FINANCE, ACCOUNTING, REIMBURSEMENT and COMPLIANCE. ACCOUNTS RECEIVABLE MANAGEMENT and BILLING SERVICES. CLINICAL Services. OPERATIONAL Services

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1 ACCOUNTS RECEIVABLE MANAGEMENT and BILLING SERVICES Increase Revenue, Accelerate Cash Flow, Reduce Claim Rejections and Decrease Accounts Receivable Affinity Health Services Inc. Accounts Receivable Management and Billing Services can be contracted on either an interim basis, during a change in staffing, or utilized on an ongoing basis. Recognizing that nursing home providers are facing difficult financial times, we can assist you in reducing your facility s bad debt, accelerate cash flow and provide recommendations to improve efficiency of your office staff. Billing Service Assistance In: Collecting Receivables Management of Claims Processing and Collections Cycle Medicare, Medicaid and Third Party Billing Services Medicaid Application Process Types of Services Provided: Analyze Accounts Receivable Aging Reports to Collect Stale Accounts Complete Billing to Medicare, Medicaid and Third Party Insurers Review Remittance Advices with Follow-up Provide Client-Specific Recommendations to Improve Operational Efficiency Training for Business Office Staff on Billing, Collections and Revenue Cycle Management Click any of the tabs above to take you to the corresponding page in this document. Click the Affinity logo to be directed to the Affinity Health Services website. FINANCE, ACCOUNTING, REIMBURSEMENT and COMPLIANCE CLINICAL Services OPERATIONAL Services REGULATORY Services MARKETING and REFERRAL DEVELOPMENT Services Marketing / Census Support Assess and develop new products and services according to market needs Assess external relationships with community based entities as they relate to referral development admissions and potential partnership programs and services Educate and train appropriate staff in the importance of marketing and customer service Evaluate a competitive comparison relative to the position of the facility and its competitors Evaluation of barriers to admissions Implement a customized, effective Marketing Strategy to meet and exceed budgeted goals Increase occupancy, balance payor mix and unify admission criteria Integrate a census-driven Marketing Team focusing on product and service development Create a competitive community Create a customer service-driven culture Create nursing and Develop products to Train personnel to 942 Philadelphia Street Indiana, PA Toll Free: (877) Fax: (724) Web: marketing teams serve the community Meet budget expectations succeed Train to evaluate appropriate admissions Senior Community Management and Consulting Services

2 ACCOUNTS RECEIVABLE MANAGEMENT and BILLING SERVICES Increase Revenue, Accelerate Cash Flow, Reduce Claim Rejections and Decrease Accounts Receivable Affinity Health Services Inc. Accounts Receivable Management and Billing Services can be contracted on either an interim basis, during a change in staffing, or utilized on an ongoing basis. Recognizing that nursing home providers are facing difficult financial times, we can assist you in reducing your facility s bad debt, accelerate cash flow and provide recommendations to improve efficiency of your office staff. Billing Service Assistance In: Collecting Receivables Management of Claims Processing and Collections Cycle Medicare, Medicaid and Third Party Billing Services Medicaid Application Process Types of Services Provided: Analyze Accounts Receivable Aging Reports to Collect Stale Accounts Complete Billing to Medicare, Medicaid and Third Party Insurers Review Remittance Advices with Follow-up Provide Client-Specific Recommendations to Improve Operational Efficiency Training for Business Office Staff on Billing, Collections and Revenue Cycle Management 942 Philadelphia Street Indiana, PA Phone: Fax: Toll Free

3 FINANCE, ACCOUNTING, REIMBURSEMENT and COMPLIANCE Financial Compliance / Support A comprehensive internal audit program focusing on all critical areas of the business office such as: Billing and Census, Revenue Adjustments, Accounts Receivable, Accounts Payable and Fixed Assets Fiscal Intermediary Audit Assistance Regulatory monitors relating to Billing Compliance, Resident Trust Compliance and Cost Reporting Accounting and Reimbursement Accounts Receivable monitoring and training for maximizing cash flow Centralization of financial management for clients at corporate office Chart of accounts development and implementation Customization of financial reports to meet the Board of Directors' needs and requirements Development, implementation and monitoring of procedures for capturing statistical information to ensure accurate cost report documentation and compliance Development, implementation and monitoring of proper accounting procedures, including the internal audit program, to continuously monitor the business office function Development, implementation and monitoring of proper internal control procedures Direct hands-on assistance with independent audits Financial/Operational reviews with Benchmarking HIPAA/Corporate Compliance reviews Key Indicator monitoring/management tools and reports Monthly review of operating budgets with appropriate management reporting, variance analysis and cost containment opportunities Preparation of Annual Operating Budgets and development of Capital Budgets to anticipate, plan and fund future needs Strategies for market repositioning Strategies for renovation, construction or acquisitions Budget controls and monitoring for management team Continuous and effective revenue and expense controls Efficient/timely Accounting Reporting Systems Improved cash flow Increased internal controls Lower Days Sales Outstanding (DSO) Reduced bad debt Timely month-end closing Reimbursement Case Mix Management Daily Nursing Financial Planning Strategies Medicare Denial Support Medicare Operational Analysis Medicare Part A Certification Support Medicare Training and Support Services RUG and MDS Management Support Therapy Management

4 CLINICAL Services Clinical Support Director of Nursing Training and Support MDS Coordinator Training and Support Nursing Department Benchmarking Nursing Department Budget Training Nursing Department Competency Programs Nursing Documentation Assessment Nursing Documentation Training for Compliance, Reimbursement and Risk Management Nursing Management Tools Nursing Operational Analysis Nursing PPD Analysis and Comprehensive Data Collection Recruitment and Retention Committee Implementation Recruitment and Retention Strategic Planning Web Based Conferences Clinical Market Specialties Dementia Care Program and Training Pain Management Palliative Care Program and Training Restorative Nursing Program and Training Wound Care Consultation, Programs and Training Builds effective clinical leaders and managers Creates documentation for appropriate reimbursement Creates strong scheduling modules Develop services to meet community needs Effective nurse training Identifies areas for performance improvement Identifies areas of risk Maintains compliance with DOH/DPW Nursing budget controls

5 OPERATIONAL Services Operational Support Coaching Supervision Training Cost Benefits Analysis Culture Change Initiatives Departmental Efficiency Assessments Full Operational Assessments Implementation of Process Improvement Internal Marketing Strategies for Nursing Department Labor Relations Management Operational Benchmarking Studies Personal Care/Assisted Living Operational Analysis Personal Care/Assisted Living Policy and Procedure Manual Policy Assessments Quality Assurance and Quality Improvement Programs Resident and Family Satisfaction Reviews Risk Management Strategies for Nursing Strategic Planning Third Party Contract Analysis Analysis for effective planning/goal setting CEO/Administrator support to achieve organizational goals Develop strong management and supervision skill sets Improved organizational policies and programs Improved overall performance in: Customer Service Departmental Financial Proactively prepare for new regulatory requirements

6 REGULATORY Services Regulatory Support Abuse Prevention Accident Investigation Strategies and Reporting Mechanisms Dementia Unit Mock Survey Directed In-Service Program Presentation Informal Dispute Resolution Assistance Interdisciplinary RAP and Care Plan Training MDS, RAPs and Care Plan Analysis OBRA Mock Survey Personal Care/Assisted Living DPW Mock Survey Personal Care/Assisted Living Regulatory Training Quality Indicator and Quality Measures Review Quality Indicator Survey (QIS) Readiness Training Quality of Life Program Assessment Post-Survey Correction Assistance Survey Plans of Correction Assistance and follow-up Survey Preparedness Planning - Nursing Management Systematic Focus Review of each Federal Regulation Develop effective Performance Improvement Programs Maintain compliance Educate in specific areas of compliance Maintain positive survey outcomes Maintain focus on community specific performance improvement objectives Maintain proactive culture for regulatory updates/enhancement Preparation for annual surveys Nursing Facilities - DOH Personal Care Facilities - DPW

7 MARKETING and REFERRAL DEVELOPMENT Services Marketing / Census Support Assess and develop new products and services according to market needs Assess external relationships with community based entities as they relate to referral development admissions and potential partnership programs and services Educate and train appropriate staff in the importance of marketing and customer service Evaluate a competitive comparison relative to the position of the facility and its competitors Evaluation of barriers to admissions Implement a customized, effective Marketing Strategy to meet and exceed budgeted goals Increase occupancy, balance payor mix and unify admission criteria Integrate a census-driven Marketing Team focusing on product and service development Create a competitive community Create a customer service-driven culture Create nursing and marketing teams Develop products to serve the community Meet budget expectations Train personnel to succeed Train to evaluate appropriate admissions