TBS Services Overview How can we help? Beth Elgort (443) 977-0247 - - PowerPoint PPT Presentation

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TBS Services Overview How can we help? Beth Elgort (443) 977-0247 - - PowerPoint PPT Presentation

January 30, 2015 Rehmann Using your big data to give you big results. TBS Services Overview How can we help? Beth Elgort (443) 977-0247 The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 belgort@thebusinessside.com


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January 30, 2015 Rehmann

Beth Elgort (443) 977-0247 belgort@thebusinessside.com

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results.

TBS Services Overview

How can we help?

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The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Payment Assurance Eligibility verifjcation done prior to patient arrival to assure insurance payment for services rendered. Charge Entry Demographic and charge entry and tracking with regular reporting to manage receivables. A/R Resolution Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Payment Posting Fast, accurate payment posting and reporting to evaluate and manage receivables for improved cash fmow. Payment Collection Pursuit of full payment on claims, resolution of underpaid claims, and submission of secondary claims. Credit Balance Clean-up Timely resolution of credit balances in receivables to meet governmental and internal compliance requirements. RAC Audit Response Analysis of RAC determinations, preparation of response, and oversight of appeal process. Denial Analysis Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.

LET US LIGHTEN LET US LIGHTEN YOUR LOAD YOUR LOAD

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SLIDE 3

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Payment Assurance Eligibility verifjcation done prior to patient arrival to assure insurance payment for services rendered.

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SLIDE 4

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Charge Entry Demographic and charge entry and tracking with regular reporting to manage receivables.

slide-5
SLIDE 5

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL MANAGEMENT DENIAL MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

A/R Resolution Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Payment Posting Fast, accurate payment posting and reporting to evaluate and manage receivables for improved cash fmow.

slide-6
SLIDE 6

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Payment Collection Pursuit of full payment on claims, resolution of underpaid claims, and submission of secondary claims.

slide-7
SLIDE 7

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Credit Balance Clean-up Timely resolution of credit balances in receivables to meet governmental and internal compliance requirements. RAC Audit Response Analysis of RAC determinations, preparation of response, and oversight of appeal process.

slide-8
SLIDE 8

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Denial Analysis Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.

slide-9
SLIDE 9

The Business Side, Inc. 6835 Olney Laytonsville Rd Laytonsville, MD 20882 Phone: 301-519-9200 x1035 Fax: 301-330-6300 info@thebusinessside.com

Using your big data to give you big results. PRE-ADMISSION PRE-ADMISSION CLAIMS CLAIMS MANAGEMENT MANAGEMENT DENIAL DENIAL MANAGEMENT MANAGEMENT PAYMENT PAYMENT COLLECTIONS COLLECTIONS COMPLIANCE COMPLIANCE

REVENUE CYCLE

Payment Assurance Eligibility verifjcation done prior to patient arrival to assure insurance payment for services rendered. Charge Entry Demographic and charge entry and tracking with regular reporting to manage receivables. A/R Resolution Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Payment Posting Fast, accurate payment posting and reporting to evaluate and manage receivables for improved cash fmow. Payment Collection Pursuit of full payment on claims, resolution of underpaid claims, and submission of secondary claims. Credit Balance Clean-up Timely resolution of credit balances in receivables to meet governmental and internal compliance requirements. RAC Audit Response Analysis of RAC determinations, preparation of response, and oversight of appeal process. Denial Analysis Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.

HOW CAN WE HELP? HOW CAN WE HELP?

Beth Elgort (443) 977-0247 belgort@thebusinessside.com