RevCycle+ is the next generation of ED coding & billing.

RevCycle+™ The next generation of coding and billing

• Dallas, TX

• HQ, clinical content

and R&D COE

• Williamsburg, VA

• East physician

revenue cycle COE

• Kansas City, MO

• Facility coding COE

• Cerritos, CA

• West physician

revenue cycle

COE

• 39M+ patients each year

• Clinical, workflow and revenue

cycle solutions

T-System is everywhere emergency medicine is practiced.

Solutions for the Entire ED Care Process

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Notification,

handoff and

chart access

PCP referrals,

care plans and

patient transition management

PDI, eRx

follow-up

Utilization

review

Professional,

facility, CPT,

observation, ICD

POS collections, charge

capture, billing, denials,

collections

Patient access,

Published wait times,

pre-notification

Tracking, triage,

charting, orders,

admit, transfer,

optimization

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• Little automation

• Slower processing

• Accuracy relies on skill of

the individual coder or biller

• Limited performance

transparency

• Lack of education to

providers

Today, outsourced services are often performed

as they would have been 20 years ago.

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On average, EDs are only collecting 27% of

charges, and patient responsibility and self-pay

patients are increasing.

Identity & Insurance Verification

Pre-registration

Registration Charge Capture

Check-Out Coding Claims

Processing

Post Service

Payments Collections

Patient access Billing & collections

Co

llectio

ns

Percentage of Covered Workers Enrolled in a High-Deductible Plan

Note: These estimates include workers enrolled in HDHP/SO and other plan types. Because we do not collect information on the attributes of

conventional plans, to be conservative, we assumed that workers in conventional plans do not have a deductible of $1,000 or more. Because of

the low enrollment in conventional plans, the impact of this assumption is minimal. Average general annual health plan deductibles for PPOs,

POS plans, and HDHP/SOs are for in-network services.

Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2011.

High-deductible plans are on the rise – estimated

70% of US employers in 2013.

T-System is Transforming the Process

Automating manual process for improved efficiency and fewer

errors

Real-time performance visibility to identify areas of potential

improvement

Client service expertise such as ongoing

provider training, payer contract negotiation

and credentialing

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RevCycle+™

| RevCycle+™

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Electronic eligibility

verification; claims, denial,

aging and collections

management; A/R

Advanced coding with

medical decision

making calculator POS collection

Patient responsibility & collections optimization, credentialing,

contract management, documentation training, compliance

+ Expert client services

+ Real-time visibility

+ Advanced technology

Advancing the Coding Process with Technology

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Audit report

Details how a level of service

was calculated

• Decrease the subjectivity

of code choice

• Create a defensible audit

report

Want to know how many

charts had no social history?

RC+ can report by provider,

by date, or other criteria

Reportable data

MDM calculation

• CT, lab, MRI, and more

• Utilization data by

provider

Ongoing Q/A

• Clinically trained coders

maintain consistency &

accuracy

Regulatory changes, ICD-10

expertise, payer guidelines

Bringing Sophisticated Collections Management

to the ED

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Predict patient

propensity to pay

based on historical,

local data

Tailor resources and

communication to

maximize collections

Estimate & collect

patient payment up front

1) 2) 3)

• Customize payment options

• Calculate real-time eligibility,

copay & deductible

• Capture patient satisfaction

• iPad enabled

• Define patient communication

plans, timing & methods

• Improve patient engagement

through specific activities

• Reduce risk of inappropriate

collection activity

Providing Real-time Performance Visibility

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• Real-time data

• Easy-to-use web interface

• Drill down, decomposition,

and more for analysis at all

levels of data

• Standard reporting pack

• Security features to specify

access by log-in

Delivering an Expert Level of Service

• Performance monitoring and proactive

identification of issues

• Ongoing physician training including ICD-10

training for providers, scribes, mid-levels

• Legal/compliance support

• Credentialing

• Contract negotiation

• Regulatory change monitoring

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T-System knows the

ED – and provides

service beyond just

coding & billing

30+ years of experience

in clinical, revenue cycle

and operational ED

management

[email protected]

(972) 503-8899

Contact us today for a free assessment.