plans and solutions will be developed that best address the issues.

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TBS


The TBS “Solutium” 01

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Together with our consortium of partners we provide the following solutions to the challenges facing healthcare today!



Population Health Management with advanced and Predictive Analytic solutions

TBS Advisory Project

Management Change

Management Innovation Human Capital

Management

Financial Sustainability with

best practice Revenue Cycle Management

solutions

Business Process Improvement in

organizational and IT systems &

solutions

Delivery of healthcare

content to meet the challenges of the shifting

payment model

1. Business process Integration and improvement.

2. Secure Healthcare Communications

3. Compliance and content management

4. Population health & disease management.

5. Clinical Trial/Grant Management Solutions

6. Revenue Cycle Management Payers &Providers.

Our Health Care Services Include:



Why TBSWhy Us?

WHY TBS FOR HEALTHCARE CONSULTING?

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Subject Matter Expertise (Clinical) hands on and leadership experience in provider organizations

Deep understanding of changes, challenges and opportunities related to the transition occurring in the healthcare industry

Nationwide senior level contacts within and outside of the Healthcare industry

Senior Business Leadership experience both Nationally and Internationally

Hands on experience in designing IT enabled business process solutions.

Strong project management skills covering multiple verticals

Focus on cost saving solutions which are critical to Healthcare Organizations stability.

Proven solutions delivered from the partnerships assembled in the TBS “Healthcare Solutium”

TBS will assist in the Project planning stages right through the implementation and review of success of the projects for each of our clients we are collaborating with.



THANK YOU!

Contact Us:45 West 34th Street

Suite #1107 New York, NY 10001

www.transbizsolution.com

[email protected]

800-362-8691