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2011 – Operations Review

2011 – Operations Review. Jonathan Friedman Chief Operations Officer April 2011. Operations — 2011. Nancy will update. 2011 – Challenges & Goals (Q1 & Q2). Maintain Collections as Transition Continues. Complete Transition to Chennai. Management Change + Knowledge Transfer.

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2011 – Operations Review

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  1. 2011 – Operations Review Jonathan Friedman Chief Operations Officer April 2011

  2. Operations — 2011 Nancy will update

  3. 2011 – Challenges & Goals (Q1 & Q2) Maintain Collections as Transition Continues Complete Transition to Chennai Management Change + Knowledge Transfer Management & Knowledge “Silo” Electronic Submission and Remits + Claim Scrubbing + Task Management Billing System Improvement & Automation Improve Collection Process Audits + Policies & Procedures + Dashboard metrics

  4. 2011 Revenue Management Q1 – Q2 Goals End of Day & End of Month New Database Creation Electronic Submission / EFT / ERA IDX Maintenance and Improvement Constants & Parameters Task Manager Charge Edits / E-Commerce / AR Questions Report Generation

  5. System Architecture & Process Reports Reviewed Client Signs Contract and terms reviewed Denials & Incorrect Payments worked QUALITY MANAGEMENT Database Created Payment received, posted& compared vs. Rates Anesthetists Recruited Re-Submission to Insurances Anesthetists Credentialed with Institution IT Charges Submitted to Insurance Anesthetists credentialed with Medicare and Medicaid Claims Scrubbed Charges Entered Insurance Contracting Services Coded Charts Scanned for Billing and QA Par vs. Non Par Collection Process Set-up

  6. 2011 – IT Challenges & Goals (Q1 & Q2) Overseas Communication Challenges Increase Bandwidth + “One Server” + Same Software Applications Database Warehouse Internal Programming Team + Billing Database Business Continuity Plan + Firewalls (Software upgrade) + Audit Security Web Development Somnia Website + SMS Website + Intranet

  7. Database Warehouse Paychex GE Groupcast Quality Management Great Plains DATABASE WAREHOUSE Cactus Sendouts

  8. Database Warehouse Build vs. Buy • Customization • Cost • Time Common Constant – Tying all databases • Provider • Facility Competing Demands • January 19- Database Warehouse Architect • 3 Projects Look and Feel http://10.202.200.151/somnia/

  9. 2011 Hospital Administrators (Q1 & Q2) • Job Functions • Revised Job Descriptions • Quality Management Focus • Utilization of Strengths of Administrators • Administrator Positions • Senior Administrator vs. Junior Administrator • Regional Administrator vs. Hospital Administrator • Team Meetings & Oversight • Monthly group meetings • One-on-one meeting • ScoreCards

  10. 2011 Logistics (Q1 & Q2) Transition • 9 Staff in 2010 to 6 Currently • Director transitioned to Hospital Administrator Client Satisfaction • Maintain Status Quo with Change Plan • Accreditation • Needs Assessment

  11. Somnia Management Solutions Revenue Management Quality Management Contracting Recruitment SMS Credentialing Reporting

  12. Somnia Management Solutions Anesthesia Proposition • Leverage and Strategy of Joining Larger National Group • Decrease Expenses (Rev Mgt, Recruitment, Other Overhead) • Increase Revenue • Infrastructure • Address Healthcare Reform Challenges Pricing • Per Seat • % of Gross Collections Timing • 2nd Quarter – Business Plan

  13. Somnia Management Solutions Proposition outside anesthesia • Revenue Management Capabilities • IT Capabilities • Quality Management Expertise • Additional value for current clients • Consulting Services (Anesthesia specially situated compared to other specialties) Pricing • Per Seat • % of Gross Collections • Hourly Rate for Consulting Timing • 2nd Quarter – Business Plan

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