HEALTHFUSE - Driving Peak Vendor Performance
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Transcript of HEALTHFUSE - Driving Peak Vendor Performance
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Driving
Peak
Vendor
Performance
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
You deserve better visibility into your revenue cycle vendors.
Stronger transparency & engagement drive
Informed choices Improved compliance
Stronger financial gains
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“Healthfuse has provided visibility into vendor process and areas that present compliance or financial risk.
Resulting in significant performance improvement for Rady Children’s.” Roger Roux – CFO, Rady Children’s Hospital – San Diego
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We build long-term partnerships based on
trust &
collaboration
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
“Healthfuse provides a unique service in the industry.
Their commitment to making our hospital successful is strong.
Their ethics are extremely high!” Ron Hicks – Director Revenue Cycle, Great Plains Health
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We offer healthcare providers:
Next-gen analytics Auditing and reporting tools Vendor contract management
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We provide expertise to:
Reduce vendor cost Increase financial performance Streamline compliance procedures Increase patient satisfaction
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We take time to understand YOU.
We build trusted relationships that GROW STRONGER over time.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We are an extension of your revenue cycle team.
Together we will achieve real, MEASURABLE results.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Bottom line...
If you don’t see real, measurable results...We don’t get paid.
We are committed to YOUR success!
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
EnsureComplianceComplying with ever-changingHealthcare Reformrules is essential.
ImprovePatient ExperienceKnow your vendors are representing you well.
Reduce CostSecure favorable market rates.
Increase PerformanceCorrect processissues to increaseresults.
Save TimeEliminate the headache of managing multiple vendors.
1 23
4
5
Increase Performance
Improve �nancialand operationalperformance.
OPTION 2Save Time
Eliminate the headache of managing multiple vendors.
EnsureCompliance
Complying with ever-changingHealthcare Reformrules is essential.
Improve Patient Experience
When you optimize vendorperformanceeveryone wins.
3
Reduce Cost
When you improveyour process you increase yourbottom line.
4 5$21
5 Healthfuse Objectives that drive value.
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Unparalleled Trust. Dedicated Partnerships.
Trust is not bought. It’s earned.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
“Healthfuse has provided unprecedented transparency into our vendor operations.
After three years, Healthfuse is still driving value for us.
We have achieved a 9:1 ROI through this fantastic partnership!”
Greg Schaack – CFO, St. Joseph’s/Candler Health System
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We exclusively represent healthcare providers.
Vendors are part of this solution. We collaborate to build dedicated
client/vendor parnerships.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
We are an industry leader, emphasizing
innovative solutions &
enduring partnerships
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Reduce Vendor Cost
Increase Vendor Performance
Increase Process Compliance
18%
32%
61%
ON AVERAGE WE:
Immediate impact. Sustained results.
100% of our clients have achieved and sustained quantifiable results.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
SLA & Best Practice Auditing• Service level agreement, best practice, regulatory auditing• AutoAudit™ system tracks 100% of outsourced accounts• Red-flags, or non-compliant accounts are analyzed for root cause DELIVERABLES: audit reports, root cause analysis
Coaching, Remediation & Correction• Issue escalation and resolution• Implementation and/or change management assistance DELIVERABLES: vendor scorecards, corrective action plans
Invoice & Inventory Reconciliation• Reconcile vendor inventories with hospital systems• Certify invoices for accuracy and duplication avoidance• Manage vendor timelines and returns processes DELIVERABLES: inventory reconciliations, invoice certifications (continued)
Services.Revenue Cycle Vendor Management
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Contract Analysis & Management• Contract deal structure and SLA development• Market contract analysis• Negotiation support using VendorMetrics™ database DELIVERABLES: vendor contract database and market rate deal structures
Implementation Support for New Vendors• Profile/develop business case on prospective vendors• Manage implementations DELIVERABLES: vendor profiles, business case, implementation plans
Reporting & Vendor Budgeting• Consolidated vendor cost and performance reporting• Predict future spend and vendor outcomes based on seasonal/periodic
variation trending and forecasting DELIVERABLES: statement of value reports, budget pro formas
Services.Revenue Cycle Vendor Management (continued)
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Revenue Cycle Vendor ManagementPATIENT ACCESS
Tech OutsourceWork Listing CodingScheduling Coding Auditing & QualityPre-Cart & Auth TranscriptionIV & Benefits Physician AdvisoryPatient Balance Estimation Clinical Documentation ImprovementRegistration Accuracy Information ManagementMedical Necessity & ABN Record Storage Propensity to Pay Scoring
DOCUMENTATION & CHARGE CAPTURE
Tech OutsourceEncoder/Grouper CodingDictation & Voice Recognition Coding Auditing & QualityCharge Capture Controls TranscriptionClinical Documentation Improvement Physician AdvisoryRAC Track & Reporting Clinical Documentation Improvement Length of Stay Managment Information ManagementWork Listing Record StorageImaging
BILLING & COLLECTIONS
Tech OutsourceWork Listing Early-Out-Self Pay CollectionsClaims Clearinghouse Wind Down & System Conv. AssistanceClaims Scrubber Bad Debt CollectionsElectronic Posting Bank FinancingLockbox Patient StatementsOn-Line Bill Payment Government Billing & Collections“Last Effort” Insurance Eligibility Non-Government Billing & Collections
STRATEGIC REVENUE MANAGEMENT
Tech OutsourceCDM Management Missing Charge ReviewsContract Management Managed Care Payment ReviewsStrategic Pricing CDM AuditsCall Management (ACD) Transfer DRG Recovery Education & Certification (ICD-10, etc) Other Reimbursement Auditing
Portfolio.
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Getting StartedLet Healthfuse improve your bottom line!
Achieve strong financial gains Increase compliance Improve patient satisfaction
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H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE
Let’s start a conversation...It’s not about promises. It’s about results.
Give us a call. We will listen. We will drive meaningful value. Nick Fricano – 414.988.1136 | [email protected]
Matt Mollner – 414.988.1132 | [email protected]
Megan Reynolds – 414.988.1131 | [email protected]
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Driving
Peak
Vendor
Performance
324 East Wisconsin Avenue, Suite 1300Milwaukee, Wisconsin 53202
www.healthfuse.com