Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Vertical Webinar

Kevin NealProduct Manager – Production Scanners

Fujitsu Computer Products of America, Inc.Imaging Products Group (IPG)

February 15, 2007

Fujitsu / AnyDoc® EOB (Explanation of Benefits) for Healthcare

Insurance Vertical Webinar

Fujitsu / AnyDoc EOB (Explanation of Benefits) for Healthcare

Agenda

• Introductions of Fujitsu and AnyDoc Software– Kevin Neal, Fujitsu presenter– Megan Fowler, Fujitsu moderator– Jerry Evans, AnyDoc presenter

• Fujitsu, Hospital Admission Facts & Figures– Challenges of EOB processing– Overcoming EOB challenges– Scanner consideration for EOB’s– Fujitsu AnyDoc EOB interpolation

• AnyDoc and AnyDoc EOB overview– AnyDoc corporate– AnyDoc EOB

• Questions and Answers


Definition of Explanation of Benefits (EOB’s)

• An Explanation of Benefits (EOB) is a statement detailing the medical benefits account activity of an individual or family. After services are received by a covered individual from a doctor, specialist, hospital or other facility an EOB is sent to the individual explaining the services provided and the charges paid and owed.

• EOB– Explanation of Benefits. A statement from a healthcare

provider that itemizes how benefits were approved or denied for a claim.


Sample of ‘Explanation of Benefit’ form

• Typical ‘John Q Customer’• Fairly well structured form• 27 index fields

• No discernable background dropout color

• Lack of constraint for certain fields

• Densely packed information

• Poor print quality via dot matrix printer on multi-part form


Challenges of ‘EOB’ processing

• Physical document format– Small font size– Poor print quality

• Time consuming• Labor intensive• Access to information• Form structure• Index fields• Error prone

– Incorrect index– Inaccurate totals

• Lost/misplaced documents• Volume of transactions

Technical

Financial Legal

Procedural

EOB’s present anabundance of

Challenges


‘EOBs’ and the Paper Dilemma“…automating the complex process of medical remittance processing

could save tens of billions of dollars in the United States alone.”

• Lockbox processing for Explanation of Benefits article– Offered by banks as a service for high-volume EOB processing– Banks process EOBs themselves or outsource to Service

Bureaus

* Source: http://findarticles.com/p/articles/mi_qa3947/is_200212/ai_n9158745

“The bank collects the remittances, reads them and deposits them directly into the client's account, thus reducing the time required for payment collection, processing, and availability.”

Collect

+Read = Scan/Process

Deposit

Database

Bank


‘EOBs’ and the Paper Dilemma• Healthcare remittance volumes are predicted to more than double by

the year 2020 to an annual revenue of more than $26 billion• At the same time, the number of community hospitals in the United

States is projected to decrease by 32% from 4,956 in 2000 to 3,370 in 2020.

• Meanwhile the U.S. population continues to grow-and age. By 2020 the U.S. population over the age of 65 is expected to reach 53.3million, a 51% increase from year 2000 estimates.

* Source: http://findarticles.com/p/articles/mi_qa3947/is_200212/ai_n9158745

Remittance Volume Community Hospitals

Results:Increasing pressureHigher volumes

Need:Greater speedBetter accuracy

Solution:Document scannersEOB processing s/w


Challenges of ‘EOB’ processing

• 21 key index fields, unstructured form, lack of dropout color


Overcoming ‘EOB’ processing challenges

• Scanner specific concerns– Speed degradation at optimal 300dpi OCR speeds– Decreased double-sided scanning speeds– Automated forms processing accuracy ratio

• Availability to billing information quickly– Individuals

• AnyDoc EOB ‘snippets’– Insurance providers– Banks/Financials– Legal (Dispute Resolution)


Fujitsu scanners / AnyDoc® EOB InterpolationScan

Image qualityPaper handling

QAClean images

No double-feeds

Form IdentificationClassification

Security/Rights

Data ExtractionZonal OCRSubtotaling

VerificationDatabase Look-up

Validation

Anchor Points

Remote

Central

BenefitsAvailability

ComplianceService

RegulationReduce Costs

Efficiency


Paper Orientation of ‘EOB’ forms

• Landscape orientation, scan 20-30% faster!

8.5”


Scanner considerations in EOB processing

• Physical attributes– Automatic Document Feeder width– Dual interface design/3rd Party Slot upgrades

• Double-feed detection– Length only vs. Ultrasonic DFD– Importance of potential missed billing

• Daily scanning volume– Pages per minute/Images per minute– Scanning at preferred OCR

resolution of 300dpi– Input hopper capacity

• Centralized or De-Centralized scanning


Fujitsu Scanners / QuickAppTM Interopolation

‘Roping’ Zones“Banding”

Auto-Indexing

When processing an obscure form outside of your standard set oftemplates AnyDoc QuickApp enables fast and effective indexing

ScanImage quality

Paper handling

Remote

Central

Data ExtractionZonal OCRSubtotaling

BenefitsAvailability

ComplianceService

RegulationReduce Costs

Efficiency

VerificationDatabase Look-up

Validation


Other Fujitsu IT Products in Healthcare

Degaussers

Biometric Authentication

Disk Drives

Gigabit Ethernet Switches

Servers

Scanners

LaptopsTablets

SecurityProductivity

Performance

Compliance

Reliability

Information Lifecycle


Old School vs. New School EOB Procedure• Receive paper documents• Document preparation

– Remove staples, etc.• Manual indexing

– 20+ index fields– Varied form structure

• Store documents– Copy information– Proper file location– Share via ‘sneaker-net’

• Retrieve documents– Determine location– Fax files to recipients

• Receive paper documents• Document preparation

– Remove staples, etc.• Automatic indexing

• Store for availability

• Retrieve electronically

40PPM

Speed

$1,000 $5,000 $8,000

15 PPM

$17,000$2,000

25 PPM

$25,000

fi-5750C $7,995-VRS $8,995

fi-4340C $4,995

fi-5220C $1,995

fi-5015C$695

fi-5120C $1,195

60 PPM

fi-4860C $16,995fi-4860C2 $17,995

fi-5530C $3,995

$4,000

fi-5650C $5,995-VRS $6,995

fi-60F A6 FlatbedScanner $395

fi-5110C $895

100+ PPM

fi-5900C $24,995

Fujitsu fi-Series Scanner Line-up


More information

• Fujitsu Document Scanners– Web Site: http://www.fcpa.com– E-mail: [email protected]– Phone: 888-425-8228

• AnyDoc Software– Web Site: http://www.anydocsoftware.com– E-mail: [email protected] – Phone: 813-222-0414

Fujitsu Scanners & AnyDoc® EOB (Explanation Of Benefits) For Healthcare Vertical Webinar

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