Availity A leading health information network and proud sponsor of The OHIMA conference. Visit with your local representatives, Paul Repper and Erica Terry,

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Presentation transcript:

Availity A leading health information network and proud sponsor of The OHIMA conference. Visit with your local representatives, Paul Repper and Erica Terry, at booth #11 ©2011 Availity, LLC | All Rights Reserved 1

Patients. Not Paperwork. ® 2 Multiple payers. One website. One login health plans in one place File claims, check eligibility, review clinical history, process payments and more Accessible 24/7 from any computer with Internet access Real-time information exchange means highest accuracy of information from health plans Simple to use. Consistent look and feel Expert client service representatives and free training Use with your existing practice management system No-cost and premium solutions fit every practice.

Improvements in Quality, Cost, Outcomes ©2011 Availity, LLC | All Rights Reserved 3 Business Payment Clinical Business tools improve workflow and enhance the efficiency of the visit. Financial tools reduce costs and improve payment recovery. Real-Time Eligibility & Benefits Claim Status Referrals & Auths Claim Submission Card Swipe CareRead ® Batch/Clearinghouse Claims Remittance Advice Patient Responsibility Estimator CareCost Estimator SM Payment Solutions CareCollect ® Remit Reader SM Longitudinal Care Record CareProfile ® Care management tools support more informed decisions and enhance the health of the patient.

What Availity Customers Are Saying ©2011 Availity, LLC | All Rights Reserved 4 We were immediately able to reduce our time spent on the phone by more than 70% using Availity. I would recommend this product to every medical office that has better things to do than wait on the phone. Andrea Hollander, Precertification Specialist Physicians HealthSource Inc. | Cincinnati, OH Eric Eleff, MD Opthamologist | Cleveland, OH Electronic claim submission has been around for years, but it required signing up with a clearinghouse—which meant doing all the work and then paying someone to flip a switch. Availity did away with this inequality. Quickly and seamlessly, you can access multiple payers. No program to load, no updates to pay for. Claims get paid in a matter of days, since Availity is online in real-time with payers. Fast, easy, free, saves money for the insurance companies and doesn't cost the practitioner anything at all. You have to love this solution.

Availity ® CareProfile ® Longitudinal care record that draws information from claims submitted to the patient’s health plan ©2011 Availity, LLC | All Rights Reserved 5 CareProfile is a longitudinal care record that draws information from claims submitted to a patient’s health plan across multiple care providers Get a consolidated view of a patient’s care across providers, including diagnoses, prescriptions, and lab tests Improve patient safety and relationships, and avoid duplicate services CareProfile is a longitudinal care record that draws information from claims submitted to a patient’s health plan across multiple care providers Get a consolidated view of a patient’s care across providers, including diagnoses, prescriptions, and lab tests Improve patient safety and relationships, and avoid duplicate services CareProfile View consolidated care history across multiple providers CareProfile View consolidated care history across multiple providers Value-added Service

Provides patient responsibility estimation in real-time, based on current patient benefits and provider contractual allowances, as calculated from diagnosis and procedure codes Estimations are calculated instantly Instead of waiting weeks for claim resolution and payment, you can process the patient’s bill on-site without additional paperwork Provides patient responsibility estimation in real-time, based on current patient benefits and provider contractual allowances, as calculated from diagnosis and procedure codes Estimations are calculated instantly Instead of waiting weeks for claim resolution and payment, you can process the patient’s bill on-site without additional paperwork Availity ® CareCost Estimator SM Determine patient financial responsibility in real-time ©2011 Availity, LLC | All Rights Reserved 6 CareCost Estimator CareCost Estimator helps you determine patient financial responsibility in real-time CareCost Estimator CareCost Estimator helps you determine patient financial responsibility in real-time $ Value-added Service

Availity ® CareCollect ® Speed Patient Payments at the Time of Service ©2011 Availity, LLC | All Rights Reserved 7 CareCollect CareCollect enables you to collect payment from your patients during their visits CareCollect CareCollect enables you to collect payment from your patients during their visits Improves workflow and revenue cycle management through enhanced payment processing Swipe credit cards through a desktop card-reader device or enter check information to process payments Create credits and voids, set up recurring payments, and run instant reports with ease Cut the time and expense from your billing process by collecting payments up front—before patients leave the office Improves workflow and revenue cycle management through enhanced payment processing Swipe credit cards through a desktop card-reader device or enter check information to process payments Create credits and voids, set up recurring payments, and run instant reports with ease Cut the time and expense from your billing process by collecting payments up front—before patients leave the office Value-added Service

This latest addition to Availity’s revenue cycle management solution gives you the power to view, search and reconcile ERAs more easily View ERA information in the Availity portal for all your payers Search up to seven years of historical information Search for ERAs by patient, check or claim Reconcile your books sooner This latest addition to Availity’s revenue cycle management solution gives you the power to view, search and reconcile ERAs more easily View ERA information in the Availity portal for all your payers Search up to seven years of historical information Search for ERAs by patient, check or claim Reconcile your books sooner Availity ® Remit Reader SM View ERAs Instantly ©2011 Availity, LLC | All Rights Reserved 8 8 Remit Reader Remit Reader lets you view ERAs quickly and easily Remit Reader Remit Reader lets you view ERAs quickly and easily Value-added Service

Card swipe technology that automatically populates the Eligibility and Benefit transaction pages on Availity’s Web portal with personal and insurance information No more typing in data Fewer data-entry errors Card swipe technology that automatically populates the Eligibility and Benefit transaction pages on Availity’s Web portal with personal and insurance information No more typing in data Fewer data-entry errors Availity ® CareRead ® Swipe patient member ID cards at reception ©2011 Availity, LLC | All Rights Reserved 9 CareRead CareRead lets you swipe patients’ member ID cards through a desktop card-reader device CareRead CareRead lets you swipe patients’ member ID cards through a desktop card-reader device Value-added Service

Your Fastest Path to Payment SM RealMed is an Availity company Award-winning revenue cycle management solutions Connected to nearly 2,800 health plans and more than 31,000 providers RealMed customers experience… Reduced claim denials (up to 60% decrease) Fewer days in accounts receivables (30-50% savings) Progressively reduced error rates (3-9% reduction rate within 18 months) Greater recovery of payment (19% increase in most recent case study ©2011 Availity, LLC | All Rights Reserved 10

RealMed Revenue Cycle Solutions Help You Get Paid Faster ©2011 Availity, LLC | All Rights Reserved 11 RealMed Integrated and automated tools accelerate your cash flow and assure fewer claim denials. RealMed Integrated and automated tools accelerate your cash flow and assure fewer claim denials. RealMed builds on the value offered by Availity’s basic solutions by bundling and automating multiple functions that maximize bottom line operational results Use superior up-front editing solution to send cleaner claims that reduce claim denials and increase recovery of payment Web-based, automated health care transactions that help you efficiently manage administrative tasks RealMed builds on the value offered by Availity’s basic solutions by bundling and automating multiple functions that maximize bottom line operational results Use superior up-front editing solution to send cleaner claims that reduce claim denials and increase recovery of payment Web-based, automated health care transactions that help you efficiently manage administrative tasks

Billing Speed up claims processing Submit government and commercial claims, electronically in real time Scheduling & Check In Better cash flow begins immediately Confirm patient insurance coverage Manage authorizations and referrals Estimate patient financial responsibility in real time Collect payment at the point of service Check Out Collect payments at time of service Instantly access patient information Manage real time claims submissions and adjudication Determine patient financial responsibility Process credit, PIN-less debit, and check transactions instantly Exam Make better informed care management decisions View patients’ longitudinal care record, including: Care messages and alerts Lab results Prescriptions filled Claims Follow-up Fewer calls to health plans Review claim status for multiple claims Reconcile multiple claims Reconcile accounts receivable quickly Improving Your Workflow ©2011 Availity, LLC | All Rights Reserved 12

Availity and RealMed A Powerful, Combined Network ©2011 Availity, LLC | All Rights Reserved 13 >200,000 physicians >200,000 physicians >455,000 employers >455,000 employers >100,000,000 consumers >100,000,000 consumers >150 direct payers >1,150 indirect payers >150 direct payers >1,150 indirect payers >1,000 hospitals >1,000 hospitals >450 vendor partners >450 vendor partners Availity ® Health Information Network RealMed ® Revenue Cycle Management Solutions

Thank You Paul Repper Phone (904) (800) ©2011 Availity, LLC | All Rights Reserved 14 Erica Terry Phone (937)