AIM Technology Suite - Employee Service Center

AIM Technology Suite
Your outsource partner’s ultimate weapon against aged receivables.
REVOLUTIONARY
RCM PROJECT
MANAGEMENT
THAT IS ‘ALWAYS
IN MOTION’.
The AIM Technology Suite stands firm on
a platform that is ‘Always In Motion’. It is
designed to bring control and transparency
back to the billing outsource process.
What is the AIM
Technology Suite?
The AIM Technology Suite is a proprietary and supplemental project
management outsource ecosystem, developed exclusively by Healthcare
Financial Systems, that’s comprised of five modules:
•
•
•
•
•
AIM Rules Engine
AIM Distribute
AIM Profile
AIM Expedite
AIM Audit
The AIM Technology Suite, in tandem with HFS’ unparalled service
deliverables, is designed to work collaboratively with your existing billing
system to provide a consistent view of any project management outsource
initiative by:
• Properly valuing and prioritizing accounts that require immediate
attention.
• Distributing those accounts on a priority basis to the HFS staff to
ensure A/R viability.
• Recording and publishing of those results.
• Managing the flow of documents required to effectively manage an
outsource project.
• Providing transparent business intelligence and online reporting placing the client in total control and partnership with HFS.
The AIM Advantage
Value
Productivity
Transparency
Cash Improvement
VALUE
ENT
M
E
UCTIV
OD
ROV
P
M
I
PR
ITY
TR
Y
C
N
CASH
SPARE
AN
•
•
•
•
The AIM platform answers many puzzling questions that
confront today’s RCM professionals about their outsource
initiatives. If your outsource partner cannot easily answer the
questions below, then you will never know!
Business Intelligence and Reporting
• How transparent is your outsource firm?
• Do your reporting capabilities provide the BI required to effectively run your
practice?
• Does your team make meaningful use of the data being provided?
• Does your BI provide a real action plan to facilitate improvement in your
revenue cycle?
Productivity
• How many accounts can be worked per day?
• How many accounts require working?
• What types of accounts remain on your A/R?
• How many people do you need?
• What is your time frame to conclude any RCM initiative?
• How do you measure the quality of your staff’s work?
• Do you really know if you are maximizing your self-pay collection efforts?
A/R Viability and Value
• Do you really know denial impact?
• How is mis-coding affecting your A/R days?
• How are timely filing and appeal limits impacting the growth of your A/R in
dollars and volume?
• What are some of the general issues impacting the ‘profile’ of your A/R?
• Who are your ‘specialists’ that can really get to the root cause?
• How well does your system and management team interact?
The Billing Outsource
‘Fear Factor’
Loss of control. Lack of transparency. Unfamiliarity with payers, systems, and
methods. These are fear factors that health care practices, hospitals, and health
systems face in deciding whether or not to outsource their billing systems.
Healthcare Financial Systems’ revolutionary technology quickly allays these
common fears. Our AIM Techology Suite is Always In Motion, and perpetually
in sync with your billing platform.
HFS has invested significant resources in development of AIM. The technology
used is unparalleled in the industry today. Best of all, AIM does not replace
your billing system. Instead, it adds valuable financial tools to enhance
performance.
Designed to bring control and transparency back to the billing outsource
process, AIM lowers costs, increases collectable dollars and provides client
partners with business intelligence about the status of their outsource initiative.
Best of all, AIM does not replace your
billing system. Instead, AIM adds valuable
financial tools to enhance performance.
HFS
CLIENT
User Functions Unchanged
Registration
File claims
Claim Clearinghouse
Enter notes
Run reports
EMR and interfaces
Collection and financial/patient notes
RCM Technology
AIM Rules Engine
AIM Distribute
AIM Expedite
AIM Profile
AIM Audit
Patient Account Extraction
Ongoing Balance Updates
Payments, Adjustments
HFS Data Center
Client Database
Account Action
Client System
Comment Update
Reporting
Dashboards
Billing system integration
• AIM is a suite of HFS reporting tools,
customized dashboards, and KPIs
• Guided user training tool links claims
to specific P&Ps
• Workflow distribution (WDS) tools puts
you in complete control
• Automate W/O processes and identify
low value claims
• Real-time staff productivity based in
RVMs
• Avoid timely filing and appeal limits
and deadlines to avoid losses
• Accurate claim value based on payer,
contract and denial
• Custom rules to handle any scenario
• Real-time A/R monitoring and work
assignment dashboard
• Create efficient knowledge groups
based on denials, payer, specialty, high
value and special claims scenarios
• Audit module to efficiently track error
rates and types
• Contract and denial management
tools
AIM Technology Drives
Productivity and Quality
Productivity and quality are the drivers behind AIM Technology. Make the
break from traditional productivity theory. If no two accounts are equal, why
are productivity standards the same?
HFS has created the ultimate tool to define and normalize productivity in the
CBO. We call it Relative Value Minutes (RVM).
Relative Value Minutes (RVMs):
• Assigns minimum RVMs per employee per day based on 420 work minutes.
• Assigns RVM value to each and every CBO/RCM task.
• Normalizes all functions to best define productivity.
• Continuous development of KPI’s and productivity is “always in motion”,
constantly calibrated based on historical performance.
• Allows HFS to precisely predict project milestones, staffing levels,
prioritization, and compliance with client requirements.
If no two accounts are equal, why are
productivity standards the same?
AIM Web Portal and Dashboard
AIM’s web portal and
dashboard provides complete
transparency to your billing
outsource initiatives.
1
2
The
dashboard’s
Navigation
Tabs provide the user with
administration, reporting, and other
powerful interfaces.
Non-Resource Groups allow the
user to view groupings of accounts
that do not require resources but
do require future follow-up.
• Securely transfer files
• Access all modules in the AIM
Technology Suite
• Discussion boards
• Store reports, agendas and files
• Flexible and easy to use
3
4
Resource Groups are strategically
stratified by the AIM Rules Engine
with either Function Groups (FG) or
Knowledge Groups (KG).
KPIs are designated accounts that
require immediate attention in order
to maintain viability.
1
2
3
4
AIM Rules Engine
THE DRIVING FORCE BEHIND
VALUE AND PRIORITY
The AIM Rules Engine utilizes historic data and current A/R
statuses - all extracted from your data center - to value and
prioritize the billing process.
AIM Rules Engine | Quick Specifications
• Value denials as informational or assignable.
• Evaluate payers, timely filing and appeal deadlines and prioritize for HFS action.
• Measure historic gross collection ratios by payer.
• Groups like-claims together.
• Establish an action plan for assignment to HFS project team.
• Add, delete and modify rules on the fly using Rule Information and Parameters functions.
• Create rules that are unique to one account and one account only.
AIM Rules Engine
AIM Rules Engine Snapshot
Work Distribution System
2
3
4
4
5
1
1
2
3
AIM Rules can be selected and
edited one at a time.
Using the Add New AIM Rule
button, rules are easily added for
last minute projects and may be
delegated for immediate attention.
Resource Type allows rules to
be stratified as either workable or
informational in order to collect and
frame the assignment.
4
5
Volume and Amount defines the
number of claims and dollar values
in the assignment. Every claim is
captured and assigned a rule. Nothing
can fall into a black hole.
Execution Order sets the rule’s
priority to make sure that accounts
do not become non-viable.
AIM Distribute
SET THE RULES. ASSIGN THE ACCOUNTS.
IT IS THAT SIMPLE!
AIM Distribute is Grand Central Station of the AIM
Technology Suite. Worklists are neatly created, organized
and prioritized for users to maximize productivity.
AIM Distribute | Quick Specifications
• Allocate the assigned outsourced workload via relevant work lists.
• Display Knowledge Groups based on medical specialty, payer, coding, etc.
• Frame outsource engagement to ensure timely and accurate completion of assignments.
• Organize and prioritize assigned accounts.
• Sort and prioritize by user for enhanced productivity.
AIM Distribute
AIM Distribute
Work Distribution System Snapshot
6
3
2
5
2
4
1
1
2
3
Function Groups (FG) and
Knowledge Groups (KG) are
organized by assignment work
queues.
RVMs, or Relative Value Minutes,
normalizes all tasks. Once “Start”
is clicked, AIM measures time to
complete the account.
Using the Sort By button, the
worklist is sortable for ease of
adjudication and collection of A/R.
4
5
6
Hover the cursor over AIM Rule
for a guided tutorial required to
complete the task.
LUA, or Last User Action, prioritizes
invoices/accounts by account
value, timely filing/appeals, GCR,
and balance.
Users can share Ideas, ask AR
Questions, or submit Technical
Problems.
AIM Profile
FRAME YOUR A/R IN A LOGICAL AND
EFFICIENT PROGRESSION
AIM Profile is the recording tool utilized by HFS staff. Predefined and customized action codes are designed to frame
AR and standardize follow-up based on account type.
AIM Profile | Quick Specifications
• Provides on-line action based tutorial for each A/R scenario that may arise.
• Records pending items and integrates with the AIM Expedite module for tracking and
closure.
• Establishes relationships between billed amounts, unbilled amounts, write-offs, collected
amounts, etc.
• Shows the user date claim will expire - Drop Dead Date (DDD).
Work Distribution System Snapshot
4
1
6
5
2
3
1
2
3
The Action Code determines the
content of the completed comment
by guiding the user through a series
of questions.
Completed Comment is populated
by questions the AIM Profile asks
based on the type of Action Code.
Once the Hold button is clicked,
the note is pasted to a clipboard
and the client host system.
4
AIM Profile’s Navigation Tabs allow
the user several options in order to
properly frame A/R.
5
The Last Activity Date button
allows the user to review the history
of previous actions.
6
Tasks are defined by the Action
Code selected.
AIM Profile
AIM Profile
AIM Expedite
PENDING A/R, CASH FLOW, AND A/R
DAYS OUTSTANDING. WHAT’S THE REAL
CONNECTION, AND THE REAL COST?
Seamlessly track the status and A/R impact of unresolved
special requests.
AIM Expedite | Quick Specifications
• Closely track special requests and sort in a number of different ways.
• Tracks the age of the request and the potential for the claim to lose viability.
• Provides for document retrieval, advice to proceed, medical record and write-off requests
by linking to other modules.
• Utilizes Expedite through the on-line portal - it is completely transparent.
• Provides a ‘report card’ by department of all pending requests and potential dollar impact.
• Requests are exportable to Microsoft Excel for filtering.
Department Response Report Card
The AIM Expedite grid outlines all pending requests by department and by type of request. It
also illustrates the cash impact and the age of the request.
AIM Expedite is a great tool to manage your individual department’s attention to resolving
recorded requests.
AIM Expedite
AIM Expedite
AIM Audit
THE ‘GO TO’ QA TOOL IN THE INDUSTRY FOR
MEASURING QUALITY AND QUANTITY
AIM Audit includes business intelligence that systematically
reviews work based on historical performance.
AIM Audit | Quick Specifications
• Provide immediate and automated feedback as to the efficacy and productivity of
employees.
• Automate the QA process based on the type of follow-up.
• Closely monitor new employees with 100% review of work.
• Normalize productivity levels by employee function.
Event History Record View
2
1
1
2
Using the Primary Error and Secondary
Error drop-down menus, an Auditor can select
the outcome of the work based on criteria
established for that action.
Using the Audit Score drop-down menu, errors
are weighted based on the Primary Error and
Secondary Error; AIM maintains report cards
of all error types by employee and by client.
AIM Audit
AIM Audit
www.healthcarefinancialsystems.com
1-(888)-419-4569
For information about the
AIM Technology Suite,
and more, feel free to
contact us.
Emma Chung, SVP Ops
Phone: (954) 248-2411
Email: emma.chung@hfsystems.com