2. Apollo Health Street partners with hospitals and healthcare organizations across the country to achieve healthcare’s True Return – the financial strength you need to offer excellent patient care today and tomorrow. Achieving Healthcare’s True Return | Confidential | Page
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4. 1 2 3 4 5 6 9 Corporate Office 9 8 6 5 3 2 1 Leveraging People, Process and Technology 4 7 8 7 | Confidential | Page Conshohocken, PA Bloomfield, NJ New York, NY Boston, MA Springfield, IL Americus, GA Atlanta, GA Sunrise, FL Los Angeles, CA
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13. Best Practice Process Flow without Patient Access Partnership Registration performed Eligibility processed through Automated Eligibility Processing Eligible no discrepancies Eligible with discrepancies Discrepancies displayed to registrar Accept changes & post back to HIS If time allows, check by phone call Not available through Electronic Eligibility Processing If time does not allow, no check performed End End Do not accept changes Not eligible Not found Change to self pay | Confidential | Page
14. Process Flow with Patient Access Partnership Registration performed, then transferred to Apollo Health Street Eligibility and demographic review Eligible no discrepancies Eligible with discrepancies Discrepancies reviewed Changes made directly to provider HIS Not available through Electronic Eligibility Processing End End Not eligible Not found Manual Eligibility look up performed including: 1) review of insurance co. web sites; 2) review of other websites; 3) phone call to carrier Phone call made to carrier to determine eligibility Eligibility discovered changes made to provider HIS No eligibility found Transfer to supervisor for review No eligibility to change to self pay Results reviewed by a live agent | Confidential | Page
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17. Project Goal: Reduce the Cost of Collections | Confidential | Page Number of Annual Registrations 5% Error Rate 10% Error Rate Cost to Rework a Rejected Claim Cost at 5% Error Rate Cost at 10% Error Rate 100,000 5,000 10,000 $25 $125,000 $250,000 250,000 12,500 25,000 $25 $312,500 $625,000 500,000 25,000 50,000 $25 $625,000 $1,250,000 750,000 37,500 75,000 $25 $937,500 $1,875,000 1,000,000 50,000 100,000 $25 $1,250,000 $2,500,000
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19. Project Goal: Improve Registrar Accuracy Continuous learning environment including focused re-training based on QA data | Confidential | Page
22. Sample C: Average Score by Registrar | Confidential | Page
23. Contact Information Michael S. Friedberg , FACHE, CHAM Associate Vice President, Patient Access Services [email_address] Office 973.233.7644 Mobile 732.809.0260 Learn more at www.apollohealthstreet.com
