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Health Information Management Solutions
Date
Proprietary and Confidential
SourceHOV
SourceHOV energizes our clients’ success with platformdriven business process solutions for core functions.
We provide total life cycle services and analytics that
increase efficiency and quality while providing critical
quantitative insight.
SourceHOV delivers high-value business outcomes for
leading organizations including more than half of the
Fortune 100.
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Established Credibility, Advantageous Flexibility
600K
Healthcare
claims
processed daily
Settlements
distributions
Employees
in 6 countries
59
Clients with
over $1M in
annual billings
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State tax
fraud
prevented
$3.5B
12,500
$500M
$4M+
$1.5B
Healthcare
under-payments
recovered
2011 Revenue
(USD)
70+
U.S. locations with
HIPAA-certified,
citizen and
classified options
4,000
Legal claims
administration
projects
Here’s what we know about your business
Insert what we know about the customer’s pain points
and what are their top priorities right now
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A balanced portfolio of solutions, for
both providers and payers, that
encompass the full life cycle of back
office processes.
Providing a roadmap, from physical
to electronic including our online
self-service platform, for rapid and
transparent two-way interactions.
High caliber analytics for complex
adjudication and payment
processing, ending in solutions to
capture revenue, prevent fraud,
reduce waste, and assure contract
compliance
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Proven, Scalable and Innovative Payer
solutions, delivered to many of the largest
private and public health insurers, that
beneficially change payer/provider
communication processes, accuracy and
costs.
Intelligent, Tested and Effective Provider
solutions, serving acute care facilities
across the US, supporting ongoing efforts
to reduce revenue capture cycle times,
minimize claims resubmissions, and reduce
operational waste thus putting more
budget toward patient care.
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Full Life Cycle Healthcare Back Office Solutions
Comprehensive Enrollment
and Verification
Coding, Consulting,
and Training
Accepting member and provider
submissions using physical, electronic
and online models and providing
robust verification and entitlement
Trained for operational excellence,
our global team help clients
improve revenue cycles through
quality, speed and scale
Payments, Presentment
and Communications
Complex Adjudication
and Analytics
Electronic and physical payments and
lockbox services, presentment and
communications to accurately fulfill
claims processes
Deep industry expertise combined
with robust platforms allow us to
provide payers and providers hard
dollar reimbursement savings and
knowledge-based solutions at the
core of their claims
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Online Self-Service
Beneficially changing how
claims and resubmissions
are managed with paperless
speed and online process
visibility
Proven Performance in Healthcare Information Management
700
Experience
Our difference: 30+
years in HIM, 40+
years in document
management
People
Our team members are
SourceHOV employees,
not contractors
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HIM directors
served in
hospitals,
outpatient
facilities and labs
nationwide
Quality and
Accuracy
Exceeding 96% accuracy via
AHIMA certified staff
Processes
Dedicated Account and
QA Management
Spectrum of HIM Services
HIM directors can significantly improve resource utilization and mitigate documentation
management challenges while raising service levels, achieving greater satisfaction and improving
quality as a direct result of SourceHOV | Healthcare Solutions
Coding
Records Management
Enhancing revenue cycle
effectiveness and satisfaction:
• Coding resource support
• Interim Management
• Corporate Compliance Program
Providing a roadmap to a paperless
environment:
• Medical document and image
storage
• On-demand digitization
• Storage and destruction
Consulting
Identifying and
implementing
improvements:
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ICD-10 Coding
Training
Clinical
Documentation
Improvement
Audit Services
Workflow
Billing Edit Reviews
Serving HIM Directors with Flexible Coding Solutions
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RHIT, RHIA, CCS, CCS-P, RN credentialed staff
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AHA, AHIMA, CMS Compliant
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Regular quality reviews and accuracy assessments
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Industry leading internal training requirements
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SLAs and facility-specific policies and procedures
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Dedicated account and QA manager per facility
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Remote coding via scanned images, electronic
records or hybrid systems
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HIPAA compliant and fully secured centers
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3M Preferred Partner
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Serving HIM Directors with Flexible Coding Solutions
Challenges:
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Maintaining skills and productivity
Ensuring revenue capture and cash flow
Minimizing coding backlogs
Solutions:
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Onsite Coding
Remote Coding – Domestic and Global
ICD-10 Training
Vacations, Leave, Staff Augmentation and
Outsourcing
Experience with All Coding Systems
Supporting the Transition from Paper or Film to Digital
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Serving over 3,000 healthcare clients
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Medical record document storage facilities
throughout the U.S
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Approx. 50 million medical records managed
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Radiologic and mammography analog image storage
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DICOM film digitization
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Vendor neutral archiving and image sharing
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NARA compliant facilities supporting federal
government clients including several VA healthcare
facilities
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Serving HIM Directors with Flexible Coding Solutions
Challenges:
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EMR conversion and transition
Improving efficiencies and minimizing bottlenecks
to revenue
Solutions:
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On-demand medical record digitization and
retrieval
Medical image digitization and retrieval
Medical record document storage and destruction
Day forward and back scanning of medical records
documents
NARA certified storage
Extending Value Through Consulting Services
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Custom training for all practice specialties and nonphysician practitioners
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Concurrent med records reviews
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ICD-10 fundamentals education
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Outpatient audits for all care settings
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Code validation and analysis
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Audit to audit comparison reviews
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Serving HIM Directors with Flexible Coding Solutions
Challenges:
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Document risk management
Improving coding accuracy
Solutions:
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Clinical Documentation Improvement
Coding Process Improvement and Analysis
Documentation Review, Education and Feedback
Coding Audit and Revenue Impact Assessments
Performance based Analytics
Coding
450 bed teaching hospital
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Reduced backlog by $11.5
million per week at 98+%
accuracy
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Transitioned all coding offsite to
SourceHOV | LexiCode US
facility
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Former HIM space repurposed
for physicians
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Document Management
VA Health System
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Outsourced solution will drive
expected savings of $1.75
million
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SourceHOV handles all:
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Chart management
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Prep/reassembly
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Scanning/indexing/archiving
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Facilitates electronic
document access
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Coding
National sub-specialty lab
Lab’s coding function was costly
compared to peer group and
backlog represented substantial
lost revenue
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Transitioned to 100%
outsourced solution
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Reduced coding operating
expense 50%
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Reduced turnaround time to 24
hours
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Industry Know-how Supported by Platform Driven Solutions
11%
20%
30%
12%
28%
Healthcare
Platforms
Solutions
Payer
Provider
Claims Proc.
Doc. Mgmnt.
Revenue Cycle
Analytics
Legal
Law Firms
Corp. Counsel
Gov. Attorneys
Claims Admin.
Notification
Expert Testimony
Litigation Support
Public Sector
Federal
State
Local
Claims Proc.
Doc. Mgmnt.
Revenue Cycle
Fraud/Abuse
BFSI
Lending
Banking
Property and
Casualty
Application Proc.
Doc. Mgmnt.
Revenue Cycle
Litigation Support
Document Transformation and
Claims Administration
Management
Financial Management
Business Process Workflow
Content Management
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Manufacturing
Retail
Publishing
Construction
Doc. Mgmnt.
F & A Proc.
HR Proc. Mgmnt.
Content Mgmnt.
% 2012
Revenue
Industry Know-how Supported by Platform Driven Solutions
Healthcare
Legal
Public Sector
BFSI
Other
Payer
Provider
Law Firms
Corp. Counsel
Gov. Attorneys
Federal
State
Local
Lending
Banking
Property and
Casualty
Manufacturing
Retail
Publishing
Construction
11%
30%
20%
Platforms
Solutions
28%
Claims Proc.
Doc. Mgmnt.
Revenue Cycle
Analytics
Claims Admin.
Notification
Expert Testimony
Litigation Support
12%
% 2012
Revenue
Claims Proc.
Doc. Mgmnt.
Revenue Cycle
Fraud/Abuse
Application Proc.
Doc. Mgmnt.
Revenue Cycle
Litigation Support
Document Transformation and
Claims Administration
Management
Financial Management
Business Process Workflow
Content Management
Proprietary and Confidential
Doc. Mgmnt.
F & A Proc.
HR Proc. Mgmnt.
Content Mgmnt.
SourceHOV Core Capabilities
Content
Creation
Customer Care
Clearinghouse
Self-Service
Call Centers
Authoring
Plain Language
Notifications
Project Management
Porting
Consulting
Economic and Statistical
Consulting
Construction Consulting
Tax Consulting
Member
Management
Enrollment
Applications
Registration
Employment
Document Life Cycle
Conversion
Back-file
NDT
Mailroom
Workflow
Litigation
Vital
Records
Lending
Adjudication
Medical and
Legal Claims
AP/AR
Tax Returns
Analytics
Verification
Credentialling
eDiscovery
eForensics
Revenue Integrity
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Fraud, Waste and
Abuse
Case Management
Store
Distribute
Destroy
Phys./Elect.
Lockbox
Business
Communications
Fulfillment
Presentment
Recalls
Breach
Add health system name or client specific HIM challenges
•
Add client HIM specific challenges
Coding
Notes
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Records
Management
Notes
Consulting
Notes
The End
Thank you for
your time
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