Local Teams. National Support. Exceptional Results.

2011 – Operations Review

Jonathan FriedmanChief Operations OfficerApril 2011

Operations — 2011

April 2011 ©2010 Somnia Anesthesia, Inc.

Nancy will update

2011 – Challenges & Goals (Q1 & Q2)

April 2011 ©2010 Somnia Anesthesia, Inc.

Maintain Collections as Transition Continues

Complete Transition to Chennai

Management & Knowledge “Silo”

Electronic Submission and Remits + Claim Scrubbing

+ Task Management

Management Change + Knowledge Transfer

Billing System Improvement &

Automation

Improve Collection Process

Audits + Policies & Procedures + Dashboard

metrics

2011 Revenue Management Q1 – Q2 Goals

April 2011 ©2010 Somnia Anesthesia, Inc.

IDX Maintenance and Improvement

End of Day & End of Month

New Database Creation

Constants & Parameters

Task Manager Charge Edits /

E-Commerce / AR Questions

Electronic Submission / EFT /

ERA

Report Generation

System Architecture & Process

April 2011 ©2010 Somnia Anesthesia, Inc.

QUALITY MANAGEMENT

Denials & Incorrect Payments worked

Payment received, posted& compared vs. Rates

Re-Submission to Insurances

Charges Submitted to Insurance

Claims Scrubbed

Charges Entered

Services Coded

Charts Scanned for Billing and QA

Collection Process Set-upPar vs. Non Par

Insurance Contracting

Anesthetists credentialed with Medicare and Medicaid

Anesthetists Credentialed with Institution

Anesthetists Recruited

Database Created

Client Signs Contract and terms reviewed

Reports Reviewed

IT

2011 – IT Challenges & Goals (Q1 & Q2)

April 2011 ©2010 Somnia Anesthesia, Inc.

Overseas Communication Challenges

Increase Bandwidth + “One Server” + Same Software Applications

Database Warehouse

Business Continuity Plan + Firewalls (Software upgrade) + Audit

Internal Programming Team + Billing Database

Security

Web Development Somnia Website + SMS Website + Intranet

Database Warehouse

April 2011 ©2010 Somnia Anesthesia, Inc.

DATABASE WAREHOUSE

GE Groupcast Paychex

Great Plains

Sendouts

Quality Management

Cactus

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 Feelhttp://10.202.200.151/somnia/

April 2011 ©2010 Somnia Anesthesia, Inc.

2011 Hospital Administrators (Q1 & Q2)

April 2011 ©2010 Somnia Anesthesia, Inc.

• 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

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

April 2011 ©2010 Somnia Anesthesia, Inc.

Somnia Management Solutions

April 2011 ©2010 Somnia Anesthesia, Inc.

SMS

Revenue Management

Quality Management

Contracting

Reporting

Recruitment

Credentialing

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

April 2011 ©2010 Somnia Anesthesia, Inc.

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

April 2011 ©2010 Somnia Anesthesia, Inc.