Cleo Suite© Revenue Cycle Solutions

FrameWork MI, Inc. has developed a framework of integrated revenue cycle and business intelligent products.

The Cleo Suite manages complex claims in a number of business settings including: Hospitals, Integrated Delivery Systems, Physicians, Hospice, Commun i ty Hea l th , Pha rmacy, PBM/Hub, Payors, and Service Bureaus.

All products are bundled into one service offering in a highly congurable deployment. Our framework allows for c o m p l e t e c u s t o m i z a t i o n a n d enhancements required by each of our unique clients. Modules included:

Cleopatra© Denial/Complex Claim Mtg.Cleo Audit© Audit ManagementCleo Case© Case ManagementCleo Comply© Contract ManagementCleo Var© Payment Variance Mtg.

FrameWork MI, Inc.

FrameWork MI, Inc. provides custom software solutions to healthcare providers/payors in a number of business configurations, including the Cleo Suite© of Products.

Framing Business, Streamlining Analysis, Predicting Outcomes

What makes us different - makes us great!

There are many good companies in the revenue cycle and healthcare space. There are also many good tools and products on the market for Healthcare Organizations to choose. FrameWork’s products are leading edge solutions. What sets FrameWork MI, Inc. and our Cleo Suite of products apart from all the other solutions (in addition to great software) and makes us the hands-down best choice is our “Service Wrap” which is the cornerstone of every product solution we offer.

What is “Service Wrap?” “Service Wrap” is the service and support we provide with every system we implement. This includes:

IT resources to process the integrated files that move between your host system and ours; FrameWork staff create, deploy, and can even run all client reports as needed; Consulting around everything Revenue Cycle, Audits, Data, Compliance; We work with our clients to identify trends and develop planned approaches to reach their goals; When requested we attend your planning and business meetings to ensuring your success; We provide 100% of customization to our clients as part of our “Service Wrap!”

CleoPharm ©Pharmacy/Distribution Hub Solutions

FrameWork provides all the Cleo Suite of products in a Pharmaceutical, Pharmacy, and Distribution conguration. Included are all the great Cleo products/modules that are specic to the Pharma industry.

Including:

Cleo Pharm© Pharmacy Claim Mtg.Cleo Hub© Pharmaceutical HUB Mtg.Cleo Tran© EDI/ANSI/NCPDP

In addition, we provide consulting and subject matter expertise to Payors, PBM, Distribution, Hubs, Service Bureaus, and Pharmacy.

FrameWork Design©Custom Software Design/ Development Solutions

FrameWork MI, Inc. provides custom software design and development services to the healthcare industry. No project too small or too large.

We utilize Agile and other rapid deployment methods. We deliver double the functionality at half the time as our competitors.

Samples:

Variance Tracking

Compliance

OIG Audit Tracking

Custom billing module for Oral Oncolytics

Integrate ANSI transactional operations including design and development for 270/270, 278, 837, 835, and NCPDP transactions

FrameWork MI, Inc.9435 Waterstone BlvdSuite 140Cincinnati, Ohio 45249Ofce (513)-444-2165For information Contact: Andrea Wirsing AndreaWirsing@frameworkmi.org

FrameWork MI, Inc.

Closer look at Cleopatra denial and audit management

Cleopatra - Queen of Denial

Cleopatra is the most effective means to manage payer denials

through to the audit process. Enabled workflow, work

instructions, and tracking create best practices for managing

denied, stalled, or underpaid claims. Cleopatra captures

denials from all sources (Case, Claims, Audits, Variances)

making it the central hub for management of Complex Claims -

Cleopatra becomes the central point for tracking all sources of

denials as well as housing all claims that could potentially lead

to a Government or Payor audit.

The system provides a comprehensive data repository,

workflow, reporting of denials, appeal reasons, statuses,

provider/payor/physician responses, outsourced vendor

management, support for transacting EDI processing, case

management notes, level of care determinations, revenue

lost/at risk, supporting a proactive approach in protecting

revenue and increasing compliance. Cleo has been designed to

produce a tangible impact on the performance of your

organization!

Call us today and we will arrange a free

review and assessment of your

current needs. Or, let us schedule a

demonstration of our products/services.

Cleopatra Remediation/Denial

Cleopatra© focuses on the resolution of a denied/underpaid claims, as well as the underlying cause.

Identify Root Causes Streamline workow, priorities, resources Track employee performance Track vendor performanceUtilizes all ANSI/NCPDP transaction setsAutomated Eligibility Checks, Automated Authorizations/Claim Status Analyze effectiveness of remediation Identify revenue at risk Track Payor and contract performance Increase collectionsMinimize Risk

Cleo Audit

Cleo Audit drives higher compliance by streamlining standard workows in the management of all audits. The audit program supports and tracks all the moving parts of a typical audit. No more missed deadlines and revenue opportunities Internal HIM audits Medicare Audits (RAC, MIPs, Pre, etc.) Medicaid Audits (RAC, QC, MIPs, Pre, etc.) Commercial Payor Audits Interface with reporting organizations Seamlessly interface with internal system

Support/Hosting

SaaS model hosting in a HIPAA secure datacenter. Relax knowing that your business is protected by mul t ip le leve ls o f secur i ty , uninterruptible power, redundant HVAC systems, re suppression and r e s p o n s i v e m o n i t o r i n g a n d management.

Users can contact support via phone, text, email, or our support console located within the Cleo suite of product.

P r o g r a m e n h a n c e m e n t s , modications, new report creation, and other customization requests are handled via the support console.

FrameWork believes “one solution, might t many, but it doesn’t t all.” Our clients never pay extra for customization of our solutions. T h a t ’ s o u r “ S e r v i c e W r a p ” advantage.

FrameWork MI, Inc.9435 Waterstone Blvd

Cincinnati, Ohio 45249(513) 444-2165All Rights Reserved