1 07.03.2003 Let GreenFlag  resolve them! Do Slow-pay Insurance Claims Make You See Red?

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Presentation transcript:

Let GreenFlag  resolve them! Do Slow-pay Insurance Claims Make You See Red?

GreenFlag  Insurance Resolution Transworld Systems is the leader in providing medical practices with better tools for recovering slow paying accounts and expediting reimbursement from insurance companies. – $650 million recovered for our clients last year – More than 33 years experience recovering slow-pay and delinquent accounts – 150 offices throughout the U.S. FROM TRANSWORLD SYSTEMS INC.

Transworld and MGMA: Professionals Working with Professionals Transworld has been a professional partner to the medical practice industry for more than 10 years. We are proud to be an MGMA AdminiServe SM Partner and have been serving MGMA members for more than seven years. We are a member of ACMPE. We are HIPAA-compliant. You can be confident we know your business.

Time is not on your side… 80% of all revenue for most hospitals and medical practices comes from insurance claims filed electronically or manually. Delays in payment cause frustration and restrict cash-flow. GreenFlag Insurance Resolution is a revolutionary new tool to assist in the rapid resolution of these claims.

Symptom: Delay in claim resolution Possible causes: Incorrect information Missing codes, signature, etc. Money applied to deductible Insurance checks released to patients Insurance companies simply holding on to your money as long as possible “Claims never received” Claims held in “Review”

Internal complications… Rising internal recovery costs and FTE expenses Continued depreciation of old claims Coordination of benefits with primary or secondary provider Billing staff tendency towards concentration on current claims after numerous attempts to recover older claims have failed Continued restriction of cash flow

Typical In-House Procedure: Internal Cost $20 - $27/claim

GreenFlag Procedure: Two-Phase Approach

Why GreenFlag Profit Recovery? Insurance carrier by-laws and internal policies typically require immediate response to our licensed third party contacts Our third party demand moves the responsibility for the claim from a clerk to a supervisor, who settles the claim more quickly Low, fixed cost allows our service to be utilized on claims as early as days past due. Insurance carriers will call your staff – effectively reversing the lines of communication

st Contact to Pay Center 2 nd Contact to Pay Center

GreenFlag: Easy to Use GreenFlag standardizes the accounts receivable procedure: – We work the claims you choose, making A/R more predictable and cash flow steadier. Insurance companies are contacted by your local Transworld office. Claim information is submitted online and you have 24/7 access to all account information

Remember… It’s not a matter of whether insurance will pay, but when insurance will pay. GreenFlag Insurance Resolution reduces your internal costs and lowers response time, which works to reduce the age of your receivables.

GreenFlag: Easy to Use Claims you can submit: – Commercial Insurance – Managed Care Plans – HMO’s – PPO’s – Medicare – Worker’s Compensation

Your practice will benefit Using GreenFlag Profit Recovery at days allows your staff to focus their attention and efforts on claims in the 0-30 day window. This reduces the number of claims reaching 60 days. Quicker resolution of claims means patients get billed faster for their share of the balance, reducing the number of outstanding self-pay issues. Reduced internal costs Happier staff.

In Summary: Improved Cash Flow Higher Recovery on Insurance Claims Early Identification of Patient Obligations Automated Program Reduces Costs Effective National Presence

The Results Say It All… “Since July 2001, Transworld has collected over $600,000 for our office in delinquent insurance claims with their Insurance Resolution program. The collection cost was a mere 1.1%! We’re now also using Transworld on our private pay accounts and getting 50% recovery at 2% collection cost!” ---Ruby Dust, Administrator, Surgery, Inc. “Re-directing funds previously spent on in-house collection letters and efforts improved our bottom line by increasing revenue and decreasing overhead.” ---David Kirk, Administrator, Intermountain Orthopaedics

DIPLOMATIC FIRST PATIENT CONTACT Up to 5 demands will be sent on your behalf – start, stop and suspend activity online Payment Voucher and Envelope are included Identifies intent Separates patients from debtors Allows patient to contact your office to make payment arrangements Activity reports refreshed every 24 hours Keeps your staff in control at all times. PATIENT SELF-PAY PROGRAM

“Thank You!” Sent to Patients when their accounts are paid in full to maintain relationship (your option)

Verbal Demands When intensive recovery efforts are required GreenFlag Verbal Demands employs a team of highly trained recovery specialists operating from nationwide call centers. –Verbal Demands Phase: Turns up the heat on overdue accounts You pay only for what is recovered Offers legal recourse for tough cases Handles the types of accounts other agencies ignore as un-collectable. Completely optional – you can cancel accounts online for any reason

A final word… See for yourself why over 60,000 businesses choose TSI over extended in-house efforts and all other 3 rd party alternatives combined We recover three times the industry average for about one sixth the cost. Flat-fee, no percentages – regardless of the balance. Average cost of only 7 cents per dollar collected. Diplomatic approach – we recover your profits without offending your valued customers. You stay in control – you decide how diplomatic to be and when to turn up the heat. Recovered profit is paid directly to you. No more waiting days for an agency to pay you your money. Over 130 Offices Nationwide – provides unparalleled local impact. Performance is guaranteed – Use TSI at no financial risk whatsoever. Contact Information: Tyler Williams – District Manager Transworld Systems Inc Dixie Highway Ste 490 Fort Wright, KY P F C