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Cost Containment
     Services
  International Claims Negotiation
       For Healthcare Entities




                1
HOW CAN WE IMPACT
           YOUR BOTTOM LINE

• Healthcare                 • Speed-up claims
  reimbursement costs;         process;
• Get rid of time zone       • Connect payer to
  or language issues;          healthcare provider;
• Minimize medical           • Brand value increased.
  costs from out-of-
  network payers.


                         2
TRADITIONAL BILLING PROCESS
 Out-of-network claims are                         Bill
 typically highly inflated,                         charged
 causing medical costs to
 rise significantly
                             Billing
                             process
                                           + 15%
                                                             Healthcare
                                                               Payer
  Billed




                              Medical
                              Billing
                             Company
Physician
                                       3
STEP I: REVISE ACCOUNTS
                        What has been billed?
                      What should have been billed?

15.0

11.3
                                  Room for
                                  discount
 7.5

  3.8

       0
           Billed            National        Medicare


                                    4
STEP II: START NEGOTIATIONS
1.   IWMC negotiators check database                      The typical
                                                       discount granted
2.   Healthcare provider is contacted                     using a first
3.   Negotiations begin                             IWMC is
                                                         negotiation
                                                          about -22%.
4.   Conclude agreement taking the focus off the bill.
     Our aim is to ensure you only
     pay for services rendered.




                                 5
STEP III: LOWERED FINAL BILL


14.0
               + 15%                          - 22%
10.5

  7.0

   3.5

        0
                                       Settlement
                              Billed
            Standard

                          6
BENEFITS

• Save on reimbursement costs
• Hospital claims are paid quicker
• Better cost control
• Risk free
         Save time and money!


                  7
TRY US!

• info@iwmcgroup.com
• +41 43 508 1032
• more on http://www.iwmcgroup.com


                    8

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Medical Cost Containment Services

  • 1. Cost Containment Services International Claims Negotiation For Healthcare Entities 1
  • 2. HOW CAN WE IMPACT YOUR BOTTOM LINE • Healthcare • Speed-up claims reimbursement costs; process; • Get rid of time zone • Connect payer to or language issues; healthcare provider; • Minimize medical • Brand value increased. costs from out-of- network payers. 2
  • 3. TRADITIONAL BILLING PROCESS Out-of-network claims are Bill typically highly inflated, charged causing medical costs to rise significantly Billing process + 15% Healthcare Payer Billed Medical Billing Company Physician 3
  • 4. STEP I: REVISE ACCOUNTS What has been billed? What should have been billed? 15.0 11.3 Room for discount 7.5 3.8 0 Billed National Medicare 4
  • 5. STEP II: START NEGOTIATIONS 1. IWMC negotiators check database The typical discount granted 2. Healthcare provider is contacted using a first 3. Negotiations begin IWMC is negotiation about -22%. 4. Conclude agreement taking the focus off the bill. Our aim is to ensure you only pay for services rendered. 5
  • 6. STEP III: LOWERED FINAL BILL 14.0 + 15% - 22% 10.5 7.0 3.5 0 Settlement Billed Standard 6
  • 7. BENEFITS • Save on reimbursement costs • Hospital claims are paid quicker • Better cost control • Risk free Save time and money! 7
  • 8. TRY US! • info@iwmcgroup.com • +41 43 508 1032 • more on http://www.iwmcgroup.com 8

Editor's Notes

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