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AmeriVeri CR: provides the latest, proprietary, code verification technology; identifies employer savings of 3-8%; operates on performance-based pricing;

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Presentation on theme: "AmeriVeri CR: provides the latest, proprietary, code verification technology; identifies employer savings of 3-8%; operates on performance-based pricing;"— Presentation transcript:

1 AmeriVeri CR: provides the latest, proprietary, code verification technology; identifies employer savings of 3-8%; operates on performance-based pricing; does not create noise in your system or slow down payments; does not change anything – AmeriVeri CR is a secondary process and works with all software systems; provides a choice of free, secure demonstrations: 6 month review or 3 month real-time test. Overview

2 AmeriVeri CR fee based on percentage of net savings No financial risk of any kind All appeals handled at no charge by AmeriVeri CR Savings can become a significant new source of revenue for Employers…see the chart Performance-based Pricing

3 In Depth Code Verification

4 Code Verification clinically sound and supported 1% provider resubmission rate 1/10 th of 1% provider appeals AmeriVeri CR provides turn-key program and professional assistance at every step Important Notes

5 Uses Application Software Provider (ASP) platform Interfaces with all claims administration software Identifies rejections by ANSI reason Uses 1.4 million edits of Current Code Scrubs each claim twice and is constantly reviewed by Coding experts representing over 50 years total experience. The System

6 Quarterly updates: HCPCS codes from CMS CPT codes from AMA ICD-9-CM codes from DHHS CCI codes from CMS Changing / evolving payer practices Changing technologies Clinical practice patterns Medical society-driven clinical protocol Engine Constantly Updated

7 Secured File Transfer Protocol (SFTP) 128-bit Secured Socket Layer (SSL) encrypted connection (Verisign approved) Meets or exceeds all HIPAA requirements Utilizes the highest level of security available System housed in a 24-hour security, technical support & climate controlled facility Data Security / PHI

8 Patti Merdian Experience 12/05- present:AmeriVeri CR/Medical Claims Review, LLC President/SVP R&D 05/00- 05/09:Bill Dunbar and Associates, LLC Regional Director of Client Services 07/99 to 8/00:Indiana University School of Medicine Audit Facilitator/ Billing office manager 3/97 to 6/99:JWM Neurology Clinical Operations Manager 06/95 through 2/97:New River Valley Ear, Nose, and Throat Associates, PC Office Administrator Certifications: CPC, CCSP, CCS, CPCH, CEMC Certified Professional Coder (CPC), American Academy of Professional Coders Certified Coding Specialist (CCS-P), American Health Information Management Association Certified Coding Specialist- Hospital (CCS), American Health Information Management Association Certified Professional Coder- Hospital (CPC-H), American Academy of Professional Coders Certified Evaluation and Management Coder (CEMC), American Academy of Professional Coders Extensive experience with CPT4, ICD9CM, HCPCS Level II, Chargemaster, Chargesheet, ICD-9-CM database, Explanation of benefit/payment, CMS 1500 and CMS 1450 claim forms, and other unique forms Extensive experience with various billing rules and regulations (e.g., Commercial, Government, Workers Compensation), contract adherence, and general practices on the billing side of organizations Memberships/Affiliations: American Academy of Professional Coders (AAPC) American Health Information Management Association (AHIMA) American Medical Association (AMA) Medical Group Management Association (MGMA) National Association for Occupational Healthcare Providers (NAOHP) Twin County Regional Hospital Foundation Board member AAPC Local Chapter – Galax, Virginia (Founder, current President) Education: Bachelor of Arts in Life Sciences/ Spanish minor, Indiana State University Master of Science, certificate program, Indiana University (audited for additional college credit) Master of Arts in Education, thesis pended, Virginia Tech AmeriVeri CR Tech Team

9 Steve Reed Summary In-depth experience in strategic planning, business planning, and budgeting Effective operations manager with proven experience in improving financial performance, employee satisfaction, patient satisfaction, quality and patient safety Experienced managed care negotiator & contractor Effective business developer with in-depth experience in planning, designing, and implementing numerous hospital and healthcare projects, programs and services Experienced physician recruiter Directed the development of a $200M master facility plan and hospital replacement project Assisted in creating a separate joint venture partnership for a hospital-based ambulatory surgery center FACHE: Fellow, American College of Health Care Executives Experience 06/07 to present: AmeriVeri CR/Medical Claims Review Sr. Consultant, Operations 03/06 to 05/07: Lant & Associates, Inc. Executive Director 02/01 to 02/06: Union Hospital Health Group Chief Operating Officer 04/95 to 11/00: Womens Hospital of Indianapolis President & CEO 03/93 to 04/95: Terre Haute Regional Hospital Chief Operating Officer 07/89 to 02/93: Charter Medical Administrator 11/88 to 07/89: Charter Peachford Hospital Assistant Administrator 04/85 to 11/88: Union Hospital Vice President, Professional Services 04/84 to 04/85: LaPorte Hospital Director, Human Resources Education Bachelors, Business ManagementIndiana State University, May 1981 Masters in Health AdministrationIndiana University, December 1983 Professional Activities Fellow, American College of Health Care Executives, Adjunct Faculty, IUPUI, Indiana Wesleyan University & Harrison College, Deacon, First Baptist Church, Past Mentor, IUPUI MHA Program & Suburban Health Organization, Past Member, Southern Indiana Regents Advisory Council – ACHE, Past Chairman, Secretary and Board Member, Indiana Health Centers, Past President, Visiting Nurses Association of the Wabash Valley, Past Member, Board of Directors, Indiana Hospital & Health Association (IHHA), Past Chairman, Council on Resource Management – IHHA, Past Member, Board of Directors, Zionsville Rotary Club, Past Chairman, Medical Services Group, Wabash Valley United Way AmeriVeri CR Tech Team

10 Marsha Putt Significant national management experience in customer service from the Corporate automotive sector; Management of dealer and client business relationships for domestic and foreign automotive manufacturers; Developed training initiatives on customer satisfaction and retention; Exceptional ability to develop, facilitate and integrate business programs with varying levels of clients and internal teams. Extensive background in strategy, program management and Six Sigma-based continuous improvement; BS in Industrial Engineering Technology from Purdue University. AmeriVeri CR Tech Team

11 Visit us on the internet at Or contact: For More Information Patti Merdian President Jim Baughman CEO Marsha Putt VP, Client Services Martin Amberger Director, Marketing Communications


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