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Shm Company Overview

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Learn more about us by reviewing our services. In the business of Revenue Cycle Management Consulting since 1991 with excellent references. Let us get results and find bottom line net revenue for your hospital. Contact Jackie Francis, President at 239.775.7773.
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  • 1. “Focusing on Results” Healthcare Revenue Cycle Specialists Jacqueline (Jackie) Francis, MPA, FACHE, CHFP, FHFMA, President 239.775.7773 Select Health Mangement Inc. - Confidential shminc.org 2009 1
  • 2. SHM Inc. Presentation Outline • Our background & experience • Our clients • Core areas of expertise • How we define “revenue cycle” • Why SHM Inc? • Thoughts for the day Select Health Mangement Inc. - Confidential shminc.org 2009 2
  • 3. • SHM Inc. background & experience • 100% Revenue Cycle Management Consulting • Managing change & people – the intangibles • Focus on results – the tangibles • ‘Big Picture’ & the ‘Details’ • Established in 1991 – By Jackie Francis: • BS, MPA & registered medical technologist • FACHE, FHFMA, CHFP • Former Dir. of Admissions & Registration, Penn State University Hospital • Former Corporate Dir. CBO, UVMC, multi hospital system • 15 years in hospital key management positions (real jobs) • 17 years of consulting experience, all with my own company • Obtain results thru ‘hands on’ practical experience • National client base • ‘Virtual’ consulting group, with consultants who have been with us for many years • No junior MBA’s • National publications & HFM cover articles Select Health Mangement Inc. - Confidential shminc.org 2009 3
  • 4. Sample Consultants in our group • Gary Prala, BS • Barbara Bedard, MBA, Trainer • Mary Arent, BA, MA, Trainer • Kathy Kelly, Training Certifications • Susan Keller, AA, Trainer • Jan Norris, BA, BS, CPC, CHCC, CCP, CPC-H • Jeanne Solberg, RHIA • Vicki Rogers, BS, MS, RHIA • Pat Wagner, RN, CPC, Compliance • Vince Ciotti, BA Select Health Mangement Inc. - Confidential shminc.org 2009 4
  • 5. • Our Clients – Hospitals & Health Systems – Central Business Office’s (CBO) – National Hospital Turnaround Companies – Managed Care Organizations – Hospital based providers – Consulting Firms – See client listing, references, case studies, & articles, in marketing packet Select Health Mangement Inc. - Confidential shminc.org 2009 5
  • 6. • Core areas of expertise • Central Business Office – CBO – UVMC, Troy, OH – St. Vincent’s Medical Center, NY, NY – HUP, Phila. PA – Catholic Health Partners, Cinci, OH • Patient Access • Business Office • Health Information Management • Information Technology • Training – Staff evaluations • ‘Charge Capture Integrity Program’ & CDM Select Health Mangement Inc. - Confidential shminc.org 2009 6
  • 7. Core areas of expertise, cont. • Patient Access & Patient Scheduling • Patient Financial Services • Charge Capture Integrity Program with CAAT Technology • Assessments/Recommendations • Policy & Procedure • Strategic Planning • A/R Turnarounds • CDM Strategic Pricing and Coding Reviews • Clinical Coding Expertise • Key Indicator & Tool Development • Vendor evaluation, selection & management • Interim management – multiple areas • Specialty Billing : Physicians billing, Home Health, other Select Health Mangement Inc. - Confidential shminc.org 2009 7
  • 8. Revenue Cycle Process Patient Scheduling Customer Service Patient Registration: Pre registration, IP, OP and ED registration, ABN, Training, Financial Aid, Quality Tracking, Bad Debt Management Self Pay Management, Bad Debt, Vendor Mgmt. HIPPA A/R Aging Mgmt. Insurance Verification, Front End Collections, • Charge Capture Collections and Pt. Financial • Error Management Follow-up, Counseling Payor Relations, • Charge Reconciliation Underpayment Case • Compliance/ Regulations Recovery, Customer Management Contact • Managed Care Contracts Care Management Billing • Training and Quality and Primary and Assurance Denial Secondary Billing, Prevention Rebilling, Statements, • Process Improvement Bill edits • Policy and Procedures Cash and Credit Discharge Planning, • Technology + Bolt On’s Payment & Adj. Posting, Discharge Not Final Denial Management, • Regulations Billed, Late Charges Credit Management • Resources/People/HR Expected Reimbursement Cash Management Health Information Management: Diagnosis Coding, Physician Documentation and Procedure Coding Select Health Management Inc. 2009 Select Health Mangement Inc. - Confidential shminc.org 2009 8
  • 9. Patient Access • Patient Scheduling • Bolt on Technologies • Financial Counseling/Insurance Verification • Financial Policies and Procedures • Pre-registration, Registration • Registration Accuracy • Key Indicators • POS Collections • Regulatory Requirements • Customer Service, Custom Training Programs • Implementation of Tools/Scorecards for Access Select Health Mangement Inc. - Confidential shminc.org 2009 9
  • 10. Our Management Style • Partner oversight & management • Team approach, participative • Strong consultants as leaders • Obtain results by: – Defining the scope of the work, – Working hand-in-hand with client staff, – Identify & manage barriers, – Maintain professional & ethical conduct, – Documentation via action plan & daily activities, – Planning, implementation, while staying on focus, – Tap into our resources, – Regular reporting, – Manage expenses. Select Health Mangement Inc. - Confidential shminc.org 2009 10
  • 11. • “How we define Revenue Cycle” • Processes within a facility, supported by technology, to secure net revenue Select Health Mangement Inc. - Confidential shminc.org 2009 11
  • 12. Achieve Results • Plan TEAMWORK • Do • Check PEOPLE • Act PROCESS TECHNOLOGY Select Health Mangement Inc. - Confidential shminc.org 2009 12
  • 13. •How SHM Inc. can partner with you? • Confirm & define how SHM Inc. team will support your facility, scope of the work • Define both parties needs • SHM Inc. provide proposal, pricing & define timeframes • Allocate resources, schedule & initiate project • Facilitate data requests & become familiar with all facilities • Regularly present findings, barriers, recommendations with strategic/status planning • Track progress • Implementation, with focus on results Select Health Mangement Inc. - Confidential shminc.org 2009 13
  • 14. Why SHM Inc? • Many combined years of 100% revenue cycle – focused business • Availability – commitment of resources • Seasoned real world executives/ consultants • In revenue cycle consulting business 17 yrs • Resources in BO, CBO, Access, HIM, Charge Capture, IT, CDM • Excellent references • History with national client base: – Hospitals & Health Systems, CBO’s Select Health Mangement Inc. - Confidential shminc.org 2009 14
  • 15. SHM Inc. Pricing • SHM Inc. prices competitive with market • Able to ‘project price’ • ‘Scope of work’ drives the pricing • Reasonable expenses • Let’s get started Select Health Mangement Inc. - Confidential shminc.org 2009 15
  • 16. Thoughts for the day “Change has a considerable psychological impact on the human mind. To the fearful it is threatening because it means that things may get worse. To the hopeful it is encouraging because things may get better. To the confident it is inspiring because the challenge exists to make things better.” King Whitney Jr. Select Health Mangement Inc. - Confidential shminc.org 2009 16
  • 17. Questions & Comments THE GOAL THE PROCESS “However beautiful THE PLAN the strategy, you should occasionally look at the results” Sir Winston Churchill Select Health Mangement Inc. - Confidential shminc.org 2009 17
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