Page 36 - Company Newsletters

ROI+ - The Dual Option
Providers have two options for fulfilling ROI requests: either process them in-house or outsource them to an ROI service company. No ROI service company offers the Provider an option to take their ROI platform in-house, so that Providers can recognize the full ROI revenue opportunity themselves. ABT is the only company in the ROI arena that offers both an in-house solution and an outsource service solution, whereby the Provider can opt to take ROI processing in-house at any time. Unlike other ROI companies, we believe that our Providers should always have options.
In-House Processing
77% of all Providers in the US perform ROI fulfillment activities in-house without any software tools dedicated to automating ROI workflow tasks. Physicians and physician groups only recover an average of 22% of the ROI fees to which they are entitled, while hospitals recover only 51%. Recognizing this automation gap, ABT developed the ROI+ platform. ROI+ reduces labor overhead by over 50%, eliminates 95% of paper and fax costs, automatically creates correct invoices, and generates detailed audit logs. ROI staff training requires less than a day, and there are no up-front equipment or software costs. ROI+ is positioned as a per-transaction-fee offering. You only pay for what you use, and the total cost of ROI+ is less than 10% of the ROI revenue it generates.
Full-Service Outsourcing
Outsourcing appeals to Providers who, for a variety of reasons, feel that in- house ROI fulfillment processing is not something they wish to perform. In exchange for facilitating ROI fulfillment activities, the service company harvests all of the ROI revenue. Although many ROI service companies promise to share revenue with the Provider, this sharing most often requires Providers to ante up their own staff to participate in the fulfillment processing. The unfortunate truth is that the level of shared revenue often falls short of a Provider’s expectations—and the ROI service bureau is the only real winner. ABT provides a very specific revenue share formulation that does not require any involvement of Providers’ staff resources in the fulfillment process. ABT’s ROI+ platform is so efficient that ABT needs only half of the ROI staff resources required by traditional ROI service bureaus, which means more revenue sharing dollars for the Provider. ~ Ken Kopald, President
Keeping Clients Informed
Welcome to our first quarterly newsletter. As the healthcare landscape evolves, the task of keeping up with changes and developments in the ROI fulfillment arena is increasingly daunting for our clients and prospects. Our quarterly newsletter is designed to reach our client community with a synopsis of critical information that we feel is newsworthy and beneficial, including ROI compliance and technology updates. We also hope to offer useful insights into how other Providers across the country are implementing new
processing capabilities to increase ROI fulfillment efficiency, meeting compliance requirements, and benefiting from ROI revenue opportunities. ABT makes a very concerted effort to post pertinent news articles and Provider success stories on our website: www.abtmedinc.com. Please contact me at aford@abtmedinc.com if you have comments or questions or would like to suggest subjects for our community newsletter.
~ Angela Ford, Senior Vice President for Corporate Communications
Understanding PHI Electronic Delivery
The most likely opportunity for a breach of the Health Insurance Portability and Accountability Act (HIPAA) occurs during the ROI fulfillment process because ROI is the one state and federally mandated process that can compromise the privacy of patient medical charts, if not done properly.
The vulnerability of patient PHI during the ROI process is underscored by the following fact: 85% of requested health information is transmitted by fax or mail to healthcare and non-healthcare entities, which can lead to unreported and untraceable breaches by unauthorized parties, unbeknownst to the Provider.
HealthPort, the largest ROI service bureau in the US, states publicly, during tours of their processing facility located in Atlanta, GA, that they print over 650,000 pages of patient records every day.
One form of “electronic delivery” is physical delivery of PHI on media such as CDs, DVDs, and USB drives. However, PHI contained on these media is not, in most cases, encrypted. Another form of “electronic delivery” is the attachment of a PHI file to an email. Faxing from a computer workstation does not qualify as electronic delivery, since paper must be generated for delivery on the receiving end.
The only secure method of “electronic delivery” is through a web portal utilizing accepted authentication and authorization access methodology. Secure electronic delivery in the healthcare industry occurs less than 15% of the time, with one notable exception—ABT ROI+.
95% of all requests fulfilled through ABT’s ROI+ platform are accessed securely from the ROI+ Requestor web portal. ROI+ is the only ROI platform solution that tracks when a PHI document has been opened and viewed (each time), which portion was viewed, and by whom.
Angela Ford
aford@abtmedinc.com
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