Sample Case Studies. i2c world Inc. 59, West 37 th Street, New York, NY Phone: Fax:

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1 Sample Case Studies i2c world Inc. 59, West 37 th Street, New York, NY Phone: Fax:

2 Case 1: Software Expertise +Dr. Bacil Lloyd* is using xyz+ software in his office. He is facing difficulties in finding a competent employee or billing company to work on this software. Pressure Points: Dr. Lloyd* has to invest more money & time in searching for the competent employee and train. If the retaining & motivational cost is considered, The investment soars up like anything. OR to write off the investment made on xyz+.

3 Case 1: Software Expertise + Dr. Bacil Lloyd* is using xyz+ software in his office. He is facing difficulties in finding a competent employee or billing company to work on this software. i2c Solution: We can offer two solution. Migration of the system to any software like Lytec, AltaPoint, GCS MedOffice, MedLook etc. Our Migration team will help in capturing the data from old software. OR. Our Transition team will get a copy from Dr. Bacil and i2c will be ready to run xyz+ in next 7 days.

4 Case 2: Data Capturing +Dr. Amanda Edgar*, was working in group practice. She has recently set up her own office. Her biggest concern is demographics of her patients. She can not access the Group practice server during normal business hours. Pressure Points: Dr. Edgar* has to get the print out of the demographics and her billing staff has to enter manually in the system. Apart from the overtime payment to the staff, it will delayed her regular claim submission and had a very bad impact on her cash flow.

5 Case 2: Data Capturing + Dr. Amanda Edgar*, was working in group practice. She has recently set up her own office. Her biggest concern is demographics of her patients. She can not access the Group practice server during normal business hours. i2c Solution: We have a team of experienced billers, at our Offshore Delivery Center. Who can log on to her Group Practice Server and capture the demographics of the patients during OFF business hours. We can also mail a formal letter, with revised demographic form, to all the patients, requesting the continuation of the professional relationship with Dr. Edgar s at her new office. This will ensure the accuracy of the data, and patient turn around.

6 Case 3: Client Login +NY * * Assoc. is very busy group practice. They have a policy of not to give any patient details outside the office. They are fed up of attrition rate of the billing staff. Pressure Points: NY * * Assoc. have to shell out a hefty amount to retain and motivate the billing staff. They have to pay the fees to the placement services for every new employee. They also have to invest on training & supervising the junior staff.

7 Case 3: Client Login + NY * * Assoc. is very busy group practice. They have a policy of not to give any patient details outside the office. They are fed up of attrition rate of the billing staff. i2c Solution: We can login to their system and do the billing in their system, in business hours and in OFF business hours too, if required. Payment to the i2c is directly proportional to our performance. No retaining or motivational or any other cost.

8 Case 4: Backlog +Dr. Daniel Blair s* account receivables was perfectly handled by his manager Ms. Nadia, who is stuck up in Poland since 45 days. He do not have exact idea about the Accounts Receivables, claim filing etc. So now he has a backlog of 45 days and a pile of claim follow-ups, resubmission etc. Pressure Points: Dr. Blair*, himself has to waste his time on training new employee, or has to apply Do It Yourself policy. In any case, there will be tremendous stress on Dr. Blair. He will loose his focus on core activities, even after working for extra hours daily for at least next days. Loss of revenue is also anticipated.

9 Case 4: Backlog + Dr. Daniel Blair s* account receivables was perfectly handled by his manager Ms. Nadia, who is stuck up in Poland since 45 days. He do not have exact idea about the Accounts Receivables, claim filing. So now he has a backlog of 45 days and a pile of claim follow-ups, resubmission etc. i2c Solution: Our billing team will start working immediately and our smart A/R team will start finding tracks of old claims with respective insurance companies. Within 15 days, everything will be streamlined.

10 Case 5: Data Integrity and availability + Dr. John Caro* has billing contract with xyz billing company, a small company with just 2 employees and owner himself. Dr. Caro is not keeping any data with him, as the billing company has given him access on company s server. One of the employee had deleted the data. The company regretted and expressed inability to regenerate the entire data. However, they will reenter the past 3 months data manually for free of cost. Pressure Points: Dr. Caro* has no other way. He has to be ready for facing the problems in future, for not providing the old data, whenever it is required.

11 Case 5: Data Integrity and availability + Dr. John Caro* has billing contract with xyz billing company, a small company with just 2 employee and owner himself. Dr. Caro is not keeping any data with him, as the billing company has given him access on company s server. One of the employee had deleted the data. The company regretted and expressed the inability to regenerate entire data. However, they will reenter the past 3 months data manually for free of cost. i2c Solution: With i2c, such thing will never happened. Smaller billing companies can not afford to have robust IT infrastructure & advanced data back-up system, as i2c has. We, at i2c always have double check for the integrity and availability of the data, on demand.

12 Case 6: Comprehensive Solution +Dr. Amy Patel* is starting own practice. She wanted to know, how i2c can help her. Pressure Points: Dr. Patel* has no idea about the comparative pricing and the details of Service Level Agreement.

13 Case 6: Comprehensive Solution + Dr. Amy Patel* is starting own practice. She wanted to know, how i2c can be of help. i2c Solution: i2c provides comprehensive medical billing solution. Our SLA starts with the appointment scheduling and ends with the patient statement mailing. Dr. Patel can start with minimum infrastructure and provides superior services to her patients without affecting her cash flow. We will also help her in selecting & enrolling clearing house, getting website access of the Insurance carriers, NPI, CLIA amendments,

14 Case 7: Effect on Revenue Cycle +Dr. Sarah Norman* wanted to know about the chances of improving cash flow, when she is already contracted with xyz billing company. Pressure Points: Dr. Norman* is not very pleased with present billing company, as every month they are charging some new expenses.

15 Case 7: Effect on Revenue Cycle + Dr. Sarah Norman* wanted to know about the chances of improving cash flow, when she is already contracted with xyz billing company. i2c Solution: at i2c, we always try to stay ahead of competition. An average billing company collects the superbills and EOB, once in a week, in person. They process it and files the claims by the next week. So, Claims will be filled after 7-15 days of the DOS. Whereas we collect the data on daily basis, by FTP or FAX, and processed them in next 24 hours. Hence, our clients are getting their reimbursement faster by 5-13 days

16 Case 8: Professional Approach +Dr. James Adam* is asked by a insurance company for the recoupment in some appealed and paid claims. The concern person of the billing company had left the company before one month. Pressure Points: Dr. Adam* has to repay the amount, if the billing company do not literally fight with the insurance company. But being a very big billing company, nobody has idea about the past details.

17 Case 8: Professional Approach + Dr. James Adam* is asked by a insurance company for the recoupment in some appealed and paid claims. The concern person of the billing company had left the company before one month. i2c Solution: at i2c, we do not anticipate such situation, because of following reasons. We assign dedicated provider relationship manger for each client. He / She will act as single point of contact for any requirement of a particular client. We have very well defined team structure, in order to avoid individual failure and absenteeism.

18 Case 9: Deep Domain Knowledge +Dr. Roger Castillo* had not received any check from Medicare, since last three months. On inquiring, he found that, he had not informed Medicare about his new office address. Medicare stop sending checks upon receiving back the undelivered EOBs. Pressure Points: Dr. Castillo* will not get checks from Medicare for at least next one year, if his case is not being handled by a person, who has adequate knowledge of Insurance regulations. Very bad effect on his cash flow can be easily predicted.

19 Case 9: Deep Domain Knowledge + Dr. Roger Castillo* has not received any check from Medicare, since last three months. On inquiring, he found that, he had not informed Medicare about his new office address. Medicare stop sending checks upon receiving back the undelivered EOBs. i2c Solution: at i2c, we have a deep domain knowledge of Healthcare Insurance Vertical. We know what action is to be taken, what forms are to filled up, and lastly how to pursue our cases with insurance companies.

20 Case 10: User Defined Reports +Dr. J. Negi* has no idea about the report/s, he should have received from his existing billing contractor. He is getting so lengthy and complicated reports from his existing billing contractor, that he doesn t like to refer them at all. Pressure Points: Dr. Negi* will not have exact idea about the performances of his practice as well billing company. So his growth strategies may jumbled.

21 Case 10: User Defined Reports + Dr. J. Negi* has no idea about the report/s, he should have received from his existing billing contractor. He is getting so lengthy and complicated reports from his existing billing contractor, that he doesn t like to refer them at all. i2c Solution: We submit simple and straight forward monthly reports, unless client has any specific requirement. Month 2: Claim Status Report for month 1. Month 3: (month 2 reports) + Denial Report for month 1. Month 4 onwards: (Month 3 reports) + Write off reports for month 1. We also have A/R Meetings on regular basis, as per clients convenience.