TOTAL PAYER PAYMENT SOLUTION

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1 TOTAL PAYER PAYMENT SOLUTION A SINGLE ANSWER TO STREAMLINING YOUR ENTIRE PAYER PAYMENT PROCESS

2 NEW PAYMENT MODELS MAKE AN ALREADY COMPLEX PROCESS MORE CHALLENGING. The answer to increasingly complex payment models isn t to make your organization s workflows more complicated that only worsens the problem. Chances are, your staff already struggles with crowded, convoluted workflows for managing payer payments. They re forced to log into multiple payer sites each with its own painful, manual process for hunting down and managing EOBs and changes beyond their control often result in them spending more time on more tasks just to accomplish the same end result. The disparate systems and lack of visibility across payers also make it difficult for management to aggregate and reconcile payer payment information. Building a holistic picture of payer payment trends and performance becomes more challenging and time-consuming and trying to gain insight into what s driving those trends becomes an exercise in behind-the-curve forensics. Without an integrated solution to aggregate and manage all payer payments in one place, staff and management alike face the prospect of an unpleasant reality as new payer contracts take hold: inevitably some things will be different, but if change only takes place on the payer, contract, and payment-model side, healthcare organizations will be forced to address new challenges with the same approaches and tools they use today. And those are already broken. 300% One experienced, highly efficient data entry person can post approximately 4,000 remittances per month. Automating the process easily increases that same person s output by 300%* *Source: HBMA, HBMA Billing

3 THE ZIRMED TOTAL PAYER PAYMENT SOLUTION A BETTER ANSWER AND A COMPLETE SOLUTION. The ZirMed Total Payer Payment solution eliminates the need for staff to log into payer sites, and provides one centralized location for managing all aspects of your payer payments including remits, EOBs, reconciliation, deposits, and reporting. The Total Payer Payment solution automatically converts paper remits into optimized 835 files so they can be managed alongside and in the same system as all other electronic remits. If your payer sends paper payments, you can choose to add a lockbox solution to digitize and automatically deposit these payment into the appropriate bank account. ZirMed will provide digital copies of all paper statement stubs, remittance advices, and correspondence. We project that healthcare providers and facilities could save more than $3.5 BILLION from electronic eligibility verification processes and approximately $1.5 BILLION via electronic prior authorization transactions. For healthcare providers, the combined potential savings from electronic claim submission, claim payment, claim inquiry, and remittance advice processes totals an additional $1.7 billion. Source: 2017 U.S. Healthcare Efficiency Index, Electronic Administrative Transaction Adoption and Savings

4 A CLIENT-FOCUSED APPROACH TO TODAY S COMPLEXITIES. The Total Payer Payment solution separates bundled remits and payments, then automatically routes them to the appropriate provider and PM system. In addition to sophisticated technology, Total Payer Payment provides healthcare organizations with active, expert, and responsive advocates ZirMed s payer and client support team. When problems or questions arise with a payer, our team will proactively contact the payer on your behalf to resolve the issue, while keeping you up-to-date on the status and expected resolution time. VISIBILITY, ANALYTICS, AND TRACKING: Intuitive, customizable reporting dashboard so all levels of management can see performance at a glance Easy-to-read, comprehensive KPI reports with actionable insight Data that s refreshed daily so that you see trends before they develop into larger problems Full tracking of all remits and easy, single-search functionality so you can quickly find any remit from any payer WORKFLOWS AND PROCESSES: Flexible build options to match your workflows Remits can be grouped by payer, date, or payment type Set remits and other files to download automatically, or download all files at your convenience REMITS AND RECONCILIATION: See all payment information sorted by date, number of payments, and amount Work paper remits electronically with automatic conversion to 835 file format Easily and automatically separate bundled remits among multiple providers and PM systems Automatically reconcile deposits and remits no longer a manual process SERVICES AND SUPPORT: Best in KLAS 2013, Claims and Clearinghouse Category Enterprise clients are assigned a dedicated Client Manager and Enterprise Support Agent 24/7 Support & Training Center (STC) Phone, online chat, and online case support

5 CLIENT SUCCESS STORY: In 2007, Buffalo Wheelchair was drowning in paper claims. They asked their software vendor, Universal Software Solutions, Inc. for recommendations on how to address the problem. Universal showed us a few options, including ZirMed, says Devon Zglinicki, Buffalo Wheelchair s Billing Documentation Specialist. ZirMed clearly had more capabilities than the others, especially when it came to claims editing you can edit any field, anywhere in the claim. ZirMed understood that our payers all want different things, says Jen Kostowniak, Software Administrator at Buffalo Wheelchair. ZirMed helped us create rules that addressed the unique requirements of each payer. They also helped us find ways to work around the limitations of our practice management system. We ve been able to streamline our entire billing process, Kostowniak says. We ve cut way back on the amount of information that needs to be entered manually. And today we do very little on paper. See ZirMed s Total Payer Payment solution in action. To arrange a personalized demo of the ZirMed Total Payer Payment solution or if you have questions or would like more information please call or visit

6 About ZirMed Founded in 1999, ZirMed is the nation s only company delivering proven end-to-end cloud-based business and clinical performance management solutions to meet the challenges of managing population health and optimizing fee-for-service and fee-for-value reimbursements. ZirMed combines innovative software development with the industry s most advanced transactional network and predictive analytics platform to improve the business and process of healthcare, give organizations a clearer view of their financial and operational performance, and streamline critical connections between providers, patients, and payers. ZirMed s industry-leading technology and client support have been recognized with awards from KLAS, Healthcare Informatics, Best of SaaS Showplace (BoSS), and Black Book Rankings. Our nationwide network facilitates, manages, and analyzes billions of healthcare transactions, driving bottom-line performance with population health management, patient engagement, clinical communications, comprehensive analytics, eligibility, claims management, coding compliance, reimbursement management, and patient payment services including credit card processing, online payments, statements, estimation, and payment plan management. To learn more, visit CONTACT US information@zirmed.com