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Medical Presentation With Insurance 3 2008[1]

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Page 1: Medical Presentation With Insurance 3 2008[1]
Page 2: Medical Presentation With Insurance 3 2008[1]

• Since 1970 we’ve led the industry in profit recovery.

• Transworld’s recovery rate is consistently higher than the national collections industry average.

• Last year, we recovered in excess of $700 million for more than 60,000 clients, including many Fortune 500 companies

• National and Local Presence:• 130 offices (Local presence) • Licensed in every state that requires licensing

About Us

Page 4: Medical Presentation With Insurance 3 2008[1]

• “...a long term proven record of being able to deliver twice the normal recovery rate at a fraction of the normal cost.”

» Shearson Lehman• “Transworld gets credit for the highest recovery rate in

the industry.”» Barron’s

• “The Company has a collection rate of well over 50%. The typical collection firm gets only 20% and keeps 25% to 50% of recovered funds.”

» Fortune Magazine• “Transworld is one of the nation’s leading accounts

receivable and bad check collectors…they represent many member firms.”

» Better Business Bureau• “Transworld charges a fixed fee and the response rate

is significantly better than in-house efforts.”» National Rural Health Association

What the Experts Say

Page 5: Medical Presentation With Insurance 3 2008[1]

MGMA Alliance

Serving our 10th year as an MGMA AdminiServe Partner

TSI is the only profit recovery company in this preferred supplier network of 12

Peer Reviewed by HFMA After undergoing rigorous review, GreenFlag

Profit Recovery now features the notable "Peer Reviewed by HFMA" mark.

Page 6: Medical Presentation With Insurance 3 2008[1]

Most practices take a traditional two-phase approach:

PHASE 1: In-House Efforts

PHASE 2: Percentage Collection

Agency

1 2

Conventional Collection Approach

Page 7: Medical Presentation With Insurance 3 2008[1]

Current

30 Days

60 Days

90 Days

120 Days

150 Days

Statement

StatementPhone Call

StatementPhone Call

StatementPhone CallLetter #1

StatementPhone CallLetter #2

StatementPhone CallLetter #3

Conventional Collection Approach

180 Days

Conventional Collection Agency or legal action

30-50% Contingency

According to the Dartnell Institute, the average cost of working an account internally over a six month period is $31.60 per account.

Phase 1:In-House Efforts

1

Phase 2:PercentageCollection

Agency

2

Page 8: Medical Presentation With Insurance 3 2008[1]

PHASE ONE: Optimize In-House Efforts

PHASE TWO: In-House Useof Third Party (GreenFlag)

1 2

GreenFlag Three Phase Approach

PHASE THREE:Conventional

Collection Methods

3

Page 9: Medical Presentation With Insurance 3 2008[1]

Current 30 Days 60 Days

Statement StatementPhone Call

StatementPhone Call

90 Days

104 Days

118 Days

132 Days

146 Days

180 Days

Credit Management Services

30-50% Contingency

Fixed fee averaging less than $10 per account. The client controls the process.

Limit internal efforts to less than $11 per account

We contact the slow paying accounts every 10-14 days, at the clients direction. Making up to 5 contacts, each progressively stronger.

GreenFlag Three Phase Approach

Phase One:Optimize In-House Efforts

Phase Two:In-House Use

of Third Party

(GreenFlag)

Phase Three: Conventional

CollectionMethods

1

2

3

Page 10: Medical Presentation With Insurance 3 2008[1]

Account Depreciation

Start Early - Recover More

Page 11: Medical Presentation With Insurance 3 2008[1]

Start Early - Recover More

National Statistics Prove It

•The American Collectors Association reports an industry recovery rate average of 14% and a collection cost averaging 33% per dollar recovered.

•TSI’s medical clients experience a recovery rate averaging *56% at a cost of approximately 7 cents per dollar recovered.

*age of accounts determines recovery rate

0%

10%

20%

30%

40%

50%

60%

RECOVERY RATE COLLECTI ON COST

TSI vs. ACA

TSI

ACA

Page 12: Medical Presentation With Insurance 3 2008[1]

User Friendly

•Accounts submitted via secure web portal •User friendly

•24/7 access

•Client controls when accounts are started, stopped or suspended •Provides complete reporting on all accounts

Page 13: Medical Presentation With Insurance 3 2008[1]

The Demands

Local Impact:• Matches zip code of

debtor to the nearest TSI regional office

First Demand: 3 choices

• Courtesy Notice

• Intensive• NSF

Remittance Voucher• Goes directly to the client

(envelope included)

Third Party Intervention• “…from a collection agency”

Page 14: Medical Presentation With Insurance 3 2008[1]

The Demands

2nd - 5th Demands:• Increasingly more intense• Sent every 10 or 14 days,

systematically unless client stops service

Thank You Letter• At no additional charge,

Client has the option for us to send to fully reconciled accounts

Page 15: Medical Presentation With Insurance 3 2008[1]

Optional Thank You Letter

Page 16: Medical Presentation With Insurance 3 2008[1]

•Standardizes the A/R process for slow paying accounts

•Our service GUARANTEES these accounts are contacted every 10-14 days

•Identify and evaluate existing A/R •Effective tool for clean-up

•Completed within 90 days

•Gives the practice/business the advantage of using a third party, diplomatic approach earlier in the process

•Preserves patient/debtor relationships

•Reduces internal collection costs and staff overload

The GreenFlag Advantage

Page 17: Medical Presentation With Insurance 3 2008[1]

•Expedites response from insurance carrier

Insurance carriers By-Laws and internal policies typically require immediate response to our licensed third party contacts

Our third party demand moves the claim from a clerk to a supervisor, who in turn settles the claim

•Reduces Internal Costs

Our low cost of $10 or less per claim allows the practice to utilize this unique service on claims as early as 45-60 days past-due

Standardizes insurance follow-up process

Demands for Insurance Resolution

Insurance Recovery Program

Page 18: Medical Presentation With Insurance 3 2008[1]

Official Price ListEffective January 1, 2009

All Systems are given 24 months to use the service.

Number of Accounts Cost per Account Total Investment

200,000 4.99 998,000.00

150,000 5.25 787,500.00

100,000 5.50 550,000.00

75,000 5.75 431,250.00

50,000 6.00 300,000.00

25,000 6.50 162,500.00

15,000 6.99 104,850.00

10,000 7.50 75,000.00

5,000 8.50 42,500.00

2,500 8.99 22,475.00

1,000 9.50 9,500.00

500 10.50 5,250.00

250 11.50 2,875.00

100 12.25 1,225.00

Page 19: Medical Presentation With Insurance 3 2008[1]

SYSTEM SIZE WORKSHEET

At what point would you like to use our service? (i.e., 60, 90 days) ________days

How many accounts will reach that point every month? ________

Our PROFIT RECOVERY service is good up to 24 months x 24 months

Total: ________ Accounts to be referred now: ________

Total number of accounts referred: _________

Total # Accounts __________x Avg. Bal. $ ________ = Total $ Referred ____________

Total $ Referred ________________x_______ (Recovery Rate %) = $ _____________

________ (Total # Accounts) x $ ________ (Unit Cost) = $_________ (Total Investment)

Investment $________ ÷ Avg. Bal. $_________ = ______ (# Accounts to get back investment)

Page 20: Medical Presentation With Insurance 3 2008[1]

Official Price – Monthly Usage

Appx. Number ofAccounts per

Month

Total Number of Accounts

(24 months)Cost per Account Total Investment

8000 200,000 4.99 998,000.00

6000 150,000 5.25 787,500.00

4000 100,000 5.50 550,000.00

3000 75,000 5.75 431,250.00

2000 50,000 6.00 299,500.00

1000 25,000 6.50 162,500.00

600 15,000 6.99 104,850.00

400 10,000 7.50 75,000.00

200 5,000 8.50 42,500.00

100 2,500 8.99 22,475.00

40 1,000 9.50 9,500.00

20 500 10.50 5,250.00

10 250 11.50 2,875.00

4 100 12.25 1,225.00

2 50 14.99 749.50


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