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Overview – 2016
www.VedaMedrcm.com
sales@VedaMedrcm.com
1776 S. Jackson St Suite 720
Denver, CO 80210
303.757.5393 or 1.866.710.8940
 U.S. Operations
 Have performed one or more functions for over 2,000 physicians in the USA
 Our Customized & Scalable Solutions include:
• Full-Service Medical Billing Services
• HIM Services (Medical Coding – Out-Patient and In-Patient)
• Practice Management and EMR/EHR Software Systems
• Business Analytics
• Electronic Claims Processing
• Patient Statements
Company Overview
Corporate Leadership
★ Doug Davis - CEO
★ David Lovato – VP U.S. Operations
★ Anthony Davis – Business Development Manager
★ Curt Lingle – Director – U.S. IT Administration
VedaMed’s executive management team averages over
20 Years each in the medical field for their respective roles.
CORPORATE OFFICE - WEST
Denver, CO
HIPAA & Security Compliance
 VedaMed has maintained a comprehensive HIPAA Compliance Program since 1994.
• Dedicated Chief Compliance Officer at each facility
HIPAA & Security Compliance (cont’d)
 Tier 3 Data Center with Co-Locations
• ForTrust Data Center - Denver
• Tech Pro Data Center - Chicago
• Automated Failover, Disaster Recovery & Nightly Back-Ups
• Security of PHI, Data, Network, Hardware/Software & Physical Infrastructure are Top Priorities
VedaMed Service Offerings
 Medical Billing (Physician & Hospital)
• Eligibility
• Demographics
• Charge Capture
• Accounts Receivable
 Denial Management
 No Response
 Old A/R
 Self-Pay
• Payment Posting
• Credit Balance Resolution
• Credentialing
•Document Management
 HIM Solutions
• Medical Coding
• Coding Audits
• Clinical Documentation Improvement
(CDI)
• ICD-10 Transition & Readiness
VedaMed Business Expectations
Integrity - Always be truthful to ourselves, to our organization and to our clients
Care - Work like a family, care for each-other and our clients, give our best to the
organization and expect the same
Exceeding Expectations - Always exceed the expectations of our clients by providing
exceptional services
Service Offerings (cont’d)
Practice Management Systems
•GE Centricity Groupcast Management PM
•GE Centricity Practice Solutions PM & EMR
 Business Intelligence & Analytics
•Groupcast PM
•MaxIntel
 Electronic Claims Processing
• Claim Status
• Online Claim Correction
• Electronic Eligibility
Verification
• Electronic Remittance Advice
(ERA)
• Electronic Patient Statements
Corporate Partners
Medical Billing Highlights
VedaMed has supported over 2,000 providers across the country and covers 60+ medical specialties
★ Experience with all major Hospital and Physician medical billing platforms – over 30+!
★ Experience with all major Payers - over 3,000!
★ $1 Billion+ in A/R has been managed annually
★ Produce Average 5% - 20% increase in Net Collections
★ Process millions of claims per year
★ Produce average Days in A/R reduction of 5% - 20%
★ 24- to 48-Hour TAT with 97%+ Quality Accuracy
HIM Solutions Highlights
Medical Coding
• Physician Coding
• Hospital Out-Patient Coding
• Hospital In-Patient Coding
• On-Site or Remote
• Coding Audits
• Physician Coding Audits
• Hospital Coding Audits
 Clinical Documentation
Improvement (CDI)
 CDI Audits
 CDI Assessments
 ICD-10 Transition
• Education & Training
• ICD-10 Coding Audits
• Dual Coding (ICD-9 & ICD-10)
• Impact Assessment & Gap Analysis
Business Intelligence - Analytics
 MaxIntel
• State-of-the-art, industry leading, Data
Visualization platform
• Customized dashboards
• Integrates multiple data sources and Key
Performance Indicators
 Clinical
 Financial
 HR & Payroll
 Satisfaction Research
 Patient Outreach Campaigns
 Other
• Available 24/7
 Actionable Business Intelligence Analytics
Electronic Claims Processing Highlights
 Claim Status On Line
• Online Claim Correction
• Electronic Eligibility Verification
• On Line Edits
• Cleaner claims
• Faster reimbursements
 Electronic Remittance Advice
• Saves time and reduces errors by posting automatic payments
 Electronic Patient Statements
Quality Control & Assurance
 At a high level, VedaMed will take the following
actions:
• Define Service Metrics, Measurement System &
Best Practices
• Develop HR, Facility & Administration Plan
• Design Training Plan
• Develop Operational Plan
• Transaction Monitoring & Calibration
• Reporting & Analysis
Daily, Weekly, Monthly, Quarterly, Annually
 At a more detailed level, VedaMed will take the
following actions:
• Identify QA attributes
• Test, validate and audit
• Grade individual and team performance
• Provide critical feedback
• Facilitate improvements
• Generate error/exception reports
• Provide constant QA monitoring
• Provide consistent process optimization
• Ensure highest quality deliverables
Provider Challenges We Help Overcome!
• Decline in Fee Schedule charges
• Decline in reimbursements
• Increasing staff and office taxes and expenses
• Intense regulatory pressure
• Uncertainties of healthcare reform (Affordable Care Act)
• Evolving technology and cost of information systems
• Influx of new patients
• Practice consolidation
• Reduced autonomy
• Greater administrative burden (compliance management)
• Continued pressure on providers to improve quality of care
VEDAmed Value Proposition
Our customers transition from a volume-based model to a value-based
model by:
• Increasing workflow process efficiency
• Concentrating fully on practicing medicine
• Increasing the quality of provider-to-patient relationships
• Eliminating management of multiple vendor relationships
These value propositions are achieved through a unique combination of:
• People
• Processes
• Technology
VedaMed Additional Value Propositions
• Reduce billing and collection costs
• Increase collections
• Increase overall revenue potential
• Reduce ‘Days in A/R’
• Convert fixed costs to variable costs
• Increase and enhance automation and data quality standard
• Reduce internal non-clinical resources
• Increase provider time allocated to patient care
• Enhance system redundancy
• Achieve healthcare stimulus incentives
• Increase profitability – EBITDA!!!
• Increase corporate valuation
Questions?
THANK YOU!
www.VedaMedrcm.com
sales@VedaMedrcm.com
1776 S. Jackson St Suite 720
Denver, CO 80210
303.757.5393 or 1.866.710.8940

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VedaMed_Overview#1_2016

  • 1. Overview – 2016 www.VedaMedrcm.com sales@VedaMedrcm.com 1776 S. Jackson St Suite 720 Denver, CO 80210 303.757.5393 or 1.866.710.8940
  • 2.  U.S. Operations  Have performed one or more functions for over 2,000 physicians in the USA  Our Customized & Scalable Solutions include: • Full-Service Medical Billing Services • HIM Services (Medical Coding – Out-Patient and In-Patient) • Practice Management and EMR/EHR Software Systems • Business Analytics • Electronic Claims Processing • Patient Statements Company Overview
  • 3. Corporate Leadership ★ Doug Davis - CEO ★ David Lovato – VP U.S. Operations ★ Anthony Davis – Business Development Manager ★ Curt Lingle – Director – U.S. IT Administration VedaMed’s executive management team averages over 20 Years each in the medical field for their respective roles.
  • 4. CORPORATE OFFICE - WEST Denver, CO
  • 5. HIPAA & Security Compliance  VedaMed has maintained a comprehensive HIPAA Compliance Program since 1994. • Dedicated Chief Compliance Officer at each facility
  • 6. HIPAA & Security Compliance (cont’d)  Tier 3 Data Center with Co-Locations • ForTrust Data Center - Denver • Tech Pro Data Center - Chicago • Automated Failover, Disaster Recovery & Nightly Back-Ups • Security of PHI, Data, Network, Hardware/Software & Physical Infrastructure are Top Priorities
  • 7. VedaMed Service Offerings  Medical Billing (Physician & Hospital) • Eligibility • Demographics • Charge Capture • Accounts Receivable  Denial Management  No Response  Old A/R  Self-Pay • Payment Posting • Credit Balance Resolution • Credentialing •Document Management  HIM Solutions • Medical Coding • Coding Audits • Clinical Documentation Improvement (CDI) • ICD-10 Transition & Readiness
  • 8. VedaMed Business Expectations Integrity - Always be truthful to ourselves, to our organization and to our clients Care - Work like a family, care for each-other and our clients, give our best to the organization and expect the same Exceeding Expectations - Always exceed the expectations of our clients by providing exceptional services
  • 9. Service Offerings (cont’d) Practice Management Systems •GE Centricity Groupcast Management PM •GE Centricity Practice Solutions PM & EMR  Business Intelligence & Analytics •Groupcast PM •MaxIntel  Electronic Claims Processing • Claim Status • Online Claim Correction • Electronic Eligibility Verification • Electronic Remittance Advice (ERA) • Electronic Patient Statements
  • 11. Medical Billing Highlights VedaMed has supported over 2,000 providers across the country and covers 60+ medical specialties ★ Experience with all major Hospital and Physician medical billing platforms – over 30+! ★ Experience with all major Payers - over 3,000! ★ $1 Billion+ in A/R has been managed annually ★ Produce Average 5% - 20% increase in Net Collections ★ Process millions of claims per year ★ Produce average Days in A/R reduction of 5% - 20% ★ 24- to 48-Hour TAT with 97%+ Quality Accuracy
  • 12. HIM Solutions Highlights Medical Coding • Physician Coding • Hospital Out-Patient Coding • Hospital In-Patient Coding • On-Site or Remote • Coding Audits • Physician Coding Audits • Hospital Coding Audits  Clinical Documentation Improvement (CDI)  CDI Audits  CDI Assessments  ICD-10 Transition • Education & Training • ICD-10 Coding Audits • Dual Coding (ICD-9 & ICD-10) • Impact Assessment & Gap Analysis
  • 13. Business Intelligence - Analytics  MaxIntel • State-of-the-art, industry leading, Data Visualization platform • Customized dashboards • Integrates multiple data sources and Key Performance Indicators  Clinical  Financial  HR & Payroll  Satisfaction Research  Patient Outreach Campaigns  Other • Available 24/7  Actionable Business Intelligence Analytics
  • 14. Electronic Claims Processing Highlights  Claim Status On Line • Online Claim Correction • Electronic Eligibility Verification • On Line Edits • Cleaner claims • Faster reimbursements  Electronic Remittance Advice • Saves time and reduces errors by posting automatic payments  Electronic Patient Statements
  • 15. Quality Control & Assurance  At a high level, VedaMed will take the following actions: • Define Service Metrics, Measurement System & Best Practices • Develop HR, Facility & Administration Plan • Design Training Plan • Develop Operational Plan • Transaction Monitoring & Calibration • Reporting & Analysis Daily, Weekly, Monthly, Quarterly, Annually  At a more detailed level, VedaMed will take the following actions: • Identify QA attributes • Test, validate and audit • Grade individual and team performance • Provide critical feedback • Facilitate improvements • Generate error/exception reports • Provide constant QA monitoring • Provide consistent process optimization • Ensure highest quality deliverables
  • 16. Provider Challenges We Help Overcome! • Decline in Fee Schedule charges • Decline in reimbursements • Increasing staff and office taxes and expenses • Intense regulatory pressure • Uncertainties of healthcare reform (Affordable Care Act) • Evolving technology and cost of information systems • Influx of new patients • Practice consolidation • Reduced autonomy • Greater administrative burden (compliance management) • Continued pressure on providers to improve quality of care
  • 17. VEDAmed Value Proposition Our customers transition from a volume-based model to a value-based model by: • Increasing workflow process efficiency • Concentrating fully on practicing medicine • Increasing the quality of provider-to-patient relationships • Eliminating management of multiple vendor relationships These value propositions are achieved through a unique combination of: • People • Processes • Technology
  • 18. VedaMed Additional Value Propositions • Reduce billing and collection costs • Increase collections • Increase overall revenue potential • Reduce ‘Days in A/R’ • Convert fixed costs to variable costs • Increase and enhance automation and data quality standard • Reduce internal non-clinical resources • Increase provider time allocated to patient care • Enhance system redundancy • Achieve healthcare stimulus incentives • Increase profitability – EBITDA!!! • Increase corporate valuation
  • 20. THANK YOU! www.VedaMedrcm.com sales@VedaMedrcm.com 1776 S. Jackson St Suite 720 Denver, CO 80210 303.757.5393 or 1.866.710.8940