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Synergen Health Advantage

Unparalleled solutions beyond borders

"As an Oncology practice, it refreshing to work with a company that understood our specific business challenges and provided us with innovative solutions that enabled us to maximize revenue"
  • Compliance
  • Quality
  • Methodology
  • Innovation

1. Compliance

ISO/IEC 27001:2013 INFORMATION SECURITY MANAGEMENT SYSTEM (ISMS)

SYNERGEN Health is ISO/IEC 27001:2013 certified. We have achieved this milestone for establishing a robust Information Security Management System (ISMS). At SYNERGEN Health, we adhere to the highest standards of information security, client confidentiality, and trust. We acknowledge the fact that every client’s information is an extremely important asset and always treat it with the greatest integrity.

ISO/IEC 27001:2013 includes the management of information security in processes related to Information Technology, Client Servicing, Operations, Human Resources, and Administration. SYNERGEN Health’s ISMS follow the approach to “develop, establish, implement, operate, monitor, review, maintain, and improve,” thereby ensuring continual improvement and adherence of information security processes.

HOW DO OUR CLIENTS BENEFIT FROM ISO/IEC 27001:2013 CERTIFICATION?

  • We have secure operations and strict compliance policies, ensuring that our client’s information is 100% safe with us.
  • Business continuity planning ensures no disruptions and delivery of all manuscripts on time, every time.
  • World-class information technology systems to ensure superior quality and higher security.
  • Trust and confidentiality commitment to serve our esteemed clients better and for longer.
  • Globally recognized and acknowledged security processes/protocols for ensuring no security breaches.

Our business is also Judicially aligned with federal and state regulations;

  • Health Insurance Portability and Accountability Act (HIPAA)
  • Fair Debt Collection Practices Act (FDCPA)
  • Office Inspector General (OIG)

We also assure that your practices are,

  • Monitored using embedded internal controls & incessant watch on applicable laws
  • Enriched via latest technology
  • Effectively supports privacy and security
  • Strengthened with frequent audits by our External Compliance Consulting Partner
  • Periodically refreshed to keep pace with overlapping legislative demands of the industry
  • Supported by our own pool of
    • Certified Coders (CPC)
    • HIPAA Security Experts (CHCO)
    • Compliance Officers (CMCO)

Information Security Management System Policy Statement

“SYNERGEN Health’s Information Security Management System is designed and implemented to protect our clients’ information, business information as well as systems used in our key business of revenue cycle management and analytics in the healthcare industry; which includes processes of billing, collections, posting, denial management and analytics using DOCTRIX®, our in house developed patent pending tool including processes of connectivity, development, quality assurance and deployment; using software assets, backup assets, physical assets, service assets, intangible assets, paper assets and human assets managed by the Global Delivery center”

Our HIPAA Compliance Statement

SYNERGEN Health is committed to conducting operations legally and ethically, thus compliance is considered an essential element for our business success. Compliance is embedded into our daily operations and is part of our organizational culture. Assurance of compliance is given and monitored each year through the development of effective internal controls, orienting our employees on applicable federal and state laws, preventing and detecting any breaches of law and mandatory policies and by implementing new technology which effectively supports compliance. We believe our effort and commitment to compliance would pave the way in achieving the overall objectives of combating health care fraud, improving the quality and reducing cost of healthcare in the US. Our comprehensive compliance program is built on the principles of prevention, detection and resolution and is consistent with the OIG Compliance Program Guidance for Third-Party Medical Billing Companies and the Health Insurance Portability and Accountability Act (HIPAA).

The SYNERGEN Compliance Edge

Having a robust information security management system ably supported by certified individuals in specialized roles aligned across the organization structure our compliance program is designed to adopt and facilitate our evolving compliance needs. Our staff and management is committed to ensuring our compliance program to be more than a collection of high standing documents but to have practical value in our daily operations.

2. Quality

SYNERGEN Health achieved ISO 9001:2008 certification in Q1 of 2012. The ISO Quality Management System set forth and practiced by SYNERGEN Health drives consistent service delivery to ensure customer satisfaction at all times. A comprehensive knowledge management system along with heavy focus on continual improvement drives our commitment to quality.

As a major element of our endeavor to lead our clients' from good to excellent, we utilize our best in class total quality management systems to maximize the efficiency and minimize the cost of your operations while ensuring timely delivery. Our internal workflows are designed and resources are utilized to make sure that we process your claims right the first time, to ensure the maximum cash flow within minimum possible time frames. Frequent internal audits are conducted to scrutinize our current practices and daily operations in order to ensure the maximum quality and standardization.

Quality is embedded in every element of our workflow, and there is an inseparable relationship between our work ethics and the quality. Our quality framework managed by our Kaizen team includes the following:

  • Use of detailed analytics for managing Key Performance Indicators (First time payment rates, root cause & roll over analysis etc)
  • Robust training for knowledge transfer, specialty specialization & encouraging industry best practices
  • Lean six Sigma practices & ongoing quality initiatives lead by our Certified coders

Quality Policy Statement

Consistent to our mission, SYNERGEN Health will continuously strive to improve the efficiency and profitability of our customers through quality excellence in all of our activities in our business of health care revenue cycle management.

We are committed to create value for all our stakeholders by continually improving our solutions and processes through training, innovation and implementing industry best practices.

This policy shall form the basis of establishing and reviewing the Quality Objectives and shall be communicated across the organization.

The policy will be reviewed to align with business direction and to comply with all the requirements of the Quality Management Standard.

We are committed to maintain a Quality Management System conforming to requirements of the ISO 9001:2008 standards.

3. Methodology

When you engage SYNERGEN Health, you will experience a proven methodology that would help transform your revenue cycle.

Our standardized yet customizable approach will increase efficiency, quality, insight, responsiveness and compliance while mitigating risks.

  • Mitigate cash-flow disruption
  • Minimize Business risk
  • Ensure compliance conformity
  • Continuous improvement through Quality Management and feedback
  • Maximum client satisfaction & Increased profitability
  • Maximizing the profit margins via most effective and customized solutions

SYNERGEN Health Opportunity Assessment

  • Have you analyzed your practice vs. industry benchmarks (HBMA, MGMA)?
  • Are you collecting over 98% of your claims?
  • Does your revenue meet your expectations?
  • Do you have the right information to make intelligent business decisions?

If you answered NO to ANY of the above questions, you may be leaving money on the table and also risking the future of your practice. For a limited time we are offering a NO COST, NO Obligation opportunity assessment so you can address issues before it is too late. We will:

  • Benchmark your data against best practices
  • Identify areas of risk and opportunity
  • Present our findings and recommendations

Revenue cycle KPIs consistently maintained above industry benchmarks

  • MGMA benchmarks for 90+ Insurance AR - 15%
  • SYNERGEN Health overall average for all Practices - 10%

Our Approach

When you engage SYNERGEN Health, you will experience our proven 6 step methodology to transform your revenue cycle. Our proven, standardized yet customizable approach will increase efficiency, quality, insight, responsiveness and compliance while mitigating risks.

Transition Methodology

Pre-Contract Pre-On boarding Configuration Pilot Go Live Post Go Live
Revenue Cycle Analysis On-Boarding Plan Systems Configuration Pilot Plan & Roll out Initiate Go Live Root Cause Analytics
Requirements Gathering SYNERGEN Health OB Methodology Overview Communication & Escalation Protocols Evaluate Pilot outcome Monitoring of Process Matrix Reports & Analytics Fine Tuning
Contract Signing AS-IS Process Documentation Contingency Plan Process Fine tuning Monitoring of KPIs Documentation Update
  TO-BE Process Documentation Reporting & Analytics Setup Validate Contingency Plan Client Updates Best Practice Training
  Determine SLAs Training Plan & Implementation - Client / Team   QA Framework Setup Continual Improvement
        Roles & Responsibilities  

Revenue Cycle Maturity ModelTM

SYNERGEN Health has created a unique process called the Revenue Cycle Maturity ModelTM to identify the maturity level of a client’s revenue cycle operations. The term "maturity" relates to the degree of formality and optimization of processes, from ad-hoc practices, to formally defined steps, to managed result metrics, to active optimization of the processes.

The Revenue Cycle Maturity ModelTM has a structured set of criteria to clearly determine the current level of maturity of you operations, and provide the resources and the expertise to determine what needs to be improved or how to get started.

SYNERGEN Health uses a combination of benchmark data, industry best practices and proprietary analytics, to determine the maturity of the processes in the client's revenue cycle operations and quantify how changes in processes and or systems could help improve customer service, ensure compliance, reduce costs, revenue and margins.

Using this framework, we create a custom road-map to transform our client, and then implement the recommended processes and solutions so the client’s operations will run at the most optimal level possible. The final outcome is to have consistent processes and predictable results that can be clearly defined, measured and optimized on an ongoing basis.

4. Innovation

Innovation is a significant part of our DNA and it inspires our team to continuously explore new approaches to deliver value to our customers. We reward innovation and have created a risk free environment where our teams can openly bring highly valued ideas to continually drive improvement in our service levels. Our internal work culture highly encourages lateral thinking which continuously adds value to our clients’ processes which facilitate to find new growth opportunities.

In order to keep pace with rapidly changing industrial and technological advancements, innovation is an essential element rather than a nice to have. Thus, we constantly monitor and measure our performance and determine what processes and technology within and outside of our industry that could be implemented to generate better results.

We align our customized innovation strategy with your corporate objectives and industry trends, empowering you to bravely challenge the status quo and achieve and sustain a competitive advantage which differentiates you from the mainstream healthcare practices. Being your trusted RCM partner, SYNERGEN Health’s ultimate goal is to use innovation to deliver tangible results in the near-term and a competitive edge for our clients in the years to come.

We believe in thriving; not surviving!

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