Workers Compensation MedicalCost Containment and Case

Management Services

October 18, 2018

Slide 2

PRESENTATION AGENDA

INTRODUCTION

MEDICAL MANAGEMENT

PROVIDER NETWORKS

COST CONTAINMENT

CONCLUSION

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LEADERSHIP TEAM

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EARLY INTERVENTION /TRIAGE

^ 24/7/365 Service

On Call Nurse for Emergencies

Electronic Download within 24 hours

^ Timely Medical Treatment

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"The nurse's talent and skills drive

benefits, Includingfaster return to workat a lower cost

Nurses are able to use the connections to

facilitate Innovation and guide decisionsthat lead to better outcomes for Injured

workers and businesses."

Confmnce Chronicles

2015 Nellonal Workers'Conipent*tlon& DtssbilttyConference, MecyO'OonDthue, VicePresident. Medical

Services, Helmsmen Menegement Services and StephaniePetllN,Senior Director. Medical & Health Manetemenc.

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J ACCREDITATION

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CERTIFICATE OF AWARD

HSIS, Inc. dba AmeriSys5728 Major Blvd, Suite 450

Orlando, Florida 32819

ura^Workers' Compcnsniion I'lilizntion Mansigemeni, 7.3 Accrediiaiion

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PHARMACY PROGRAM

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PROVIDER SERVICES

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PROVIDER NETWORK

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LIFE OF A BILL

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COST CONTAINIVIENT

Turnaround ReportFiscal Year End: October 2016 - September 2017

Average Days from Average Days Average Days Average Days

Count Bf""Receipt toASI from ASl Receipt from Bill Review fromBrowardReceipt to Posted Receipt to Export Received to Paid

4,091

Medical BDI Fliiitg Parromunee

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Slide 23

PPO/CONTRACTED SAVINGS

Fiscal Year End: October 2016 - September 2017

GRAND TOTAL Bilts Btll ChargesFeoSclu'dul,'

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Physicians 3,965 8,109 $1,971,032.69 $996,909.36 $191,623.76 $13,460.95Hospital inpAlicr^t 15 228 5644,505.80 $335,311.69 $25,217.46 $7,376.89Hospitjl Oulpjtienf 182 1,130 $1,047,769,37 $415,781.19 $92,495.85 $41,522.26Ambuialotv St.tglcdl 62 178 $840,674.47 $412,638.11 $62,756.90 $14,163.02Physk^lTheraoy 2490 5,773 $543,987.01 $210,284.30 $5,636.60 $77,635.98Didgnostics 124 135 $174,471.66 $109,866.03 $3,177.17 $12,669.98Chiropractic 4 24 $1,457.12 $821.12 $0 $0DME 179 307 $104,531.84 $23,302.98 $4,189.40 $27,902.12Prescriptions 1,217 1,713 $438,687,37 $13,893.55 $14,953.30 $79,136.68Other 336 1,072 $134,576.06 $44,398.06 $17,085.49 $10,226.27TOTAL 8,474 18,669 $5,901,688.39 $2,563,226.39 $417,135.93 $284,094.15

Savings

Reduction %43.43K 7J)7K

4.81K

(9.72K belowfee sdiidula)

PPO/Contracted Savings Billed Charges% of Overall Redjction reialed to PRO/

Contracted Saving

PPO/Contracted Savings Billed Charges Fee Schedule and Other Savings % of PPO Savings below Fee Schedule

9.72%

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INFORMATION SYSTEMS

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INFORMATION SYSTEMS

> Setup of your systems

> Software for adjusters

> Software for First Report Notice of Injury

> Security protocol

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AmeriSys hascontracted and

added numerous

vendors on

behalf of Broward

V P CLAIMS

Since 2016, USIS

has been

handlingBroward County

VIP claims

AmeriSys*

Slide 29

OPTIONAL SERVICES

USIS/AmeriSys will contract with the service providers ofBroward County's choice.

OCCUPATIONAL, MEDICAL, DRUG, AND ALCOHOL POLICIES

DRUG AND ALCOHOL SCREENS

OCCUPATIONAL MEDICAL CONSULTATION

SUBSTANCE ABUSE SERVICES

INVESTIGATIVE SERVICES AND SURVEILLANCE

SAFETY AND OCCUPATIONAL HEALTH SERVICES

ALL-LINES CLAIMS ADJUSTING

^ USIS currently provides VIP claims adjusting services

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J Slide 30

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USIS/AmerTSys take PridejrtPrdvidi% Custorrier^Getitrici

THANK YO