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Jun 22, 2015

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Not only do medical clients have issues with SELF PAY balances but also a small % of INSURANCE CLAIMS stall payment to the provider
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Transworld Systems Inc.

Company Overview

• In business since 1970• 60,000+ clients• 100 Offices Nationwide• Recovered $2.4 billion* in the last 5 years for

companies across all industries including Fortune 500 & 100 Companies

• Success rate of more than 4 times that of the industry average**

• 24/7 Online account management

* Company Average**Based on ACA Statistics

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What the Experts Say

“The numbers speak for themselves – recovery of over $230 million dollars with a 53% recovery rate and an ROI of almost 4,000% with a collection cost of 2.5%.” Steve Hellebush, VP of Business Development, Medical Group Management Association

“The company has a collection rate of well over 50%. The typical collection firm gets only 20% and keeps 25% to 50% of recovered funds.” Fortune Magazine

“Transworld gets credit for the highest recovery rate in the industry.” Barron’s

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Segments Using Transworld Systems

•Ambulance services•Vision Clinics•Surgery Centers•Neurologist•Dental Labs•Women's Clinic•Radiologist•Optometry•Internal Medicine•Physicians Groups•Periodontist•Veterinarians•Acupuncture•Massage Therapy•Nephrology•MGMA Clients•Home Health

•DDS•OBGYN•Family Clinics•Pediatricians•Oncologist•Hospitals•Chiropractors•OD•Medical Schools•Medical Labs•DPM•Cardiologist•Orthopedic Surgeons•Medical Supply & Equipment•Pharmacies•Dermatologist•Physical Therapist

Whatever size your practice, Transworld Systems is your profit recovery solution.

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Satisfied Clients

Steven Spivack DDSEast El Paso Surgery CenterVNA of El PasoShanker Sundrani M.D.VA HospitalsComfort KeepersJA Tony Marquez DDSRandy Pollet M.D.E. EP Physicians Med CenterIndian Medical CentersMcDowell County EMSTexas ENTPhi Air MedicalWomen’s Medical Assoc.Southwest OrthopedicsVision Health SpecialtiesRW Wiggs DDSSurgery Center of El PasoEl Paso Physicians Group

Southwest X-RayW TX Children’s Cancer Efren De La Rosa DPMHarrington PhysiciansHarrington Cancer ClinicUniversity VisionRegent Care CenterMcCrory’s PharmacyEastern NM Sleep DisorderMichael Nussbaum DDSAir Evac ServicesChildren’s Medical Ctr TucsonPrescott Eye CareDr Lisa Tucker OBGYNSouthwest ChiropracticNathan Dickerson DDSAdvanced Cardiology GroupSouthwestern UrologyDona Ana Medical Supply

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Conventional Two Stage Approach

Day 30 Day 60 Day 90 Day 120 Day 150

Statement Statement Statement,Letter #1,Phone Calls

Statement,Letter #2,Phone Calls

Statement,Letter #3,Phone Calls

According to the Dartnell Institute, the average cost of working an account internally over a six month period is $31.60 per account.

In-House Efforts

Out-sourcing

Day 180

Intensive telephone contact and/or legal action at a cost of 25-50% of recovered amounts.

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GreenFlag Three Phase Approach

In-House Efforts

Transworld

Systems

Conventional Collection Methods

Current 30 Days 60 Days

Statement StatementPhone Call

StatementPhone Call

Limit internal efforts to less than $11 per account

90 Days 104 Days 118 Days 132 Days 146 Days

We contact slow paying accounts every 10-14 days – at the client’s direction. Making up to 5 contacts – each progressively stronger.

Fixed fee – averaging less than $10 per account. The client controls the process.

180 Days/Write OffContingency Based Collections

“Secondary Assignment”

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Start Early -Recover More

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24/7 “Real Time” Reporting

• Client controls all starts and stops• Ability to access, update, and manage accounts online• Real-time, web-based account reporting• 24/7 access to account information

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First Demand, Courtesy Notice

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First Demand, Intensive

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Second Demand

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Third Demand

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Fourth Demand

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Fifth & Final Demand

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Thank You Letter - Optional

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Why Do GreenFlag Demands Work vs. Internal Letters or Traditional Agencies?

• TSI address is from closest contact office to debtor, which is zip code activated. Local or Regional contact vs. a call from another state!

• TSI has no company name only PO Box on envelope which makes it hard to recognize. Gets opened! Most company statements or letters have company name on them.

• TSI demands change size every 10 days. Most internal statements or letters go out every 30 days in same envelope.

• TSI demands get through to 95% or more off all accounts on average vs. telephonic internal or external attempts. Study’s show that 70%+ of all consumers screen calls with caller id, call block, answering machines.

• TSI return payment envelope & tear off voucher 1st, 3rd, & 5th demands. The only thing we don’t do is lick the stamp for them! It’s like a utility bill that makes it a priority over a statement from a client.

• FDCPA Disclaimer on the bottom of the 1st demand for payment. All agencies in the US have to send out but they don’t have to tell you so they get a % for a letter!

• 3rd party impact!

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Do Slow-pay Insurance Claims Make You See Red?

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Why are we so effective on Insurance Claims?

Implied threat• Being a licensed collection agency, we give the implied threat of reporting to the

state insurance commissions.

• TSI has a disclaimer at the bottom of all demands. It states they have 30 days to pay or deny the claim or it’s assumed to be a valid debt as allowed by law. Even though some interpret that this law is for consumer/patient accounts, most supervisors do not want to press the issue.

Local office impact• Our contact with each insurance company is made from a location nearest to the

office of the payer. With over 140 offices nationwide, our local branch office contact gives us local presence.

Ability to “touch every claim” on a fourteen day cycle• We have the ability to touch every claim, and demand payment, 5 times on a 14-

day cycle for a fixed fee that the provider cannot match.

• Also, because of the changes in the mix of payees, (HMO’s Manage Care, etc.), we have designed specific communications for insurance companies that have all the necessary information for them to process the claim, (i.e., insured name, patient name, social security number, dates of service, claim number and group number.)

Higher level contacts (supervisors versus clerks) handle our demands* We are a collection agency. Most claims offices personnel are used to addressing

UB92 or HCFA forms, not collection demands. Like everyone else they fear what a collection agency might do and they do not want to be the one responsible for holding up an answer. As such, the claim is immediately paid, denied or passed up to a supervisor.

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Typical In-House Procedure

Day 1-30 31-60 61-90 91-120 121-150 151-180 181-210

HCFA1500 or

UB92Sent

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

TelephoneCalls or

SendTracers

$0.50 $2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

$2.75

$1.25

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GreenFlag Procedure

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INSURANCE DEMANDS

To see a copy of the Specialized Insurance Demands contact your rep

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Monroe Design – Status Report