Inus marketing material

Looking ahead with Inus

Solutions

in the new era for Healthcare Industry

Serving US Healthcare with Strategic Business Evaluations and Analysis...

What can you expect from Inus ?

• Dedicated Account Managers for each client.

• 24/7 continuous billing support both from Front-end and Back Office

• Vastly experienced RCM specialists with Out-of-the-Box Approach & relentless improvisations all the time

92 % Claims paid

as Clean Claims

19 days Average

Medicare turnaround

Over 36 % drop

in denial rates

Private and ConfidentialInus Solutions

Inus's Complete Business Office Services

Front End Support

• EDI• Insurance/Benefits Verification• Provider Credentialing

Mid Office Support

• Charge Entry• Date Indexing• Data Conversion / Coding

Back Office Support

• Automated Claim Status Services• ERA/Manual Posting, Reconciliation• Insurance AR Follow-up• Denial Management & Appeals• Old Re evaluation, Re filing, Completion


Compliance and Information Security

• Confidentiality Agreement• Biometric Access Control• CCTV Surveillance• Restricted Email, Folder & Internet Access

• Paper Free Zone• Automatic System Lock when inactive• Unique User Id's for employees to access

system


Save more with Inus as Your Partner

• Operational Cost Reduction and

Enhanced Coordination.

• Assured 30 - 35 % saving against

Your current spend.

• Flexible Pricing Models

Resources Pre Inus Post Inus

Software $24000 $24000

In House Billing Cost (Annual Salary)

$43200 Nil

Invariable Cost $10500 Nil

Total $77700$36000 (Billing charges at 2 % of collections +

Software cost)

The above illustration indicates the cost of a single provider practice with annual collections of $600,000 and billing

services of Inus at 2 % of collections, resulting in Annual Savings of $41700.


Our Services in Accounts Receivable Management

AR analysis

AR Denial analysis

Insurance follow-up

Self-pay follow-up

Daily reconciliation of the payments and receipts entered into the system with the documents received from the clients

• Daily reconciliation of the charges posted• Coding checks and validations done on routine basis• Periodic checks on the updates of coding policies• Regular Audit of Accounts Receivables including aging analysis

An independent audit team is constantly verifying all aspects of the process is in compliance with the client requirements.


Inus Performance Statistics for the year 2014 - 2015

Performance Statistics for the Year 2014 - 2015

Charges processed for value $526,324,880

Demo Entered 411,786

Coding ( No of Charts coded) 510,008

Insurance Verification 298,100

No of provider applications credentialed 260

No of charges entered 2,988,110

Payments posted (No. of Line-items posted) 2,899,225

Value of payments posted $296,766,562

AR collected $201,105,618

AR handled $1,002,107,225

Some of the values will not match since we do partial scope projects for some of our clients.


How Inus's A La Carte Services Model can be useful ?

At Inus, we know Client's needs varies from one another and no client's needs are alike. That is why we offercustomized medical billing and coding a la carte solutions which are tailor made solutions as per their needs.

Billing Solutions Pricing Models

Insurance / Benefits Verification Per Monthly FTE

Pre-certification / Pre authorization Pay for collections

Demographic Charge Entry / Payment Posting Per Itemized transaction

Claim status Updates

AR Follow Up & Analytics / Self Pay

Provider Enrollment and Credentialing

Thousands of dollars are saved for our clients who uses our a la carte service model, even more money is saved for clients who take advantage of our Complete Billing Service. The complete billing service also saves our clients from purchasing extra computers and hiring more billing personals.


What makes Inus " A Unique Billing Entity " ?

Unlike the other service bureaus, that started with physician billing and tried to enter DME market and Hospice industry on the later stage, Inus, ever since inception provides Physician billing service, DME/HME billing service and Hospice/Home Health billing service with respective dedicated billing personals with specialized skill set.


DME/HME Billing :

• Inus comprises of dedicated DME billing team, who possess in depth knowledge about billing regulations payer wise. In addition, we have categorized the DME team into Threesome expert group namely Revenue recovery team for Federal Payer's, Revenue

recovery team for Anthem Blue Cross and Revenue recovery team for Other Private Payer's.

• With our unique 3 Tier Trigger System on DME, our billing team developed a detailed study on the current trends influencing the billing process for each and every major equipment payer wise from the billing perspective, was shared with all our Clients which had

resulted in reducing the denials and write off's to a greater extent with higher collection rate and Optimum reimbursement.

Our Strong front-end team (Insurance / Benefits Verification / Prior Authorization) emphasizes a meticulous approach on performing both the above responsibilities to perfection, which shall be evidently seen when rate of denials comes down drastically and percentage of revenue rises up.

Our billing team looks into even smaller things such as CLIA Certification number in box # 23 of CMS 1500 form when we bill for Laboratory procedures and mandatory detailed description in box # 19 when we bill for unlisted procedure codes (any CPT code ends with 99 i.e 27599, 29999, 27899), which results in achieving higher percentage of Claims paid on first submission through our cautious approach and proactive measures.

All Appeals, Medical Records requisitions, Secondary Claims submission would be sent along with POTFL (proof of timely filing) such as Initial Denial EOB when we send to Primary payer's and Primary EOB when we file on to secondary payer's in absence ofcrossover claims.

These proactive measures ultimately resulted in attaining 92 % of the Claims are paid on first submission

A Unique Billing Entity - " Physician Billing "

Inus Solutions Private and Confidential

A Unique Billing Entity - " Hospice and Home Health "

Most of the home health and hospice billing personals do not understand the Medicare complexities and their impact on the billing process. Too often the mentality is "as long as claim was paid, the billing must have been right".

• Inus dedicated 3'H billing experts has a deep understanding about the Medicare complexities, usage of appropriate hospice modifiers and would also help you to finish the billing process quickly, which can increase the cash flow by reducing the Claim denials and Faster Claims Payment.

• Our proven revenue management experts will indulge identifying the outstanding claims, resolving non payment issues apart from providing you the accurate and current financial logs and AR aging from time to time.

All these 3 teams Physician billing, DME billing and Hospice/Home Health billing teams were monitored and coordinated by different layers of leadership team, a dedicated account manager for each of the Client irrespective of the size & volume and apparently these 3 teams doesn’t get involved in any of the operational activities of each other.

Inus Solutions Private and Confidential

How we work....

• We work remotely with accuracy and proven track record

• We keep you compliant with CMS and OIG

• There is no need to surrender your insurance reimbursements to PO Box

• You don’t have to change your current billing software

• We work you’re billing by remotely dialing in and posting in your system

• Only scan your charges and payments into a HIPAA secure folder we can access remotely and we are ready to go! You are in

control.

• Our company is well equipped with exceptional coders, biller, collectors and full Healthcare Information Technology department for

HIPAA privacy and security compliance.

• Disaster Recovery Center for Business Continuity

• Customized performance reports as per your requirements

• We handle "Priority Projects" by deploying more work force from the bench to complete within the time committedIn SLA.


Inus's smooth transition to ICD10

At Inus, we are making the transition to ICD10 as smooth as possible for all our Clients.

• Our Front end team assess payer trends from time to time, and make sure your claims are transmitted, acknowledged by the payer, and adjudicated.

• In case of rejections, an internal trigger would be raised across billing team and our experts will fix the rejections prioritizing the need of the hour and update our front end team in order to ensure these rejections never happen again.

• Our expert teams also investigate and fix any denials, and then update our billing team, as like the rejections, to ensure these denials never happen again.

• Our cautious approach and measures, has resulted in getting 90 % of claims are paid on the first submission.


Start Your Cost Free Trial

If you are looking to raise your company's growth bar in terms of financial transactions, call us to start a 15 days trial period on a no obligation basis. To learn how our outsourcing solutions can help your company's top and bottom line, contact us to start your risk free trial assessment.

Q. Will I be able to assess the performance during the trial period ?

A. Yes, certainly. We will send the collection report and AR standing on a day to day basis for you to monitor the changes.

Q. Will I be able to extend the trial period if more time is required to check on the feasibilities ?

A. Yes, on extremely valid and rarest cases.

Q. Will I be notified once the trial period ends ?

A. Yes, a gentle reminder would be sent well in advance before the end date and a complete AR report with total number of Invoices paid and total charges collected for the period, shall be sent along with comprehensive Gap Analysis report between Pre & Post free trial period.

Looking to increase your collections rate ? START YOUR COST FREE TRIAL TODAY


Contact Us

Are you going to Hire more expertise at a high cost or Outsource at a low cost,

A Million Dollar Question ?

Certainly Not, You are just a step away

To know more,

Email us at [email protected]

Or

Call Us @ (818) 235 5416

Private and Confidential