fujitsu scanners & artsyl technologies, inc. the importance of accuracy in medical forms...

Kevin Neal

Product Manager – Production Scanners

Fujitsu Computer Products of America, Inc.

Imaging Products Group (IPG)

February 22, 2007

Fujitsu scanners & Artsyl Technologies, Inc.

The Importance of Accuracy in Medical Forms Processing Webinar

Fujitsu & Artsyl, The Importance of Accuracy in Medical Forms Processing

Agenda

• Introductions of Fujitsu and Artsyl Technologies– Kevin Neal, Fujitsu presenter– Megan Fowler, Fujitsu moderator– Chris Riley, Artsyl presenter

• New forms types for Healthcare– HCFA 1500 Claim Form– New UB04 Claim Form

• Fujitsu Webinar Series• Artsyl Technologies, Inc.

– Importance of image quality– New vs. old form types for healthcare– Other Healthcare document types

• Questions and Answers


New CMS 1500 Claim Form

Reason for change:• The revised CMS 1500 (08/05) claim form accommodates the reporting of the National

Provider Identifier (NPI) number. The NPI must be used by all HIPAA covered entities, such as health plans, health care clearinghouses, and health care providers.

No Barcode:• The barcode has been removed on the revised CMS1500 form. Scanners can be

programmed to read the 1500 symbol in black ink.

Recommended transition timeline:

• October 1, 2006: Health plans, clearing houses, and other information support vendor's should be ready to handle and accept the revised (08/05) 1500 Claim Form.

• October 1, 2006 – March 31, 2007: Providers can use either the current (12/90) version or the revised (08/05) version of the 1500 Claim Form.

• April 1, 2007: The current (12/90) version of the 1500 Claim Form is discontinued; only the revised (08/05) form is to be used. All rebilling of claims should use the revised (08/05) form from this date forward, even though earlier submissions may have been on the current (12/90) 1500 Claim Form.

* Source: http://www.americanhcfaforms.com/CMS1500/cms1500.html#time


New UB04 Claim FormWhy is it changing?

• The UB04 contains a number of improvements and enhancements that include better alignment with the electronic HIPAA ASC X12N 837-Institutional Transaction Standard. The New UB04 paper billing form will be able to accommodate the reporting of the National Provider Identifier (NPI) Number. The NPI will be a single provider identifier, replacing the different provider identifiers healthcare systems currently use for each health plan with which you do business. The NPI Identifier, which implements a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), must be used by all HIPAA covered entities, which are health plans, healthcare clearinghouses, and healthcare providers.

What are the timelines for the transition of the new UB04?

• March 1, 2007: Health plans, clearinghouses, and other information support vendors must be ready to handle and accept the new UB04 Billing Form.

• March 1, 2007 – May 23, 2007: Providers can use either the current UB-92 or the new UB04 Billing Form.

• May 23, 2007: The UB-92 is discontinued; only the new UB04 billing form is to be used. All rebilling of claims should use the UB04 billing form from this date forward, even though earlier submissions may have been on the UB-92.

* Source: http://www.americanhcfaforms.com/ub04/ub04.html#top


Fujitsu Webinar Series

• Developed based on feedback from customers• Free webinars & web posted materials for later download

• Three distinct educational tracks– Case studies– Vertical market focus– New technologies

• Topics covered since October 2006– Connectivity = Software drivers & interface considerations– Content management = Search, file formats, digital import– Productivity tools = Image enhancement, image processing– Application specific = Invoicing, EOB, distributed capture– Technology focus = Forms processing, OCR, classification


Fujitsu Webinar Series

ABBYY OCR Recognition Server

ABBYY FineReader

EMC/Documentum ApplicationXtender

Kofax VRS

EMC/Captiva QuickScan Pro

AnyDoc INVOICE & REMIT

AnyDoc EOB

Cardiff Invoices& Accounts Payable

ReadSoft DOCUMENTS Classification

Perceptive Hospital Admissions

• ECM = Enterprise Content Management• Forms Processing, OCR, ICR, OMR• Healthcare, Accounting, Financial, Shipping/Receiving• Case Studies, Return on Investment, Proof of Concept


fi-5900C / Recognition Server ConfigurationLarge Volumes of

Documents, Forms and/or Records

High Speed Scanning at preferred resolution of 300 dots per inch with Fujitsu fi-5900C

Dedicated ABBYY Recognition Server for

efficient OCR processing

Nearly instance access to full text searches by

retrieval stations


Fujitsu and Kofax VRS solutions

• Kofax VRS software is a great compliment to the complete line of Fujitsu document scanners

• VirtualReScan (VRS) software and hardware performs image clean-up and advanced image processing of scanned documents

• With the ability to capture images at rated speeds up to 300dpi (dots per inch) AND in color, Fujitsu high-speed scanners make your overall scanning process much more efficient

• VRS can be used in conjunction with other in box application software including Adobe Acrobat 7.0 and ScandAll21


Benefits of Three Independent Ultrasonic Sensors

Healthcare Insurance Form example

Bob,Please review

The left Ultrasonic sensor can be configured completely OFF or to ignore only specific areas of a document. In this case, set to ignore the area of the document that contains the image of the patient where clinic has taped the photo to the page.

The middle Ultrasonic sensor is configured to detect multifeed documents. No multifeed detected on this example therefore scanning would continue normally.

The right Ultrasonic sensor also has been configured to detect any multifeed documents. In this case a yellow sticky note is detected and the scanner can be setup to notify the operator and stop scanning and/or pause scanning in order to immediately take corrective action. Important information under the sticky note is not lost.


Image ProcessingFujitsu IPC for standard

forms processing

A Series of predefined templates for forms processing applications

Example: Generate B&W and Color images simultaneously

Modify or create new templates with ease

Examples:• Light color text• OCR form• Magazine


Optical Character Recognition

NO. While it is legible to the human eye, the quality is too poor for use as an archival master file. The characters are too pale and

uneven to OCR properly.

CausesPoor Camera Technology / Inadequate Lamp Brightness

NO. This scan is easier to read than the one above, but the characters have bled into one another and there is too much

"noise", or interference like the black marks surrounding the text, to OCR the image.

CausesLack of Image Processing / Inefficient Image Enhancement

YES. This scan is easily legible, looks like the original page, and will OCR without difficulty.

ResolutionsHigh Quality Charge-Coupled Device (CCD) Cameras

Bright Light SourcePremier Image Processing Technology


Back-File Conversion vs. Day-Forward

Batch Mode Capture

Pros Cons

Back-File Electronic access to all paper files

Document sharing, reduce lost files

High level of customer satisfaction

Time-consuming

Storage costs

Bandwidth considerations

Day-Forward Quicker implementation

Clear-cut process for scanning

Inconsistent access to information

Possible lack of compliance

As Needed Build your repository over time

Only relevant information in system

Poor disaster recovery

Lack of automation and access

Single Mode Capture


MFP vs. Production Scanner Considerations• MFP used primarily in Ad Hoc scanning• Production Scanners used in Mission Critical scanning applications

• When to use a dedicated Production Scanner?• Basic Criteria• Daily scanning volume greater than 100 documents per day• Mixed paper sizes, weights and colors

• Forms Processing applications• Optical Character Recognition (OCR), ICR, color dropout• Image Enhancement, decreased document preparation

• Vertical Market Applications• Healthcare – HICFA forms, Medical records, Plastic cards• Legal – Sarbanes Oxley, Check 21, Compliance• Banking – Loan documents, Lease forms• Government – Homeland security, Local/State agencies• Human Resources – Applications, Reviews, Records• Real Estate – Deeds, Wills, Trusts, Affidavits• Transportation – Airbills, Proof of Delivery, Signatures• Service Bureau – Backfile conversion, Outsourcing

Production Scanning = Speed,Paper Handling, Image Quality


Forms Dropout Color Example

• Sample claim form with excellent form structure including red constraint areas to be eliminated

Dynamic Color Dropout

ICR on handprint

OMR on check marks

Deskewed Image

Image Enhanced

• After Dynamic Color Dropout only the relevant form data is exposed for ImageNow Forms Processing


Forms Design Recommendations

• Well defined Forms enable a much higher level of automation

– Form structure itself can aid in increased productivity

– Color Dropout eliminates constraint boxes for scanning

– Background color is unnecessary and not recommended

– Paper type should be consistent

• Give automation the best possible chance to succeed

– Higher resolutions (300 dots per inch for OCR/ICR)

– Image enhancement (Deskew, cropping, auto-orientation, etc.)

– Paper handling

• Take your forms design seriously

– Many form types are fine, structure is most important

– These documents most likely will be needed for years


Importance of Document Classification

Business Management

Information Silos

Records Managers

Human Resources

Accounting

Security = Rules based access or restriction of information

Searchability = Narrow searches enable more relevant data

Retention = Adhere to business policy or compliance regulations

Human Resources

Accounts Payable

Shipping/Receiving

Sales/MarketingCustomer Service


Challenges of ‘EOB’ processing

• Physical document format– Small font size– Poor print quality

• Time consuming• Labor intensive• Access to information• Form structure• Index fields• Error prone

– Incorrect index– Inaccurate totals

• Lost/misplaced documents• Volume of transactions

Technical

Financial Legal

Procedural

EOB’s present anabundance of Challenges


Camera Technology

• Overall comparison summary:• CCD – high cost, best image quality, low power efficiency.

• CMOS – costs less than CCD, better quality than CIS.

• CIS – low cost, lower resolution, but good image quality.

* Source: http://www.fujitsu.com/downloads/COMP/fcpa/reviews/market-roundup-1006.pdf


Camera TechnologyCCD images CIS images


fi-5220C

fi-5750C

fi-5900C

Selecting the right scanner for your needs

Your Pain

Distributed Capture = 1,000 to 2,000 documents

per day

Remote locations

Moderate Volume = 8,000 to 10,000 documents

per day

Remote or central locations

Centralized Production = 30,000 to 100,000 documents

per day

Production Level Scanning


fi-5750C Production ADF + Flatbed

• Straight paper path• Long document scanning• Excellent paper handling for various

document thickness and types

• Oversized 12” x 18” flatbed• Easy access to flatbed for bound or fragile

documents• Rated scanning speeds at 300dpi

• Swivel automatic document feeder• Dual interface, 50-pin SCSI/USB 2.0 and

third-party slot• On-site service options to fit your

requirements and budget

18”12”

Design

Versatility

Flexibility

40PPM

Speed

$1,000 $5,000 $8,000

15 PPM

$17,000$2,000

25 PPM

$25,000

fi-5750C $7,995 -VRS $8,995

fi-4340C $4,995

fi-5220C $1,995

fi-5015C $695

fi-5120C $1,195

60 PPM

fi-4860C $16,995fi-4860C2 $17,995

fi-5530C $3,995

$4,000

fi-5650C $5,995 -VRS $6,995

fi-60F A6 FlatbedScanner $395

fi-5110C $895

100+ PPM

fi-5900C $24,995

Fujitsu fi-Series Scanner Line-up


More information

• Fujitsu Document Scanners– Web Site: http://www.fcpa.com– E-mail: [email protected]– Phone: 888-425-8228

• Artsyl Technologies, Inc.– Web Site: http://www.artsyltech.com– E-mail: [email protected]– Phone: 510-226-6717

• ABBYY USA– Web Site: http://www.ABBYY.com– E-mail: [email protected]– Phone: 510-226-6717

fujitsu scanners & artsyl technologies, inc. the importance of accuracy in medical forms...

Documents

new ub04 billing form

claim form reason

new ub04 paper billing

revised cms1500 form

old form types

fujitsu fi

new cms

fujitsu highspeed scanners