Talisman Solutions

Talisman Solutions IncIntelligent Solutions Excellent Results

RCM / Medical Billing Services

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Agenda

Talisman Introduction

Common Pain-points

Talisman Advantages

RCM (Revenue Cycle Management) Activities

Talisman RCM Offerings

Talisman RCM Process Flow

Information exchange options

Talisman Quality Assurance Process

Security & HIPAA Compliance

Coding Services/Process

Software Product Offerings

Q & A

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Company Introduction

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About Us

Utilizing years of experience and unique blend of healthcare business, process, and IT technical skills our team has proven track record of implementing intelligent solutions and delivering excellent results at minimal cost. We specialize in RCM, Medical Billing, Medical Transcription, EMR, PHR, Custom Software development, product implementation, and other services.

Core Values Outside-In approach – Customer Focus.

Quality – Established Reputation for Quality.

Security and Safety of Data.

Minimal Operation Costs – Save every penny.

Speed and Flexibility - get the job done.

Kaizen – Continuous Improvement to Maximize Productivity and Quality.

Learning Organization – Every employee continuously learns and grows.

Fun loving work culture

Mission Statement To proactively enable clients to focus more on their core activities by successfully

owning up business activities on their behalf in an efficient, effective and persistent way and bringing value to the relationship by successfully leveraging our domain and technical expertise.

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History & Identification

History Talisman Solutions has been serving clients since 2004 and has grown consistently

because of our excellent customer service, quality delivery, and reasonable cost. We work with numerous organizations in various geographic across North America, Europe, and Asia.

Identification & Information Company Name: Talisman Solutions, Inc

Address: 2000 Town Center, Ste 1900, Southfield, MI 48075

Entity Organization: Corporation

State Of Incorporation: Michigan

Name Changed: Never

Accreditation Better Business Bureau

American Medical Billing Association

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Common Pain-Points

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Business Issues/Challenges Changing regulatory environment

Government policies

Legal and Compliance issues

Profitability How to lower fixed and variable costs

How to improve cash flow

How to minimize bad debt

Inefficiencies Lot of paper documents

Inexperienced/Untrained staff

Managing assets, equipment, and inventory

Stagnant Revenue How to increase patient base

Stay ahead of competition

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Business Issues/Challenges Workforce

How to attract and retain best talent

Man power issues/work force shortage

Resource waste

Optimizing resource utilization

Management Lack of transparency

Lack of visibility on the Hospital/Clinic progress

Legal Obligations Paying fines for keeping expired medicines un-knowingly

Emergency preparedness

Patient Care Quality of patient care

Patient records and history

Cleanliness in the practice

Managing Referrals

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Talisman Advantage

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Talisman Advantages Complete Healthcare Solutions Provider

Healthcare Products – EMR, HIS, etc Healthcare Services – billing, transcription etc.

Best in Industry collection Rates Aggressive - Go after every penny All claims filed with payers within 24 hours

Best value in industry Very reasonable cost for quality of service No fixed cost; you only pay for the service if you use it

Expertise Excellent knowledge of various insurance billing processes Well established quality assurance process Experienced, educated, and Knowledgeable workforce Continuous stress on trainings and skills upgrades

Exceptional service Dedicated account manager assigned to each account Support available through toll free phone, email, chat, etc

Cost

Efficiency Quality

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Talisman Advantages (Cont…) Secure & HIPPA Compliant

100% HIPPA compliant. Free secured email & Secured FTP account

Knowledge Sharing with Client Free consultation and education sessions for client’s staff

Zero cost Liabilities No employee costs – no healthcare, training, vacation, pension, etc No software or hardware costs

Free Trial & Non-binding agreement See for yourself where we stand on our quality and cost commitment. You can stop the service at any time

Easy Integration Expertise in integrating with any in-house EMR or any other system.

Flexibility Pick & choose services to suit your practice and budget We can either work with your software or our own

Scalable Solution Handle volume surges and seasonal changes efficiently

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Facts & Figures

Customer Satisfaction

Collection Rates

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Facts & Figures (Cont…)

Additional Services

Kay Differentiators

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Billing / Revenue Cycle Management Services

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RCM Activities

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Talisman RCM Offerings

Front End Services Appointment scheduling and confirmations Patient Demographic Entry Insurance Detail Entry Insurance Verification Pre certification/authorization

Billing Services Charge Posting QR and filing claims with payers Payment Posting and Adjustments Claim re-filing if required Filing secondary claims Appeals Accounts Reconciliation

Payer AR Services AR follow-up Denial Management

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Talisman RCM Offerings (Cont…)Medical Coding Services

Assigning CPT-4, CDT, HCPCS, ICD-9, LCD/NDC as and when required

Patient Billing & Collections Patient Statements/Notices

Patient follow-ups & Collections

Reports Standard and Custom reports provided bi-weekly, monthly, and annual basis

Insurance Aging, Patient Ledger, Revenue analysis, AR log, and many others

Separate analysis reports for each provider in facility

Healthcare Software Electronic Medical Records, Electronic Patient Records

Patient Health Records

Hospital Management System

Other Services Medical Transcription Services

Healthcare IT Consultancy and Implementation

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PATIENTS

INSURANCE COMPANIES

All starts & ends with thehospitals &

the physicians

TSI MEDICAL BILLING CENTRE

Bank TSI Collection Service Centre

TSI Collection Service Centre

Electronic Claims

Paper ClaimsMisc.

Correspondence

Electronic Claims

EOB & Payments

Statements

Payment & Billing Enquiries

Misc. Correspondence

Insurance EOB s

Patient Information, charges, payments and denials

Patient & Insurance payments deposits

Patient Visits

Patient Payments

Patient Payments

Delinquent Accounts

Additional Collection Attempts

Talisman RCM Process Flow

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Information Exchange OptionsNumerous information exchange options are available to clients: Remote Login onto facility network

No transfer required; our team logs into client network and words same as on-site employee

On-Site representative Our representative is sitting with client in their location

Entry into HMS, EMR, EHR, PHR, or any other system Client enters information in their system, we log into the system and access the information

ourselves

Faxing Documents (Toll Free fax number) Client faxes the documents to our toll-free electronic fax system

Automated transfer using our Secured FTP server Information is automatically transferred from client machine to our server.

Secured Email on computer We provide HIPAA compliant secured email account to all our clients, which is used to

communicate any PHI/confidential information

Custom Online system We create online forms customized to your needs

paper records US mail – we do the data entry into the system Old paper records can be sent to our office and our staff would enter those in the system.

Automated Scanner

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Talisman Quality Assurance ProcessTalisman has well-established, seasoned, and repeatable quality control process that

ensures excellent quality, high productivity, and maximum collection rates for clients. Some steps followed as part of QR process are:

Review all claims before submission To minimize error rates and denials, the team leader reviews all claims before submission.

Claims Audit Auditor/Manager randomly audits the claims to verify accuracy and compliance.

Strict Quality Control standards Our team has assimilated years of lessons learned into the standards booklet.

Every employee is regularly trained on the quality standards

Review log and knowledge database Issues and denials are regularly triaged and the reasons captured in our knowledge database.

We leverage this database to track and monitor trends and provide remittance advice. We also take proactive actions to eliminate the problems and maximize collections.

Kaizen (Continuous Improvement) Sessions In order to continually improve, a monthly brainstorming session is conducted with clients.

Methodology group captures ideas, issues, suggestions from the meeting and improve the existing processes. Trend analysis, recent changes, newsletters etc are also shared with the team.

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Security & HIPAA Compliance Talisman Solutions takes painstaking measures to protect all information related to

patients. Our internal procedures for privacy and security meet and exceed all HIPAA regulations related to Electronic Transmission of Patient Information.

Physical Security: Access to our facilities is controlled by key entry only. Only authorized staff that is fully

aware and trained in the HIPAA Privacy requirements will be issued access

Information Security: We use an ICSA certified firewall and filter on incoming ports allowing only secured

FTP and management ports for administrative access into our system. Our network also performs Network Address Translation (NAT) and addresses cannot be routed without traversing the firewall.

When our FTP Server is accessed with SSL FTP Client and all files are encrypted while being sent across the internet. So, anyone intercepting any data while it is being transferred from our server to your computer could not interpret or decode this data.

To access any data from our FTP Server, a valid user name and password is required. Secured email is used for communication Access to our network is limited by auto-log off, ID/password protection, password

protected screen savers, and a security-enabled OS (WinNT) We are not responsible for the security of files (documents or sound files) that are

transferred to or from our server.

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Coding Services TSI offers high quality coding services to Hospitals and Healthcare Providers. Our

team is comprised of experienced Certified Professional Coders (CPCs) accredited by the American Academy of Professional Coders (AAPC). They have proficiency in the following code sets and usage guidelines; CPT-4, HCPCS, ICD-9-CM, CDT, LCD/NDC and CCI EDITS.

TSI ensures the quality of our coders by an effective auditing and monitoring mechanism. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations.

We conduct detailed procedural processes to assess quality at every stage. We use the most up to date books and software like CPT-4, ICD-9, HCPCS, CCI edit

to keep in touch with the constant changes in the coding world.

We have dedicated professionals who work under the AHIMA rules.

Our coding staff have received extensive training under coding experts in the U.S. Certified coders monitor their work regularly and external coding and compliance experts periodically audit the department.

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Coding process

Talisman has well-established coding process that ensures accurate coding for clients.

Talisman accesses Patient documents / files / reports etc.

Certified coder verifies and validates the documents, split them into batches and review them for completeness, quality and readability.

Diagnosis, Procedure Codes and Modifiers are assigned as per client descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code).

Diligent quality control team audits the coded charge sheets and processes it further for charge entry and cash posting

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Talisman Software Product Offerings

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Product Offerings

iHelix products provide an end-to-end solution

Central repository allows for integrated solution

Better data and information integrity

Higher user productivity

Effective security, governance & compliance

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Product Highlights Flexible subscription models

Software-as-a-Service model

Licensed model

Support for standards HL-7, DICOM, HIPAA, CPT, ICD9

Anywhere Access - Web based

Highly Configurable Solution

Multi-language support

Analytics/Management Reports e.g. key risk indicators

Rules & Workflow Engines

Security Integrated Compliance / Audit / Security

OTP(One time password ); Role Based / Account level security

Real time reporting.

Built bottom-up with Latest technologies.

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Popular features Medical record identification for facility

Ward Management

Procurement

OPD Services

Converting a patient from OP to IP

Discharge Summary

Drug Indents

Medical record based on Date selection

Off-load Analysis/Mobile clinics

SMS integration

e-mail integration

Bar Code/RFID Integration

Mobile Devices support

Text Editor ( Consent Forms)

Back up/Archiving

Alerts for prescription/drug reactions etc.

Change Log at system/terminal level

Resource assignment

Discharge Summary

Insurance Claims

Tariff Rules

Change Tariff

Picture upload for specific specialty

Image editor

Treatment Plans

Lab Templates

Package Rule/Package Assignment to the patient

Referral doctors accessing the medical records

Medical Certification Issues

Offline Processing

Lab Integration with equipment

Bio-Metric Integration

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Q & A

For Questions: (888)-617-9894 (Call); (866)-580-9174 (Fax)

info@talismansolutions.com

www.talismansolutions.com

2000 Town Center, Ste 1900, Southfield, MI 48075