revenue cycle management solutions
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Overview of CapabilitiesIntelligent Solutions
Proprietary and ConfidentialThis information is not to be copied or otherwise utilized without the written consent of UCB, Inc.
Revenue Cycle Solutions
UCB Overview
UCB founded in 1959 - Toledo, Ohio
Over 900 associates in 7 call centers
50 years serving healthcare clientele
Privately held corporation
Active participants & supporters of:
Breakthrough Strategies
UCB, Inc.
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Long Term PartnershipsBreakthrough Strategies
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Bad Debt
Revenue Enhancement
Health Care Specialists for over 50 Years
Ser
vice
s
Revenue Cycle Leading Practice Solutions
Analytics Modeling
Revenue Cycle
Outsourcing
Bedside Eligibility
Solutions OverviewBreakthrough Strategies
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Health Care Specialists for over 50 Years
Ser
vice
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Revenue Cycle Leading Practice Solutions
Start to finish approach – One on one personal touch
100% onsite focus beginning at day one – admission to program placement
Onsite personnel with over 5 years of eligibility experience
Skip tracing, home visits, agency and State Hearings
Provide full assistance in application processing
Comprehensive and applicable reporting package
Computerized platform with electronic processing
Bedside Eligibility SolutionsBreakthrough Strategies
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Bedside Eligibility SolutionsBreakthrough Strategies
Hands on Approach
Results
Start to Finish
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Health Care Specialists for over 50 Years
Ser
vice
s
Revenue Cycle Leading Practice Solutions
Revenue Cycle
Outsourcing
Seamless extension of the business office
Experienced delivering overall performance while achieving superior levels of patient satisfaction
Flexible programs: self-pay collection, insurance follow-up, denial work flow, charity processing, pre-registration and customer call center services
Fully interconnected software and telephony
Dedicated teams assigned specifically by client
Outsourcing SolutionsBreakthrough Strategies
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Outsourcing SolutionsBreakthrough Strategies
Teamwork
Passion
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Achievement
Health Care Specialists for over 50 Years
Ser
vice
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Revenue Cycle Leading Practice Solutions
R2 model validation for leading practice modeling accuracy
Model validated against actual “live” collection data
intelligent work flows driven by data analytics
Scientific segmentation of self pay accounts categories
Non-subjective automated charity validation
Reduce fraud by validating demographic characteristics
Reduces costs to manage self-pay and charity patient accounts
Analytics & ModelingBreakthrough Strategies
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Analytics & ModelingBreakthrough Strategies
Actionable Analytics
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Health Care Specialists for over 50 Years
Ser
vice
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Revenue Cycle Leading Practice Solutions
50 years of leading bad debt collections experience
Proprietary technology infrastructure
Multi faceted skip tracing waterfall
Analytics driven workflows
Sophisticated pre-legal and litigation
ACA trained, bonded and insured
Secure operation- ISO 27002 Certification, SAS 70 Type II
Bad Debt SolutionsBreakthrough Strategies
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Bad Debt SolutionsBreakthrough Strategies
Auto Load Accounts Scrub NCOA Skip trace Waterfall Account Scoring
Phase 1
Phase 6
Phase 5
Phase 4
Phase 3
Phase 2
Phase 7
DN Notice Assign Inventory Outbound Calls Identify Insurance
Letter Drop Dialer Contacts Skip Tracing Medicaid Eligibility
Litigation Final Noticing Close & Return
Credit Bureau Legal Screen Payment Plans Legal Contact
Dialer Messaging Billing of Insurance Payment Negotiation Payment Promises
Reconcile Reporting Remittance Analysis
Results Driven Approach
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Health Care Specialists for over 50 Years
Ser
vice
s
Revenue Cycle Leading Practice Solutions
Payer SearchUncover undisclosed Medicaid and Medicare claims through a proprietary data mining technology which repairs demographics, provides alias searches and calibrates data for claim submittal
DRG Transfer Automated review of all Medicare “Part A” accounts for payment accuracy and reimbursement potential Provide detailed reporting on identified issues for billing
Zero Balance Insurance ReviewAutomated review, analysis and correction of insurance denials, underpayments
Revenue Enhancement SolutionsBreakthrough Strategies
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Revenue Enhancement SolutionsBreakthrough Strategies
Data Transfer
Project Scope
Documentation
Scope
Proprietary Processing
Cascading Workflows
Unique Application
Process
Incremental Revenue
Accelerate Cash
Optimum ROI
Deliver
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Breakthrough Strategies
Measurable Results from Self-Pay Stratification
Reduced placements of self pay accounts to collection agencies by nearly 40% within first six months
Reduced FTE allocation for follow up on self pay accounts by 25%
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Increased cash receipts on self pay accounts by over 22% during first 90 days
Case Study
Reallocated 60% of FTE staff previously assigned to charity care application processing4
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Sustaining Advantages
Passionate dedicated team
Intelligent revenue cycle strategies
Reliable delivery on promises
Accountable security safeguards
Patient first approach
Maximum financial returns
Breakthrough Strategies
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Thank YouBreakthrough Strategies
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