Post on 21-Jul-2015
Corporate Structure
Diagnostic Benefit Management for the
Group Health Industry
National Diagnostic Imaging/ Network Scheduling Service
Retrospective Bill Review Age of Injury Reports
Second Opinion for Diagnostic Film Read
- Discounted High End Diagnostic Imaging tests for
, the Uninsured, Underinsured and High Deductible Plans
10 years of operations specializing in the niche of Diagnostic Benefit Management in multiple industries (i.e. Group, WC, Auto and Liability)
99% client retention rate
22% growth rate per year
Twice named as Entrepreneur Magazine Hot 100 fastest growing new businesses
Named in the INC. 5000 for 2007
Overview
Company Philosophy
Active vs. Passive Network StructureValue-Added, High Level Service ActivitiesCatalyst to Positive Provider Relations of Network PartnersConcierge Approach for Members and Ordering PhysiciansLong Term Solution OrientedWin/Win/Win/Win = Physician/Payor/Patient/Network Provider
National Network Coverage
National Network of 3900 individual free-standing locations out of a ‘universe’ of approximately 5500 available facilities in the continental United States.
DiaTri Employee Growth
0
20
40
60
80
100
120
140
160
180
Q12004 Q22004 Q32004 Q42004 Q12005 Q22005 Q32005 Q42005 Q12006 Q22006 Q32006 Q22007 Q12008 Q22008 Q32008
Growth Management
DiaTri Referral Growth and Turnaround Times
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
2001 2002 2003 2004 2005 2006 2007 2008
4.8 4.514.824.84.715.0TAT
4.8
Corporate Enhancements
Redundancy and Disaster Recovery Additional FL Based Call Center
Phase III, Proprietary System Upgrade
Continuous System Upgrades
Electronic Capabilities
Proprietary system (DPRSII) for complete tracking of all referrals throughout the entire process (from Intake, to Billing the Payor, to paying the provider partner)
EDI, e-mail, and electronic referral/reporting capabilities.
Website security through VeriSign
Service Standards
Quality EmployeesFair wages and extensive training and mentoring to ensure quality serviceWC, Group, and/or Managed Care experience
Multiple LanguagesCan service up to 42 different languages, many with on-site employees for Spanish, Polish, German, etc.
Service Standards
NO Phone Prompt 2-3 rings
Turnaround Time AveragesFrom referral to Appt. Notification = 4-6 hoursAppt. Notification to test date/time = 2.89 daysTest date/time to medical report = 1.65 daysTotal Average National Turnaround Time
4.51 Business Days
Quality Assurance Program
Facility Partner, Customer and Patient Satisfaction Surveys
More than 98% of diagnostic facilities surveyed were satisfied with their DBM partnership 96% of clients indicated the service they receive today from DBM is equal to or better than the service received in the past 97% of clients would recommend DiaTri and its products/services to a colleague
Detailed, Internal Client Services Management ReportsInternal QA Team
Provider Profile and Credentialing
Facility Credentials/AccreditationNCQA, URAC, ACR
# of Modalities, Equipment type and age, Software
Radiologist Credentials Key component to quality
Primary Source Verification
DiaTri Tiering Policy/ProcedureConvenience to member is #1Accreditations, image quality, TAT, issue ‘flags’, detailed interpretations, equipment, etc.
Outcome Tracking and Benchmarks
Quality ComplaintsPoor Quality Percentage = 0.0045%DiaTri Quality Guarantee Program
SurveysPatientsFacilitiesReferral Sources: physicians, adjusters, UM Nurses, etc.
Account Management Issue Reporting and Tracking
Facility Partner Report Card
What Makes DBM/DiaTri Different?
Dedicated Sales/Acct Mgmt/Client Services Teams
Flexibility – System Supported
Reporting CapabilitiesInfinite
What Makes DiaTri Different?
Client Retention Rates and Complaint Ratios
Long Term Relationship Focused
High Levels of Dialogue with Partners – Facilities and Clients
Hiring, Training, and Retention philosophies for DiaTri employees.
Outstanding Work Ethics and Overall Desire to Succeed and Offer the Best Solution in the Industry
Company Code of Ethics and Business Conduct
ROI
For every 1,000 covered lives, approximately 200 Imaging Procedures will take place in the next year*. Therefore, with an employer’s approximate 10,000 live group, it will experience upwards of 2,000 tests (MRI/CT/PET Scan) annually.
MRI = 43%, CT = 55%, PET = 2% of the total tests ordered
On average nationwide, DiaTri saves approximately $500.00 per procedure ordered yielding a 5,000 live group a potential savings of $1,000,00.00/year.
Cost to implement and access the DBM network on an on-going basis, to receive our Concierge Service for Members and Physicians, to receive report based Results such as cost savings, utilization, turnaround times, or any ad-hoc report that the Client would find useful =
$0.00*Industry Statistics
Service Acknowledgements
“The Benefit Fund Office services over 65,000 participants. It is vital to have a professional and trustworthy business partner to coordinate and facilitate the individual imaging needs of our members. DBM/DiaTri continues to exceed my expectations for quality service.”Fund AdministratorChicago, ILSeptember 2008
We here at Unified Group Services have been using Diatri for almost a year now. It has been a great experience. Diatri is very responsive to both the members and to us as the TPA. They are a pleasure to work with.
The service they provide is invaluable; not only do you receive the diagnostic services at a great discounted price, but members also get help navigating the system with DiaTri’s friendly staff. Dawn Green, Unified Group
Service Acknowledgements
“I just received your mailings with the EMG/NCV and AAS information. They are great!”Patricia Thorne, RN, BSN, CMCN – Liberty, IN
“I have a great educational card that was given at the Vendor Day of the spine, but I do receive a lot of shoulder cases as well,
and this placard would be a great tool!” Susan Myers, RN Liberty
“….DBM is the greatest & has it all over (the competition). MDM always does a super job!”
Cathy Benedetti, NCM - Coventry
Service Acknowledgements
“Stan, this is the referral I spoke to you about. I called DBM last minute this AM....needed an appt. ASAP. Not only did I get an appointment for tomorrow, Patricia called me to let me know and faxed this to me. I was able to get the info. to the adjuster for a new client before they came in for a meeting this AM. You guys are great and Patricia saved the day! KUDOS to you all around.” Nancy L. Guido, RN Phd CCM QRP Medical Management Coordinator
“Hello, I wanted to make a moment to thank you for the support Gina provides. There is never any request that is too large or too small for Gina! She is just as prompt and courteous with a new referral or a request for a report. It is people like her that truly make my job easier so THANK YOU!” Diana Alvarez – Hyatt Corp.
Provider Testimonials
"It has truly been a pleasure working with MDM. Every aspect of our relationship with MDM has been effortless, from the contracting process through scheduling and reimbursement! The entire staff has been responsive, professional and wonderful to work with! We look forward to many more years with MDM, and we are extremely pleased with the service they provide." Linda Anders, Nydic Open MRI of America
"My experience with MDM has been excellent. They have provided me with superior customer service." Brian K. Dempsey, Director of Professional Services InSight Health Corp.
“Our day to day experience with DBM is a positive and professional
relationship. They are professional and timely with all patient information. DBM schedulers are very pleasant and easy to work with. We are happy with the service they provide and look forward to working with them in the years to come!”Linda Correll & Staff - Advantage Diagnostic Imaging Center
“In Working with DBM I have always found the staff to be extremely pleasant and Professional. They are always willing to go out of their way to make the process of scheduling exams smooth for the referring Doctors, patients, and us. As an Independent Diagnostic Testing Facility they have always attempted to make sure I have all the required paperwork ready prior to the exam time. If there is a problem down the road they are always quick to resolve it as fast and efficiently as possible. I would recommend their services to anyone and everyone it could be of value to.”
Mark W Henning RT(R)(MR) - Westchester Open MRI
Provider Testimonials