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Workers’ Compensation Services


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Recovery Analyst Calculator The RAC Software Package calculates an estimated rembursiment for Medical Bills Per DRG, OMFS, Parmacy & APC Fee Schedule’s. Also contains The California Code Of Regulations, Labor Codes & Penalties and Interest Calculator.

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Top 10 Reimbursement Issues 10

Silent PPO Contracts Yes, every provider has PPO contracts. What providers don’t count on is these contracts being sold to review companies and accessed by unauthorized parties. There is plenty of case law on the side of the provider to overcome this issue.

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Before there was APC, there was U & C . Yes there are still many providers with pre-2004 outpatient surgeries out there. The good news is you don’t have to accept APC payments or per-diem rates. We can help you legally establish your U & C.

Penalty and Interest Ever attempt to pursue penalty and interest? You have probably heard the stock response of “FILE A DOR”. What most providers don’t know is that penalty and interest are supposed to be self-executing per the labor code.

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Usual and Customary

APC Calculation Errors for Outpatient Surgery After January 1st 2004 providers thought the new APC Fee schedule would eliminate all outpatient surgery issues. WRONG! Even with a defined calculation insurance companies continue to develop new deduction techniques.

Emergency Room Fees Often subjected to all sorts of fee schedules. Remember your Emergency room fees are reimbursable often times at various fee schedules. ER Visits are all about circumstances, concentrate on this and you will get paid.

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Multiple Procedures performed during one Surgery

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Refusal to pay for Special Supplies & Implants

A surgery which requires multiple procedures (multiple CPT codes) is performed, your organization receives an EOB paying your primary procedure and the rest are “included in the primary procedure”. This can be overcome.

The Labor code is very specific about this, any service which is reasonable and documented is subject for reimbursement. Fee schedules can’t cover everything and some services call for special supplies and implants which should be paid.

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Failure to pursue additional payment for exceeding LOS Before there was outliers there was per diem reimbursement. Yes, prior to the outlier coming into effect if a patient’s stay exceeded that Geometric LOS for a specific DRG, you can collect additional money based on per diem rates.

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Failure to pursue Cost Outlier Payments We find that many providers do not spot these due to calculation errors and that insurance companies often do not issue these payments without some extra effort on the providers behalf.

Inpatient DRG Calculation Errors DRG Weights and composite factors are constantly changing, most review companies have no problem updating their system when there is a decrease in reimbursement, but when there’s an increase they are much slower to update.

Most Providers fall victim to these issues... With Nori Corp. You Will Not.

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Commitment to our Clients Honesty

Is defined as “Value of speaking the truth and creating trust in the mind of others�. Honesty is the foundation on which successful business relationships are built. We commit to be honest, in all of our business practices, not only with our clients but also with our employees, vendors, carriers and their affiliates.

Ethics

Our business practices and procedures must be ethical. We understand the importance of our business to the healthcare community and the patient. Upholding a code of ethics allows us to preserve the good name of our company and also to ensure that affiliation with our company will in no way the reputation of our clients.

Loyalty

We value the loyalty of our satisfied clients. We earn our client’s loyalty by creating the best results through our services and upholding our commitments to honesty and ethics.

Prudence

We understand the importance of the many business relationships that our clients maintain with various parties. We prudently customize our services to coincide with the mission and corporate policies of our clients.

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Mission Stament the g n i d l o ph u o t mp d o e C t ’ a s c r i e d de ork s i W . a o i p r r n p r o o C o f t i i l r No hed e Ca s i h l t b f a o t s to s e n le r s p a u i t c w e n r i r p em stem h y t s p e l h e T h and . system jured worker, ehabilitation l in lr a i a e r n t h s t o i u t t c d a te voc e in h e t d f i o v o s r t shed i l p work, p lieve the effec m o acc re e e r b s r r n o a u c e O r s . i cu ers f th d i o v e o n r o p l injury. N uality medica rk with quality o ili tq c w u a f o o t h d t d i n w ls a ture a c n u r o i t s s s e e ent m e s r vices ar roviders, prof u mb i e r r p i l e a rs. th e k e r s o a medic e w r inc red u o j o t , n n i e h k o i t g l a u d o s tie thr dere s n r e e r d i s v e c o ger i r n v p r o l l e a s o c r i n fo to med n y e t s i l co a u h u s c q e e y h v t n a Ma nh hat t w e o p r i o e h th e rifault of ed workers. W verse this det re jur treat in r services can ou f o s s e c d. n e r t l ent a m e g a ment Man Â

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orp C i r o N -

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Safety & Security Software

Our software, which we use to manage your AR, stores your patient’s information in a 100% secure and HIPAA compliant manner. We also currently have a domestic triple geo redundant back up strategy.

Digital Document Security

Once patient information is converted to digital format our IT staff is able to control it is protected behind HIPAA compliant firewalls with controlled, monitored and audited access.

Physical Document Security

All physical patient information is handled in a fully HIPAA compliant manner before, during and after digital conversion. All physical documents that are designated to be destroyed are destroyed by CINTAS document management. They are fully HIPAA compliant and are a 5 star rated company and have a high rating in random audits.

Employee Screening

All employees are screened to ensure the safety of any sensitive patient information.

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Our Company Nori Corp was founded in April of 2007. Our management team and employees are no strangers to the workers’ compensation collections. With decades of combined experience in representing medical providers and obtaining maximum reimbursement, we strive to bring you the results that you not only deserve but should expect. Our goal is not only to audit your past receivables and obtain correct maximum reimbursement for your facility but also to prevent it from happening on your current receivables.

Nori Corp. Quick Facts Specialists We exclusively handle workers’ compensation collections. Unlike other companies we focus all our efforts on Workers’ Compensation.

Training All our employees must pass a rigorous training program, which certifies their knowledge of the workers’ compensation laws and collection tactics.

Performance

Not only do we support workers’ medical providers who are our clients but we also support and are part of organizations dedicated to assisting workers’ comp medical providers

Our contracts are 100% risk free, we don’t lock you into any time commitment. We keep our clients by performing not contractual clauses.

Experience We have decades of experience in workers’ compensation collections, our customers benefit because we are always available to answer any of your questions.

Local We are a California based company headquartered in San Pedro. We know California laws because we are Californians!

Customized All of our services are customized to fit the needs of the provider we represent.

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Process Overview Database Exports (XLS,TXT,SQL Etc) Patient Demographic Sheets On Demand

Phase 1 Get Us Your Data

Patient Demographics



Phase 2 Digital Conversion

File Scanning

Disassembly

Marco Database Analysis

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Ph P Coll



Phase 4 Strategic Preparation

Ph Data Veri

Micro Analysis


Direct VPN / Citrix Access to Management Software Digital Bill Replication Automated Demographic Generation Powered By:

Sanned Documents (TIF,PDF,Scan Solutions) Patient Demographic Sheets On Demand

Advanced Data Services

Billing

Data Mapping

 

hase 3 a Entry & rification

Data Entry & Update

Import

Phone Calls

hase 5 Phone lections

Faxes Mail

Lien Claimant Representative

Relationships Negotiations

Insurance Employer Bill Review Defense Attorney

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How Do We Collect How we can turn your severely past due files into Money! We provide full service Lien Claimant Representation. Each of our services is designed and customized to increase your reimbursement by obtaining past due monies and increasing your reimbursement on a go forward basis.

Effective Follow Up

Our trained Lien Claimant Representatives ensure that important commitments are met by the various parties necessary to increase your reimbursement.

Letters

Not only do we prompt letters to ensure that your bill gets resolved, but we know the importance of timely responses to insurance correspondence. Our correspondence is carefully crafted to ensure results!

Legal Services

We make sure that your lien is represented with the WCAB if necessary.

Systemic Audits

Our trained specialists audit your medical charges to develop the best strategy for maximum reimbursement.

Targeted Settlements

Since we deal with a large volume of cases for different medical providers, we develop relationships which can be beneficial to quick resolution.

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More Than A Vendor, We Are Part of Your Team • Instantly Increase your Staff • Team Effort • Management • Administrative • Results You Want!


Our Services 10 Year Reimbursement Analysis

We perform a in depth analysis going back as far as 10 years, which covers receivables which may have been written off, declared uncollectable or quite frankly you just not worth pursuing, we ensure that you have been paid correctly and if you haven’t we represent you to the insurance company.

Pre-Write Off Analysis

This service is the same as the 10 year reimbursement analysis only it is done on your more current receivables on an ongoing basis. We can review files prior to writing them off, declaring them uncollectable or quite frankly it just may not be worth it for your staff to pursue.

Regular Billing Follow Up

For those looking to prevent receivables from “falling through the cracks�, this service is a great supplement to your staff. Like all of our services it is 100% fee based, so it allows you to increase your staff instantly without hiring, firing, managing or training. We provide follow up to your files in which have just been billed and you are awaiting initial payment.

Legal Services

Need representation at the WCAB for your Lien issues? Let our statewide network of hearing representatives represent your lien and get you maximum reimbursement.

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First Two Weeks at Nori Corp

Administration

Process Incoming and Outgoing Correspondance

Stage 1 Letter of Rep Day 1 - 4

St Good F Da

Serve All C

System Batch Admins

Powered By:

VMware

Manage and Process Batch Correspondence Campaigns

Serve Al

Provider Representatives

Maintain communications with all parties and ensure our clients are paid properly.

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Manage A Strat


tage 2 Faith Letter ay 5 - 8

Stage 3 Rebill Packet Day 9 - 13

Stage 4 Rebill Follow Up Day 14 – 18

Correspondence Via US Mail

ll Correspondence Via Fax

tegic Contact Strategy Via Telephone

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At Nori Corp. Exceeding Excellence Goes Far Beyond Collections.

Reports

Monthly Status Reports We provide you with monthly status reports that provide your facility with a data snapshot of each file you have assigned to Nori Corp. Some of the information included in the monthly status reports include: - Your Reference # - Admit & Discharge Date - Account Status - Account Last Paid Date - Account Late Paid Amount - Total % Paid on Account to Date

Graphical Analysis Our graphical analysis summaries will help you get a quick snapshot of the statuses of files assigned by your facility. From simple status pie charts, to day by day collections analysis all of our reports can be transformed into inutitive graphical representations.

On Demand Reporting Client Service Portal Username: |

Password:

Login

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Enjoy the ease and accessibility of our on demand reporting. Keep your finger on the pulse, and access key diagnostics at your convinience. Our reporting systems are 100% secure and accessable 24 Hours a day, 7 days a week and 365 days a year. With on demand reporting, we do business on your schedule.


Cutting Edge Techonology Giving Us The Freedom to 1 2 3

Tools Technology

Keep our representatives focused on phone calls, negotiations & detailed reviews of your files. Tailor fit collection campaigns with customized reconsidersations, letters, faxes and call strategies. Efficiently process millions of files faster creating an additonal revenue stream.

System Batch Administrators Our Administrators work within VMWare’s virtualized enviroment, allowing them to run over 8 campaigns at once 24 hours per day.

Q

What does Virtualization mean for our facility?

A

It means that one Administrator can run over 8 automated processes from their station at any given time. Once system batch administrator has the workforce ability of over 8 employees!

Using Technology To Keep Patient Data Safe One of the most important topics in the healthcare industry is the safety of patient information. We provide facilities the best workers’ compensation collections services revenue while maintaining high self imposed patient data security standards. Like other companies we trust our network safety and security to Cisco. Both our network and phone system are fully protected and monitored for inturders. Our Cisco system offers a sophisticated security and policy enforcement which provides features such as stateful, application-based filtering, per-user authentication and authorization, real-time alerts, transparent firewall, and IPv6 firewall. If nessesary we can provide a VPN between offices which supports SSL security for web transactions , data enryption and digital signatures.

24 Hours, 7 Days a Week. Secure Web Access To Your Files. Our website offers a Secure Client Service Portal Which allows our clients to access our system over the SSL 3.0/TLS 1.0, protocals using global step-up certificates from Verisign, This means we are ensuring that our clients have a secure connection from their browsers to our service. Once securely connected to our system you are able to run custom reports, view payment postings, view pending payments, Settlements, Account Statuses & much more...

Cisco is a registered trademark of Cisco Systems Inc, VMware is a registered trademark of VMware, Inc.

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Mail Software Our software, which we use to manage your AR, stores your patient’s information in a 100% secure and HIPAA compliant manner. We also currently have a domestic triple geo redundant back up strategy.

Digital Document Security Once patient information is converted to digital format our IT staff is able to control it is protected behind HIPAA compliant firewalls with controlled, monitored and audited access.

Physical Document Security All physical patient information is handled in a fully HIPAA compliant manner before, during and after digital conversion. All physical documents that are designated to be destroyed are destroyed by CINTAS document management. They are fully HIPAA compliant and are a 5 star rated company and have a high rating in random audits.

Employee Screening All employees are screened to ensure the safety of any sensitive patient information.

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Correspondance Many companies are more concerned with who is right they forget about what is important to you ‌ the money. We use our offer letter to open the lines of communication for additional reimbursement.

Why Offers Work ‌ All Necessary basic information to pay a bill. We make it simple by offering 3 methods of responding, ONLINE, PHONE or FAX Simple easy to read and nontelephonic response options make it extremely effective.

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Nori Corp. Advantage 1 100% Risk Free • No Signup Fees

• No Monthly Retainers

• No Setup Costs

• No Minimum Assignments

We don’t make money until you get paid.

2 Cutting Edge Technology • Fully Digital Claims Processing Center • Advanced phone dialing systems. • Fax broadcasting capabilities

• Advanced database allows us to process your files faster! • We do in 90 days what most people can barely do in 1 year.

3 Trained Specialists • Our staff is trained to deliver the best results for our clients. • Our collectors maintain relationships with carriers, defense attorneys and review companies that means more money for you faster!

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• Advanced follow up system means we stay on top of the insurance companies!


Get Started

GET STARTED TODAY 1. Sign a LCR Agreement 2. Sign a HIPAA Agreement 3. Give us the Information 18


2500 Via Cabrillo Marina Suite 350 San Pedro, CA 90731 310-694-9881 www.noricorp.net

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