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Do Slow-pay Insurance Claims Make You See Red?. Let GreenFlag resolve them!. GreenFlag Insurance Resolution. FROM TRANSWORLD SYSTEMS INC.
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Do Slow-pay Insurance Claims Make You See Red? Let GreenFlag resolve them!
GreenFlagInsurance Resolution FROM TRANSWORLD SYSTEMS INC. • Transworld Systems is the leader in providing medical practices with better tools for recovering slow paying accounts and expediting reimbursement from insurance companies. • $650 million recovered for our clients last year • More than 33 years experience recovering slow-pay and delinquent accounts • 150 offices throughout the U.S.
Transworld and MGMA: Professionals Working with Professionals • Transworld has been a professional partner to the medical practice industry for more than 10 years. • We are proud to be an MGMA AdminiServeSM Partner and have been serving MGMA members for more than seven years. • We are a member of ACMPE. • We are HIPAA-compliant. You can be confident we know your business.
Time is not on your side… • 80% of all revenue for most hospitals and medical practices comes from insurance claims filed electronically or manually. • Delays in payment cause frustration and restrict cash-flow. • GreenFlag Insurance Resolution is a revolutionary new tool to assist in the rapid resolution of these claims.
Symptom: Delay in claim resolution Possible causes: • Incorrect information • Missing codes, signature, etc. • Money applied to deductible • Insurance checks released to patients • Insurance companies simply holding on to your money as long as possible • “Claims never received” • Claims held in “Review”
Internal complications… • Rising internal recovery costs and FTE expenses • Continued depreciation of old claims • Coordination of benefits with primary or secondary provider • Billing staff tendency towards concentration on current claims after numerous attempts to recover older claims have failed • Continued restriction of cash flow
Typical In-House Procedure: Internal Cost $20 - $27/claim
GreenFlag Procedure: Two-Phase Approach
Why GreenFlag Profit Recovery? • Insurance carrier by-laws and internal policies typically require immediate response to our licensed third party contacts • Our third party demand moves the responsibility for the claim from a clerk to a supervisor, who settles the claim more quickly • Low, fixed cost allows our service to be utilized on claimsas early as 30-45 days past due. • Insurance carriers will call your staff – effectively reversing the lines of communication
1st Contact to Pay Center 2nd Contact to Pay Center
GreenFlag: Easy to Use • GreenFlag standardizes the accounts receivable procedure: • We work the claims you choose, making A/R more predictable and cash flow steadier. • Insurance companies are contacted by your local Transworld office. • Claim information is submitted online and you have 24/7 access to all account information
Remember… • It’s not a matter of whether insurance will pay, but when insurance will pay. • GreenFlag Insurance Resolution reduces your internal costs and lowers response time, which works to reduce the age of your receivables.
GreenFlag: Easy to Use Claims you can submit: • Commercial Insurance • Managed Care Plans • HMO’s • PPO’s • Medicare • Worker’s Compensation
Your practice will benefit • Using GreenFlag Profit Recovery at 45-60 days allows your staff to focus their attention and efforts on claims in the 0-30 day window. This reduces the number of claims reaching 60 days. • Quicker resolution of claims means patients get billed faster for their share of the balance, reducing the number of outstanding self-pay issues. • Reduced internal costs • Happier staff.
In Summary: • Improved Cash Flow • Higher Recovery on Insurance Claims • Early Identification of Patient Obligations • Automated Program Reduces Costs • Effective National Presence
The Results Say It All… • “Since July 2001, Transworld has collected over $600,000 for our office in delinquent insurance claims with their Insurance Resolution program. The collection cost was a mere 1.1%! We’re now also using Transworld on our private pay accounts and getting 50% recovery at 2% collection cost!” ---Ruby Dust, Administrator, Surgery, Inc. • “Re-directing funds previously spent on in-house collection letters and efforts improved our bottom line by increasing revenue and decreasing overhead.” ---David Kirk, Administrator, Intermountain Orthopaedics
PATIENT SELF-PAY PROGRAM DIPLOMATIC FIRST PATIENT CONTACT • Up to 5 demands will be sent on your behalf – start, stop and suspend activity online • Payment Voucher and Envelope are included • Identifies intent • Separates patients • from debtors • Allows patient to contact your office to make payment arrangements • Activity reports refreshed every 24 hours • Keeps your staff in control at all times.
“Thank You!” Sent to Patients when their accounts are paid in full to maintain relationship (your option)
Verbal Demands • When intensive recovery efforts are required • GreenFlag Verbal Demands employs a team of highly trained recovery specialists operating from nationwide call centers. • Verbal Demands Phase: • Turns up the heat on overdue accounts • You pay only for what is recovered • Offers legal recourse for tough cases • Handles the types of accounts other agencies ignore as un-collectable. • Completely optional – you can cancel accounts online for any reason
A final word… See for yourself why over 60,000 businesses choose TSI over extended in-house efforts and all other 3rd party alternatives combined • We recover three times the industry average for about one sixth the cost. • Flat-fee, no percentages – regardless of the balance. Average cost of only 7 cents per dollar collected. • Diplomatic approach – we recover your profits without offending your valued customers. • You stay in control – you decide how diplomatic to be and when to turn up the heat. • Recovered profit is paid directly to you. No more waiting 30-60 days for an agency to pay you your money. • Over 130 Offices Nationwide – provides unparalleled local impact. • Performance is guaranteed – Use TSI at no financial risk whatsoever. Contact Information: Tyler Williams – District Manager Transworld Systems Inc. 1717 Dixie Highway Ste 490 Fort Wright, KY 41011 P. 859.331.1957 F. 859.331.0413 C. 614.208.8431 tyler.williams@TransworldSystems.com