Leveraging collection agency data Leveraging collection agency data to close internal revenue holesto close internal revenue holes

888-592-2146 Presented by: John S. Kline

““Outside the Box” Collection Agency DataOutside the Box” Collection Agency Data

Address data to minimize future mail returns. Address data to minimize future mail returns. (SSN, phone, and name redacted)

  Values  

Row Labels # of Ins Pmts$ of Ins Pmts

AETNA PPO,MC,EP,POS 19 $238,023.74

Sample Client Outpatient 6 $5,761.78

Sample Client 2 Outpatient 5 $12,806.85

Sample Client 2 Inpatient 7 $219,020.65

Sample Client MICU 1 $434.46

BCNJ MANAGE CARE 13 $28,583.49

Sample Client Outpatient 7 $23,403.33

Sample Client 2 Outpatient 3 $4,321.00

Sample Client 2 Inpatient 1 $492.47

Sample Client MICU 2 $366.69

MEDICAID 17 $2,468.40

Sample Client Outpatient 13 $1,780.37

Sample Client 2 Outpatient 2 $220.66

Sample Client MICU 2 $467.37

Grand Total 832 $716,451.05

Insurance and TPL Insurance and TPL payment informationpayment information

Client_Acctno Primary_insurance Pmt_date Pmt_Type Applied Balance Service_date PT_Svc_Type Pt_Type_S_Des

########## BCNJ MANAGE CARE 3/23/2015 IDP $2,025.00 $4,042.85 8/11/2014 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/16/2015 IDP $1,867.50 $307.50 8/30/2014 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/16/2015 IDP $2,137.50 $0.00 6/9/2014 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/9/2015 IDP $100.00 $0.00 9/10/2013 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/23/2015 IDP $2,125.00 $50.00 10/3/2014 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/16/2015 IDP $2,125.00 $50.00 7/27/2014 EMR EMERGENCY

########## BCNJ MANAGE CARE 3/23/2015 IDP $254.19 $0.00 7/5/2014 MCU MICU/SOUTHSTAR

########## BCNJ MANAGE CARE 3/18/2015 IDP $112.50 $0.00 1/19/2014 MCU MICU/SOUTHSTAR

########## BCNJ MANAGE CARE 3/30/2015 IDP $1,162.55 $1,883.90 5/29/2014 OBS OUTPATIENT

########## BCNJ MANAGE CARE 3/16/2015 IDP $492.47 $0.00 9/13/2014 OBS L&D/OBSTETRICS

########## BCNJ MANAGE CARE 3/9/2015 IDP $8,496.29 -$0.02 1/17/2014 PTH OUTPATIENT

########## BCNJ MANAGE CARE 3/25/2015 IDP $7,614.49 -$4,795.88 7/25/2014 SDS SAME DAY SURGERY

########## BCNJ MANAGE CARE 3/16/2015 IDP $71.00 $0.00 12/17/2013 VIM RECURRING

BCNJ MANAGE CARE 13 $28,583.49

Expanding Insurance and TPL payment DataExpanding Insurance and TPL payment Data

  Values  

Row Labels # of Ins Pmts $ of Ins Pmts

EMERGENCY 650 $224,177.60

EMR 600 $181,744.32

EPB 50 $42,433.28

MICU/SOUTHSTAR 61 $36,161.94

MCU 61 $36,161.94

NURSERY 11 $26,976.18

NBN 11 $26,976.18

OUTPATIENT 32 $30,494.56

OBS 19 $16,622.46

OUT 12 $5,375.81

PTH 1 $8,496.29

Grand Total 832 $716,451.05

Same data, different Same data, different use. use.

Identifying location Identifying location problem areas.problem areas.

Intelligent Charity, for those who need it.Through a cross-section of the Federal Poverty Guideline, and each patient’s unique propensity to pay, agencies create the automated ability to identify those patients who need assistance most. The models are typically Form 990 compliant and fully customizable to each of client’s needs and can be based off the client’s very own patient population historical data, for a specific level of accuracy.

Presumptive Charity Presumptive Charity

Consumers & BusinessesAddresses & Phones

eMails & IP AddressesSSNs & DOBs

Who made the purchaseWhat they purchasedWhen they purchasedHow much they spent

Household compositionProperty & MortgageOccupation & IncomeLifestyles & Hobbies

Consumer Credit Bureau Report Statistics

aggregated at a zip+4

Internet Domain DataRisky addresses & Phones

Known fraud addresses Validation databases

Bankruptcy & Deceased

Multiple Identity

Databases

Catalog, Internet& MOTO

Purchases

Demographic & Asset Data

Aggregated Credit Data

Additional Sources

Propensity to Pay – Phase 1Propensity to Pay – Phase 1

Over 300 billion current & historic

consumer records.

300 Terabytes of data.

Propensity to Pay – Phase 2Propensity to Pay – Phase 2

Presumptive Charity – Phase 1Presumptive Charity – Phase 1Reports to show breakdown of Client Presumptive Reports to show breakdown of Client Presumptive

Charity Scores Charity Scores

Prob Prob Prob Prob Prob Prob Prob Prob Prob Prob

(0-100) (101-200) (201-300) (301-400) (401-500) (501-600) (601-700) (701-800) (801-900) (901-1000)

0-49% $0 $0 $45 $515 $0 $43 $41 $133 $0 $777

50-99% $200 $767 $2,362 $733 $1,299 $2,291 $5,217 $143 $2,689 $726 $16,428

100-149% $1,715 $240 $1,811 $5,975 $17,620 $3,091 $6,675 $4,471 $33,625 $396 $75,618

150-199% $2,382 $149 $951 $2,093 $5,305 $9,839 $10,832 $3,115 $5,053 $16,893 $56,612

200-249% $6,074 $724 $2,164 $7,232 $24,312 $11,989 $18,020 $7,406 $2,836 $39,043 $119,800

250-299% $1,080 $957 $342 $5,250 $4,878 $1,344 $3,361 $3,217 $3,374 $7,385 $31,188

300-349% $0 $0 $519 $41 $41 $2,153 $829 $62 $158 $11,448 $15,250

350-399% $0 $0 $0 $0 $0 $57 $0 $27 $406 $490

400-449% $0 $870 $121 $0 $0 $0 $902 $15 $0 $1,908

450-499% $0 $51 $0 $0 $10 $125 $1,313 $32 $298 $1,828

500% Plus $0 $0 $0 $0 $0 $0 $496 $496 $992

Not Enough Data $41 $420 $248 $228 $876 $583 $1,347 $5,207 $1,286 $1,083 $11,320

Sum: $11,493 $3,256 $9,363 $22,187 $54,332 $31,344 $46,504 $25,969 $49,589 $78,174 $332,212

Dollars Collected by Deciles

PCT of FPG Sum:

Presumptive Charity – Phase 2Presumptive Charity – Phase 2Reports to show Charity Score in relationship to the Reports to show Charity Score in relationship to the

Propensity to PayPropensity to Pay

Client Code CL Acct No List Date DIA Pmt Dte Ini Bal Pmt Amt Curr Bal Pmt Type Pmt Reference Srv Date Location Service Type

SAMPLE CLIENT 4020650117 3/16/2015 10 3/26/2015 $1,000.00 $49.17 $950.83VI 121408 10/24/2014 OBS L&D/OBSTETRICS

SAMPLE CLIENT 4019061466 3/16/2015 14 3/30/2015 $882.90 $706.32 $0.00VI 268441 12/7/2013 MED TELEMETRY

SAMPLE CLIENT 4020524353 3/16/2015 14 3/30/2015 $250.00 $250.00 $0.00DP 11 PATIENT PAYMENT 9/25/2014 MED SEMI-PRIVATE

SAMPLE CLIENT 4020447803 3/16/2015 7 3/23/2015 $1,692.30 $275.30 $926.69DP 18 PATIENT PAYMENT 9/11/2014OUT OUTPATIENT

SAMPLE CLIENT 4020447803 3/16/2015 7 3/23/2015 $1,692.30 $490.31 $926.69DP 69 PATIENT PAYMENT 9/11/2014OUT OUTPATIENT

SAMPLE CLIENT 4020603934 3/16/2015 7 3/23/2015 $2,175.00 $2,125.00 $50.00 IDP 89 NJ / OUT OF STATE 10/3/2014 EMR EMERGENCY

SAMPLE CLIENT 4020692564 3/16/2015 7 3/23/2015 $35.00 $15.00 $0.00DP 39 PATIENT PAYMENT 10/24/2014 EMR EMERGENCY

SAMPLE CLIENT 4020488443 3/16/2015 8 3/24/2015 $21.35 $21.35 $0.00MC 06034ZWEB 9/22/2014 IMS RECURRING

SAMPLE CLIENT 4020547388 3/16/2015 8 3/24/2015 $544.54 $326.94 $62.02VI 08521B 9/26/2014 EMR EMERGENCY

Values

Row Labels Sum of TRUE Sum of DBBAL Sum of CLIENT BAL Sum of DSAMTCAN

ACCOUNT NOT ON RECON 3,001 $4,214,971 $0 $0

ACCOUNT ON RECON NOT W APEX 223 $0 $80,576 $0

AGENCY BALANCE GREATER 33 -$4,606 -$10,561 $0

AGENCY BALANCE LESS 19 $10,349 $47,298 $0

AGENCY BALANCE LESS RECENT PAY 285 $319,642 $347,050 $0

BALANCE MATCH 13,734 $15,017,655 $15,017,550 $0

RECALLED STILL ASSIGNED SECOND PLACED MATCH 31,421 $0 $17,761,621 $17,761,621

RECALLED STILL ASSIGNED SECOND PLACED MISMATCH 104 $0 $179,588 $184,896

Grand Total 53,106 $19,551,388 $35,749,890 $19,146,936

Importance of Importance of Reconciliation Reports: Reconciliation Reports:

Immediate answer to Immediate answer to audit questions.audit questions.

Row Labels 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121-150 Days 151-180 Days 181-365 Days Grand TotalCREDIT BALANCE ACCT Balance -$148 -$68 -$1,873 -$544 -$6,869 -$13,776 -$49,464% of Balance 0.01% 0.01% 0.03% 0.00% 0.01% 0.01% 0.09% 0.25%# of Accounts 1 1 3 1 1 9 25

DEBTOR HAS ATTORNEY Balance $6,060 $29,054 $4,224 $5,183 $59,499 $775,351 $1,208,377% of Balance 0.07% 0.07% 0.05% 0.07% 0.15% 0.00% 0.37% 1.73%# of Accounts 7 7 5 7 15 37 175

INSURANCE PENDING Balance $460,074 $136,484 $493,148 $119,400 $67,760 $111,024 $613,536 $2,490,150% of Balance 0.43% 0.23% 0.56% 0.23% 0.32% 0.18% 1.10% 3.91%# of Accounts 43 23 57 23 32 18 111 396

PAYMENT PLAN Balance $28,430 $24,686 $41,278 $25,000 $39,120 $19,092 $80,835 $430,599% of Balance 0.43% 0.28% 0.57% 0.41% 0.45% 0.26% 0.88% 4.07%# of Accounts 43 28 58 41 46 26 89 412

SPANISH FOLLOW UP Balance $15,050 $16,202 $1,967 $10,997 $10,697 $14,284 $1,837 $71,118% of Balance 0.11% 0.07% 0.08% 0.13% 0.13% 0.10% 0.05% 0.67%# of Accounts 11 7 8 13 13 10 5 68

SPECIAL CIRCUMSTANCE Balance $785 $25 $3,062% of Balance 0.01% 0.00% 0.00% 0.00% 0.00% 0.00% 0.01% 0.07%# of Accounts 1 1 7

NEW LISTING ISCORE SYSTEM INITIATED Balance $196,297 $196,297% of Balance 2.32% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.32%# of Accounts 235 235

Total Balance $2,308,922 $760,969 $1,871,337 $1,220,711 $1,404,157 $865,167 $2,387,089 $12,922,263Total % of Balance 22.19% 7.04% 16.65% 13.24% 16.16% 11.21% 7.58% 100.00%Total # of Accounts 2,245 712 1,684 1,339 1,635 1,134 767 23,490

Avoid the agency black hole inventory!Avoid the agency black hole inventory!

Thank you for your time.

888-592-2146