1 07.03.2003

Let GreenFlag resolve them!

Do Slow-pay Insurance Claims Make You See Red?

2 07.03.2003

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.

3 07.03.2003

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 AdminiServeSM 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.

4 07.03.2003

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.

5 07.03.2003

Symptom: Delay in claim resolutionPossible 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”

6 07.03.2003

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

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

Day 1-30 31-60 61-90 91-120 121-150 151-180 181-210

HCFA1500 or

UB92Sent

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

$0.50 $2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

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GreenFlag Procedure:Two-Phase Approach

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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 30-45 days past due.

• Insurance carriers will call your staff – effectively reversing the lines of communication

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1st Contact to Pay Center 2nd Contact to Pay Center

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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

12 07.03.2003

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.

13 07.03.2003

GreenFlag: Easy to Use

Claims you can submit:

– Commercial Insurance

– Managed Care Plans

– HMO’s

– PPO’s

– Medicare

– Worker’s Compensation

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Your practice will benefit

• Using GreenFlag Profit Recovery at 45-60 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.

15 07.03.2003

In Summary:

• Improved Cash Flow

• Higher Recovery on Insurance Claims

• Early Identification of Patient Obligations

• Automated Program Reduces Costs

• Effective National Presence

16 07.03.2003

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

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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

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“Thank You!”

Sent to Patients when their accounts are paid

in full to maintain relationship

(your option)

20 07.03.2003

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

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A final word…See for yourself why over 60,000 businesses choose TSI over extended in-house efforts and all other 3rd 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 30-60 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.

1717 Dixie Highway Ste 490

Fort Wright, KY 41011

P. 859.331.1957

F. 859.331.0413

C. 614.208.8431

tyler.williams@TransworldSystems.com