Welcome to Centricity™ BusinessBundled Care ManagerAmy Milone, Product OwnerEvan Richards, Product ManagerApril 30, 2015

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Agenda

Roadmap for Success

Bundled Care Manager Overview

Analyze Profitability

Operationalize Protocols

Manage Financials

Questions

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Centricity Solutions for Financial ManagementA platform for revenue cycle success

Robust financial

management

Actionable insight

Reporting Business Intelligence Advanced Analytics

Payer connectivit

y

Hospital Revenue cycle

Practice Management

EDI Services

Centricity Solutions for Financial ManagementCentricity Solutions for Financial Management

Risk Management

Outcomes through

best-practices Centricity Workflow

Consulting Services

Better positioned for successBetter positioned for success

Comprehensive analytics platform Built in reporting, KPI dashboard and a new predictive analytics solution to reduce costly denials

Robust enterprise financial management solution Supporting hospital, ambulatory and health plan needs

Connecting providers & payers Leveraging EDI services going beyond claims and eligibility into clinical data exchange

World class consulting services Outcomes based financial performance consulting and meaningful peer to peer benchmarking

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Bundled Care Manager Overview

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Centricity Business Bundled Care Manager

Be confident in your ability to effectively manage episodic bundled care programs profitably.

Analyze risk of bundled services

Set up bundled protocols

Associate patients to

bundles

Track patient scheduling

against protocols

Allocate rendered services

according to protocols

Send claim to payer with

bundle indicators

Manage A/R for bundled payments

Post payments

Disperse payments

Future deliverable

Analyze profitability Operationalize protocols Manage Financials

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Analyze Profitability

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Analyze Profitability – BCM Terms Visit and Services

Analyze Profitability – Service Detail

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Analyze Profitability – Episode Budget Reports

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Operationalize Protocols

Operationalize Protocols –Assign Patients to Episode

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Operationalize Protocols - Track patients in Episode

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Operationalize Protocols – Schedule Episode Appointments

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Operationalize Protocols Follow Patients Episodes

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Operationalize Protocols – Review Episode Charges

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Operationalize Protocols Review Potential Episodic Charges

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Operationalize Protocols – Integration with HPA

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Manage Financials

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As ProducedMonthlyBi- MonthlyQuarterlyPatient Assignment End DateInterval Ruleset

Claims Submission Methodology

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Manage Financials - Manage Claims Activity

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Manage Financials – Financial Episodic Activity

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Manage Financials – Comprehensive Financial View of Activity

The song will continue…

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Manage Financials: Cross Application Payment Posting Allocation Method

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Lump SumFFSAuto Write-Off’s

Descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality.  Timing and availability remain at GE’s discretion and are subject to change and applicable regulatory clearance.

Manage Financials: External Services

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Capture External Services and ChargesAggregate data into Episode TotalsDisperse Payments to External Providers

Descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality.  Timing and availability remain at GE’s discretion and are subject to change and applicable regulatory clearance.

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Are you ready to put the Centricity Business Bundled Care Manager’s tools in your hand…

Flexible Episode Creation

Tracks Patient Assignment

Scheduling/VM integration

Charge Matching based on Episode Contents

Coordinated Claims Submission

BAR/HPA billing integration- Billing Visibility

Episode Management Automation

Questions!

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