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Execution Efficiency

The healthcare industry is fraught with administrative, operational and financial challenges and the sector is constantly looking for optimization opportunities to reduce costs while adhering with HIPAA compliance. Mentor Minds execution team’s expertise is drawn from closely working with providers in improving the revenue cycle process by unifying the administrative and financial events between providers, payers and banks by building and bringing to market innovative solutions in the areas of:

Revenue Cycle Management (will be a link to respective section)
Accounts Payables (will be a link to respective section)
Claims Processing (will be a link to respective section)
Explanation of Benefits (will be a link to respective section
Mobile Healthcare Applications (will be a link to respective section)

Revenue Cycle Management: With 4+ Billion explanation of benefits (EOB) processed currently on paper, the process is highly in-efficient causing write-offs in addition to costly patient queries, denial management, secondary billing and appeals.

 
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Our development teams possess the highly skilled expertise in the HIPAA mandates for the existing EDI exchanges between the entities in the revenue cycle process. Our expertise includes providing frameworks and dashboards that allow for creating and improving the process by increasing cash flow, decrease days outstanding, decrease costs per transaction, increase workflow efficiency, eliminate lost or misplaced records, enhanced exception processing and a single view of claims and remittances.

Accounts Payables: Mentor Minds provides expertise in developing as well as improving the entire Purchase2Pay (P2P) cycle with innovative solutions leveraging people, process and technology. Quick facts on invoices:

80% are paper based – Gartner
More than 24% of time spent by supply management personnel at hospital and distributor sites is spent correcting non-conformance errors - Concepts in Healthcare
The estimated cost to research and correct a single order exception ranges from $15 to $50 per error - Healthcare Distribution Management Association
Improvement in optimizing the internal processes within hospitals adds significantly to the bottom line where there is ever-increasing pressure to reduce costs and increase profits without sacrificing patient care.

Mentor Minds has a dedicated team of professionals that deal with Accounts Payables and the entire Purchase-to-Pay cycle (P2P) as a practice. Our expertise involves imaging and data capture from invoices and integration to back end ERP systems.

 
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Our subject matter experts in the P2P cycle understand the challenges of hospitals using existing infrastructure and home grown systems and work as a team in improving the process with a web based solution that includes:
Electronic invoicing
Preprocessing of invoices (Duplicate invoices)
Purchase order integration
2 and 3 way matching
Business rules driven approval workflows
Dashboards
On-demand reporting
Access to invoice search, approval and dashboards via mobile device
Our AP Solution APMentor improves the existing process by eliminating paper out of the equation as well as integrating with existing systems.

Our efforts in optimizing the Accounts Payables process include Mobile AP – quickly enabling hospitals to make available approval workflows and dashboards across geographical locations via any PDA phone (iPhone, Blackberry or any java enabled phone) reducing cycle times in the AP process.

Hospitals can leverage this expertise in moving towards a paperless environment with improved invoice efficiency and near touch-less processing with our innovative solutions for electronic invoicing, purchase-to-pay automation and discounting.

Claims Processing: Mentor Minds provides expertise in generating HIPAA standard EDI X12 837 from paper based HCFA, CMS 1500 and UB92/UB04 forms. Our team understands claims (Professional and Institutional) and the associated business rules as mandated by HIPAA to generate a 100% electronics claims submission that significantly reduces administrative costs, improves auto-adjudication rates and reduces the overall cycle time.

We also offer various models of delivery while processing claim forms which include on-site application development using our claims processing frameworks, hybrid model where providers can reuse existing scanning infrastructure and leverage hosted claim processing services by Mentor Minds or as a completely outsourced service.

Our execution teams strictly adhere to our organizational processes and standards while delivering applications as well as services.

Explanation of Benefits: Our insights and experience are derived from extensive solutions developed for providers in the area of understanding Explanation of Benefits (EOB) from various payers. Mentor Minds provides generic frameworks that can be adapted to generate HIPAA EDI X12 835 files for consumption by a variety of Practice Management Systems.

The frameworks are built to adapt to provider business rules supporting HIPAA standards. Mentor Minds leverages its existing claims expertise and validates all data either in paper format (EOB) or electronic (ERA) against existing submitted claims prior to generating the EDI X12 835 files allowing for identification of zero pays, secondary billing opportunities, denied claims etc.
Mentor Minds provides multiple integration mechanisms to the backend practice management systems via 835 or XML allowing for seamless posting of the payer data.

Mobile Healthcare Applications: Our ready to use framework MobileMentor allows for mobile enabling any existing application within the provider’s infrastructure rapidly. It allows for accessing information at anytime and anyplace using wireless network systems and smart mobile devices (iPhone, Blackberry, Windows phones and other devices). Applications such as patient queries, doctor and nurse scheduling, prescription drug refills, medical records lookup etc. are some of the applications where mobility can be deployed. The framework provides multiple levels of security and can inherit the existing authentication mechanisms already deployed.

 
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