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Flatworld Billing Services

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MEDICAL BILLING SERVICES © Flatworld Solutions, Inc. 2009
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Page 1: Flatworld Billing Services

MEDICAL BILLING SERVICES

© Flatworld Solutions, Inc. 2009

Page 2: Flatworld Billing Services

AGENDA

History Of Rapid Growth Corporate Profile Global Delivery Model Flatworld Client Locations Service Offerings People Practice Management Software Process Transition Reporting Why Flatworld? HIPAA @ Flatworld Security Other Services Flatworld Infrastructure Flatworld Facilities

© Flatworld Solutions, Inc. 2009

Page 3: Flatworld Billing Services

• Flatworld Solutions is headquartered in the Silicon Valley of India, Bangalore, famous the world over for being the hub of outsourcing activity.

• Our customers are located in the US, Canada, UK, Norway, France, Australia, The Netherlands, Switzerland, Israel, India, Sweden, Germany and UAE.

• Our global delivery centres are located in Bangalore (multiple locations), Chennai (multiple locations), Coimbatore, Trichur, Mumbai, Philippines, Peru, Bolivia, Colombia, Paraguay, Mexico and Kenya.

A HISTORY OF RAPID GROWTH

© Flatworld Solutions, Inc. 2009

Page 4: Flatworld Billing Services

CORPORATE PROFILE

Over 10 years of US Healthcare Experience

Registered offices in US, UK and India

Current strength of over 70 Billing Specialists and Receivables Specialists.

Multiple delivery centers offering redundancy

Leading Provider in Billing, Teleradiology, Transcription and Software

Solutions

© Flatworld Solutions, Inc. 2009

Page 5: Flatworld Billing Services

GDC-ArgentinaCordoba

GDC-ChileSantiago

GDC-INDIABangalore, Mumbai,

Chennai, Coimbatore, Pune, Trichur

GDC-The PhilippinesCebu City

GDC-Bolivia La Paz & Santa Cruz

GDC-Peru Lima

GDC-Kenya Nairobi

GLOBAL DELIVERY MODEL

harnessing the world’s best resources for you…

© Flatworld Solutions, Inc. 2009

GDC-Mexico

GDC-Paraguay

GDC-Colombia

Page 6: Flatworld Billing Services

MEDICAL BILLING CLIENT LOCATIONS

Flatworld coverage in US

© Flatworld Solutions, Inc. 2009

Page 7: Flatworld Billing Services

SERVICE OFFERINGS

© Flatworld Solutions, Inc. 2009

Page 8: Flatworld Billing Services

PEOPLE

Operations headed by a Manager with 15 yrs of experience.

Operations Manager in industry since off-shoring trend of RCM 1994.

Over 70 Medical Billing and Accounts Receivables Specialists.

Coders, Billers & AR specialists have average experience of 3 years.

1/3rd of the professionals are post-graduates and the rest graduates.

Cross training on multiple specialties and PMS.

© Flatworld Solutions, Inc. 2009

Page 9: Flatworld Billing Services

SPECIALTIES

Internal Medicine

Ambulance

Chiropractic

Physical therapy

Gastroenterology

Pediatrics

OBGYN

Urgent Care

Rheumatology

Endocrinology

Podiatry

Pathology

Ophthalmology

Anesthesiology

Psychiatry

Skilled Nursing Facility

Cardiology

Pediatric Neurology

Pediatric Nephrology

Orthopedic

Emergency Room© Flatworld Solutions, Inc. 2009

Page 10: Flatworld Billing Services

PRACTICE MANAGEMENT SOFTWARE

© Flatworld Solutions, Inc. 2009

Page 11: Flatworld Billing Services

Requirement Analysis

Pricing & Contracting

Project Initiation

Project Steady State Ramp-up

PROCESS TRANSITION

© Flatworld Solutions, Inc. 2009

Page 12: Flatworld Billing Services

REPORTING

© Flatworld Solutions, Inc. 2009

SCAN CONTROL LOG (CHARGES) – Daily Report

Gives details about the # of pages received, # of charges and demos received on a day to day basis, how many completed, how many pending and the date completed

SCAN CONTROL LOG (PAYMENTS) – Daily Report

Gives details about the # of pages received on a day to day basis, value of payments received, how much posted & how much un-posted & the date completed .

PENDING LOG (CHARGES) – Daily Report

Report Description: Gives details about the claims which require some clarification from client on the Patient Demographic or on the Encounter form.

Field Names: Name of the batch, date when file was sent by client, patient name, DOS, Reason for pending & client comments. In the Client Comment section, the Client need to enter their comments and send us back the excel sheet to clear the pending issue.

Page 13: Flatworld Billing Services

REPORTING

© Flatworld Solutions, Inc. 2009

PENDING LOG (PAYMENTS)– Daily Report

Report Description: Gives details about the claims which require clarification from client on the EOBs.

Field Names: Name of the batch, page number, the patient name, chart number, date of service and the reason for pending. It also has a “REMARKS” section where the Client needs to enter their comments and send us back the excel sheet to clear the pending issue.

A/R REPORT- Weekly Report

Report Description: This report will let the client know about the work FLATWORLD did for a week in terms of AR follow up. The # of calls made by the agent with the representatives of the insurance & the action to be taken for the claim.

Field Names: Chart number, patient name, DOS, Insurance to whom the call was made, Total charges, balance outstanding, the comments/notes i.e. the conversation between the caller and the insurance agent and the action needed to be taken on the claim and finally the action code

Page 14: Flatworld Billing Services

Why FLATWORLD

Knowledge of working with all insurance payors including Medicare & Medicaid

24/5 Operations

State of the art infrastructure

Elimination of hire-replace-train process

Knowledge retention

High employee retention rates – 92% in 2008

Accessible via toll free number 8AM-5PM Mon-Fri during US Business hours

© Flatworld Solutions, Inc. 2009

Page 15: Flatworld Billing Services

Why FLATWORLD

Reduction in Operational Costs up to 40-50%

Highly experienced Billing and AR Specialists

Coders certified by AAPC

Clean Claims, Fewer Denials

Follow-up on all claims not paid within 30 days

Guaranteed Improvement in Collections

Daily, Weekly and Monthly Reports

© Flatworld Solutions, Inc. 2009

Page 16: Flatworld Billing Services

HIPAA @ FLATWORLD

Privacy

Every staff member signs a confidentiality agreement.

Client information access to staff is password protected and is provided on an

‘as-needed’ basis

Records of data access are maintained and supervised by an authorized security

officer

All the documents received from the client are handled in electronic format.

Documents are not printed at Flatworld facilities.

Accessibility to external storage device is denied

© Flatworld Solutions, Inc. 2009

Page 17: Flatworld Billing Services

HIPAA @ FLATWORLD

Security

Access to Flatworld is provided only via a secure VPN connection using firewall

Data is encrypted before transmission

Data is frequently backed up and stored

Access to the organizations’ information system is controlled through proper

authorization, establishment and modification to access

Record of access authorization is maintained.

Controlled access to the stored data to accredited individuals to ensure

accountability of all transactions

© Flatworld Solutions, Inc. 2009

Page 18: Flatworld Billing Services

People Process Technology

Prevention

Detection

Response

Awareness Commitment Action

Plan Enforce Check Improve

Systems Network Applications Tools

Authentication Identification Authorization Access Control Confidentiality Integrity

Accountability Audit Intrusion Detection Non Repudiation Availability

Triage Recovery Reliability Corrective Action

SECURITY

It is a process driven approach that significantly enhance the security of our IT infrastructure from internal and external threats using researched processes,

procedures and tools.

© Flatworld Solutions, Inc. 2009

Page 19: Flatworld Billing Services

OTHER SERVICES

INDEXING MEDICAL RECORDS INTO AN EMR

TELERADIOLOGY SERVICES

MEDICAL ANIMATION AND ILLUSTRATION SERVICES

TELERADIOLOGY SERVICES

Certified Reporting by US Board Certified, Licensed Radiologists

Preliminary Reporting by Indian MD Radiologists

© Flatworld Solutions, Inc. 2009

Page 20: Flatworld Billing Services

Generator UPS

1

23

UPS (servers)Electricity

Power 3 levels of redundancy Primary Source – Available 500 KVA

– Facility Load 300KVA

Generator Backup – 450 KVA generator with fuel Storage for 24 hrs operation onsite with arrangements to sustain

UPS Network Centre – 1 X 60KVA (Redundant)

UPS Overall – 4 X 160KVA All devices are with dual power supply

and fed thru independent power paths. 3 tier architecture Redundant L3 Core design Servers terminate into the core through

redundant connectivity Redundant workgroup switches (with L3

capability) per floor collapses into the Core

Network fabric with port level physical redundancy

150 active ports per floor

POWER & NETWORK

Page 21: Flatworld Billing Services

FLATWORLD FACILITIES

Page 22: Flatworld Billing Services

www.outsource2india.com

|www.nabler.com

|www.flatworldsolutions.com

WEBSITES

© Flatworld Solutions, Inc. 2009

Page 23: Flatworld Billing Services

THANK YOU

Flatworld Solutions, Inc.Princeton Forrestal Village116 Village Blvd, Suite 200

Princeton, NJ 08540

P +1- 213 784 5651 | F +1 646 619 4979 | [email protected]

© Flatworld Solutions, Inc. 2009


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