HEALTHFUSE - Driving Peak Vendor Performance

Driving

Peak

Vendor

Performance

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

“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

H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE

We build long-term partnerships based on

trust &

collaboration

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

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

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

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.

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.

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!

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.

Unparalleled Trust. Dedicated Partnerships.

Trust is not bought. It’s earned.

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

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.

H E A L T H F U S E DRIVING PEAK VENDOR PERFORMANCE

We are an industry leader, emphasizing

innovative solutions &

enduring partnerships

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.

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

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)

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.

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

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 | nfricano@healthfuse.com

Matt Mollner – 414.988.1132 | mmollner@healthfuse.com

Megan Reynolds – 414.988.1131 | mreynolds@healthfuse.com

Driving

Peak

Vendor

Performance

324 East Wisconsin Avenue, Suite 1300Milwaukee, Wisconsin 53202

www.healthfuse.com