þ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Delaware | 02-0698101 |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification Number) |
401 North Michigan Avenue Suite 2700 Chicago, Illinois | 60611 |
(Address of principal executive offices) | (Zip code) |
Large accelerated filer | o | Accelerated filer | ý | Non-accelerated filer | o | Smaller reporting company | o | Emerging growth company | o |
(Do not check if a smaller reporting company) |
ITEM 1. | CONSOLIDATED FINANCIAL STATEMENTS |
March 31, | December 31, | |||||||
2018 | 2017 | |||||||
(unaudited) | ||||||||
Assets | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 167.6 | $ | 164.9 | ||||
Accounts receivable, net | 8.0 | 8.2 | ||||||
Accounts receivable, net - related party | 30.9 | 15.4 | ||||||
Prepaid income taxes | 0.2 | 0.6 | ||||||
Prepaid expenses and other current assets | 12.4 | 13.2 | ||||||
Total current assets | 219.1 | 202.3 | ||||||
Property, equipment and software, net | 49.0 | 48.3 | ||||||
Non-current deferred tax assets | 58.3 | 70.5 | ||||||
Restricted cash equivalents | 2.9 | 1.5 | ||||||
Other assets | 15.5 | 13.4 | ||||||
Total assets | $ | 344.8 | $ | 336.0 | ||||
Liabilities | ||||||||
Current liabilities: | ||||||||
Accounts payable | 5.0 | 7.2 | ||||||
Current portion of customer liabilities | 0.9 | 1.1 | ||||||
Current portion of customer liabilities - related party | 31.4 | 27.1 | ||||||
Accrued compensation and benefits | 37.5 | 37.8 | ||||||
Other accrued expenses | 23.5 | 16.7 | ||||||
Total current liabilities | 98.3 | 89.9 | ||||||
Non-current portion of customer liabilities | — | — | ||||||
Non-current portion of customer liabilities - related party | 14.5 | 11.5 | ||||||
Other non-current liabilities | 13.0 | 11.9 | ||||||
Total liabilities | $ | 125.8 | $ | 113.3 | ||||
8.00% Series A convertible preferred stock: par value $0.01 per share, 370,000 authorized, 232,032 shares issued and outstanding as of March 31, 2018 (aggregate liquidation value of $236.7); 370,000 authorized, 227,483 shares issued and outstanding as of December 31, 2017 (aggregate liquidation value of $232.0) | 193.9 | 189.3 | ||||||
Stockholders’ equity (deficit) | ||||||||
Common stock, $0.01 par value, 500,000,000 shares authorized, 121,419,597 shares issued and 108,816,768 shares outstanding at March 31, 2018; 116,650,388 shares issued and 104,409,961 shares outstanding at December 31, 2017 | 1.2 | 1.2 | ||||||
Additional paid-in capital | 355.5 | 337.9 | ||||||
Accumulated deficit | (267.8 | ) | (244.5 | ) | ||||
Accumulated other comprehensive loss | (2.3 | ) | (1.6 | ) | ||||
Treasury stock, at cost, 12,602,829 shares as of March 31, 2018; 12,240,427 shares as of December 31, 2017 | (61.5 | ) | (59.6 | ) | ||||
Total stockholders’ equity (deficit) | 25.1 | 33.4 | ||||||
Total liabilities and stockholders’ equity (deficit) | $ | 344.8 | $ | 336.0 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
(Unaudited) | ||||||||
Net services revenue ($136.2 and $75.4 million for the three months ended March 31, 2018 and 2017 from related party, respectively) | $ | 147.3 | $ | 86.9 | ||||
Operating expenses: | ||||||||
Cost of services | 138.7 | 80.9 | ||||||
Selling, general and administrative | 17.0 | 14.3 | ||||||
Other | 2.4 | 0.2 | ||||||
Total operating expenses | 158.1 | 95.4 | ||||||
Income (loss) from operations | (10.8 | ) | (8.5 | ) | ||||
Net interest income | 0.2 | 0.1 | ||||||
Income (loss) before income tax provision | (10.6 | ) | (8.4 | ) | ||||
Income tax provision (benefit) | 12.7 | (0.1 | ) | |||||
Net income (loss) | $ | (23.3 | ) | $ | (8.3 | ) | ||
Net income (loss) per common share: | ||||||||
Basic | $ | (0.26 | ) | $ | (0.12 | ) | ||
Diluted | $ | (0.26 | ) | $ | (0.12 | ) | ||
Weighted average shares used in calculating net income (loss) per common share: | ||||||||
Basic | 105,831,571 | 101,364,424 | ||||||
Diluted | 105,831,571 | 101,364,424 | ||||||
Consolidated statements of comprehensive income (loss) | ||||||||
Net income (loss) | (23.3 | ) | (8.3 | ) | ||||
Other comprehensive income (loss): | ||||||||
Net Change on derivatives designated as cash flow hedges, net of tax | (0.2 | ) | — | |||||
Foreign currency translation adjustments | (0.5 | ) | 0.8 | |||||
Comprehensive income (loss) | $ | (24.0 | ) | $ | (7.5 | ) |
Common Stock | Treasury Stock | Additional Paid-In Capital | Accumulated Deficit | Accumulated other comprehensive (loss) | Total | |||||||||||||||||||||||||
Shares | Amount | Shares | Amount | |||||||||||||||||||||||||||
Balance at December 31, 2017 | 116,650,388 | $ | 1.2 | (12,240,427 | ) | $ | (59.6 | ) | $ | 337.9 | $ | (244.5 | ) | $ | (1.6 | ) | $ | 33.4 | ||||||||||||
Share-based compensation expense | — | — | — | — | 2.7 | — | — | 2.7 | ||||||||||||||||||||||
Issuance of common stock related to share-based compensation plans | 3,603 | — | — | — | — | — | — | — | ||||||||||||||||||||||
Issuance of Common Stock and Stock Warrants | 4,665,594 | — | — | — | 19.3 | — | — | 19.3 | ||||||||||||||||||||||
Exercise of vested stock options | 100,012 | — | — | — | 0.2 | — | — | 0.2 | ||||||||||||||||||||||
Dividends paid/accrued dividends | — | — | — | — | (4.6 | ) | — | — | (4.6 | ) | ||||||||||||||||||||
Acquisition of treasury stock related to equity award plans | — | — | (362,402 | ) | (1.9 | ) | — | — | — | (1.9 | ) | |||||||||||||||||||
Forfeitures | — | — | — | — | — | — | — | — | ||||||||||||||||||||||
Net Change on derivatives designated as cash flow hedges, net of tax of $0.1 | — | — | — | — | — | — | (0.2 | ) | (0.2 | ) | ||||||||||||||||||||
Foreign currency translation adjustments | — | — | — | — | — | — | (0.5 | ) | (0.5 | ) | ||||||||||||||||||||
Net (loss) income | — | — | — | — | — | (23.3 | ) | — | (23.3 | ) | ||||||||||||||||||||
Balance at March 31, 2018 | 121,419,597 | $ | 1.2 | (12,602,829 | ) | $ | (61.5 | ) | $ | 355.5 | $ | (267.8 | ) | $ | (2.3 | ) | $ | 25.1 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
(Unaudited) | ||||||||
Operating activities | ||||||||
Net income (loss) | $ | (23.3 | ) | $ | (8.3 | ) | ||
Adjustments to reconcile net income (loss) to net cash used in operations: | ||||||||
Depreciation and amortization | 4.9 | 3.2 | ||||||
Share-based compensation | 3.9 | 3.7 | ||||||
Deferred income taxes | 12.3 | (0.5 | ) | |||||
Changes in operating assets and liabilities: | ||||||||
Accounts receivable and related party accounts receivable | (15.3 | ) | (24.2 | ) | ||||
Prepaid income taxes | (0.4 | ) | 3.7 | |||||
Prepaid expenses and other assets | (0.9 | ) | (15.5 | ) | ||||
Accounts payable | (1.4 | ) | (4.0 | ) | ||||
Accrued compensation and benefits | (0.2 | ) | 3.2 | |||||
Other liabilities | 3.4 | 3.5 | ||||||
Customer liabilities and customer liabilities - related party | 7.1 | 7.3 | ||||||
Net cash used in operating activities | (9.9 | ) | (27.9 | ) | ||||
Investing activities | ||||||||
Purchases of property, equipment, and software | (3.4 | ) | (9.2 | ) | ||||
Net cash used in investing activities | (3.4 | ) | (9.2 | ) | ||||
Financing activities | ||||||||
Issuance of common stock and stock warrants, net of issuance costs | 19.3 | — | ||||||
Exercise of vested stock options | 0.2 | — | ||||||
Purchase of treasury stock | — | (0.6 | ) | |||||
Shares withheld for taxes | (1.9 | ) | (1.5 | ) | ||||
Net cash provided (used in) by financing activities | 17.6 | (2.1 | ) | |||||
Effect of exchange rate changes in cash, cash equivalents and restricted cash | (0.2 | ) | 0.7 | |||||
Net increase (decrease) in cash, cash equivalents and restricted cash | 4.1 | (38.5 | ) | |||||
Cash, cash equivalents and restricted cash, at beginning of period | 166.4 | 182.7 | ||||||
Cash, cash equivalents and restricted cash, at end of period | $ | 170.5 | $ | 144.2 | ||||
Supplemental disclosures of cash flow information | ||||||||
Accrued dividends payable to Preferred Stockholders | $ | 4.6 | $ | 4.3 | ||||
Accrued and other liabilities related to purchases of property, equipment and software | $ | 4.1 | $ | 0.3 | ||||
Accounts payable related to purchases of property, equipment and software | $ | 0.6 | $ | 0.4 | ||||
Income taxes paid | $ | (0.4 | ) | $ | (0.3 | ) | ||
Income taxes refunded | $ | 0.4 | $ | 3.4 |
• | Level 1: Observable inputs such as quoted prices in active markets for identical assets and liabilities; |
• | Level 2: Inputs other than quoted prices that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active, and model-derived valuations in which all significant inputs and significant value drivers are observable in active markets; and |
• | Level 3: Valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable. |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Beginning balance | $ | 363 | $ | 66 | |||
Provision (recoveries) | (31 | ) | 41 | ||||
Write-offs | (3 | ) | — | ||||
Ending balance | $ | 329 | $ | 107 |
March 31, 2018 | December 31, 2017 | |||||||
Computer and other equipment | $ | 31.1 | $ | 28.7 | ||||
Leasehold improvements | 22.2 | 22.3 | ||||||
Software | 47.7 | 44.5 | ||||||
Office furniture | 7.4 | 7.4 | ||||||
Property, equipment and software, gross | 108.4 | 102.9 | ||||||
Less accumulated depreciation and amortization | (59.4 | ) | (54.6 | ) | ||||
Property, equipment and software, net | $ | 49.0 | $ | 48.3 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
Cost of services | $ | 4.6 | $ | 2.9 | ||||
Selling, general and administrative | 0.3 | 0.3 | ||||||
Total depreciation and amortization | $ | 4.9 | $ | 3.2 |
Three Months Ended March 31, 2018 | Three Months Ended March 31, 2017 | |||||||
Net operating fees | $ | 127.6 | $ | 70.7 | ||||
Incentive fees | 8.0 | 5.6 | ||||||
Other | 11.7 | 10.6 | ||||||
Net service revenue | $ | 147.3 | $ | 86.9 |
March 31, 2018 | December 31, 2017 | ||||||
Receivables, which are included in accounts receivable, net | $ | 38.9 | $ | 23.6 | |||
Contract assets | — | — | |||||
Contract liabilities | $ | 18.3 | $ | 15.5 |
Three Months Ended March 31, 2018 | Three Months Ended March 31, 2017 | |||||||||||
Contract assets | Contract liabilities | Contract assets | Contract liabilities | |||||||||
Revenue recognized that was included in the contract liability balance at the beginning of the period | — | $ | 48.8 | — | $ | 19.5 | ||||||
Increases due to cash received, excluding amounts recognized as revenue during the period | — | $ | 3.1 | — | $ | 6.1 | ||||||
Transferred to receivables from contract assets recognized at the beginning of the period | — | — | — | — | ||||||||
Increases as a result of cumulative catch-up adjustment arising from changes in the estimate of the stage of completion, excluding amounts transferred to receivables during the period | — | — | — | — |
RCM | |||||||||||
Net operating fees | Incentive fees | Other | |||||||||
2018 | $ | 0.2 | $ | 7.1 | $ | 2.9 | |||||
2019 | — | — | 3.3 | ||||||||
2020 | — | — | 2.8 | ||||||||
2021 | — | — | 2.8 | ||||||||
Thereafter | — | — | 11.6 | ||||||||
Total | $ | 0.2 | $ | 7.1 | $ | 23.4 |
March 31, | December 31, | ||||||
2018 | 2017 | ||||||
Accrued service costs, current | 27.8 | 23.7 | |||||
Customer deposits, current | — | — | |||||
Refund liabilities, current | 0.7 | 0.5 | |||||
Deferred revenue (contract liabilities), current | 3.8 | 4.0 | |||||
Current portion of customer liabilities (1) | $ | 32.3 | $ | 28.2 | |||
Refund liabilities, non-current | — | — | |||||
Customer deposits, non-current | — | — | |||||
Deferred revenue (contract liabilities), non-current | 14.5 | 11.5 | |||||
Non-current portion of customer liabilities (1) | $ | 14.5 | $ | 11.5 | |||
Total customer liabilities | $ | 46.8 | $ | 39.7 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
Share-Based Compensation Expense Allocation Details: | ||||||||
Cost of services | $ | 1.3 | $ | 1.2 | ||||
Selling, general and administrative | 2.6 | 2.5 | ||||||
Other | — | — | ||||||
Total share-based compensation expense (1) | $ | 3.9 | $ | 3.7 |
Three Months Ended March 31, | ||||||
2018 | 2017 | |||||
Expected dividend yield | — | — | ||||
Risk-free interest rate | 2.3% to 2.7% | 1.9% to 2.3% | ||||
Expected volatility | 40% to 45% | 45% | ||||
Expected term (in years) | 2.75 to 6.25 | 6.25 to 6.29 |
Shares | Weighted- Average Exercise Price | ||||||
Outstanding at December 31, 2017 | 17,742,966 | $ | 4.70 | ||||
Granted | 147,959 | 4.68 | |||||
Exercised | (100,012 | ) | 2.43 | ||||
Canceled/forfeited | (81,773 | ) | 3.82 | ||||
Outstanding at March 31, 2018 | 17,709,140 | 4.71 | |||||
Outstanding, vested and exercisable at March 31, 2018 | 5,971,110 | $ | 8.66 | ||||
Outstanding, vested and exercisable at December 31, 2017 | 5,778,376 | $ | 8.87 |
Shares | Weighted- Average Grant Date Fair Value | ||||||
Outstanding and unvested at December 31, 2017 | 2,352,490 | $ | 3.03 | ||||
Granted | — | — | |||||
Vested | (1,037,342 | ) | 2.77 | ||||
Forfeited | — | — | |||||
Outstanding and unvested at March 31, 2018 | 1,315,148 | $ | 3.32 |
Shares | Weighted- Average Grant Date Fair Value | ||||||
Outstanding and unvested at December 31, 2017 | 1,183,500 | $ | 2.50 | ||||
Granted | — | — | |||||
Vested | (5,325 | ) | 2.35 | ||||
Forfeited | (20,760 | ) | 2.35 | ||||
Outstanding and unvested at March 31, 2018 | 1,157,415 | $ | 2.50 |
Shares | Weighted- Average Grant Date Fair Value | ||||||
Outstanding and unvested at December 31, 2017 | 4,785,900 | $ | 3.37 | ||||
Granted | 245,868 | 9.93 | |||||
Vested | — | — | |||||
Forfeited | (768,741 | ) | 4.00 | ||||
Outstanding and unvested at March 31, 2018 | 4,263,027 | $ | 3.64 |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Severance and employee benefits | $ | — | $ | — | |||
Non-cash share based compensation | — | — | |||||
Reorganization-related | — | — | |||||
Acquisition related costs (1) | 1.6 | — | |||||
Transitioned employees restructuring expense (2) | 0.8 | 0.2 | |||||
Other | 2.4 | 0.2 | |||||
Total other | $ | 2.4 | $ | 0.2 |
Severance and Employee Benefits | Facilities and Other Costs | Total | |||||||||
Reorganization liability at December 31, 2017 | $ | 0.2 | $ | — | $ | 0.2 | |||||
Restructuring charges | — | — | — | ||||||||
Cash payments | (0.2 | ) | — | (0.2 | ) | ||||||
Non-cash charges | — | $ | — | — | |||||||
Reorganization liability at March 31, 2018 | $ | — | $ | — | $ | — |
Preferred Stock | |||||||
Shares Issued and Outstanding | Carrying Value | ||||||
Balance at December 31, 2017 | 227,483 | $ | 189.3 | ||||
Dividends paid/accrued dividends | 4,549 | 4.5 | |||||
Balance at March 31, 2018 | 232,032 | $ | 193.8 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
Basic EPS: | ||||||||
Net income (loss) | $ | (23.3 | ) | $ | (8.3 | ) | ||
Less dividends on preferred shares | (4.6 | ) | (4.3 | ) | ||||
Less income allocated to preferred shareholders | — | — | ||||||
Net income (loss) available/(allocated) to common shareholders - basic | $ | (27.9 | ) | $ | (12.6 | ) | ||
Diluted EPS: | ||||||||
Net income (loss) | (23.3 | ) | (8.3 | ) | ||||
Less dividends on preferred shares | (4.6 | ) | (4.3 | ) | ||||
Less income allocated to preferred shareholders | — | — | ||||||
Net income (loss) available/(allocated) to common shareholders - diluted | $ | (27.9 | ) | $ | (12.6 | ) | ||
Basic weighted-average common shares | 105,831,571 | 101,364,424 | ||||||
Add: Effect of dilutive securities | — | — | ||||||
Diluted weighted average common shares | 105,831,571 | 101,364,424 | ||||||
Net income (loss) per common share (basic) | $ | (0.26 | ) | $ | (0.12 | ) | ||
Net income (loss) per common share (diluted) | $ | (0.26 | ) | $ | (0.12 | ) |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
Ascension | $ | 136.2 | $ | 75.4 |
Ascension | |||||||
March 31, | December 31, | ||||||
2018 | 2017 | ||||||
Accounts receivable, net - related party | $ | 30.9 | $ | 15.4 | |||
Accrued service costs, current | $ | 27.8 | $ | 23.7 | |||
Customer deposits, current | — | — | |||||
Refund liabilities, current | 0.7 | 0.5 | |||||
Deferred revenue (contract liabilities), current | 2.9 | 2.9 | |||||
Current portion of customer liabilities | $ | 31.4 | $ | 27.1 | |||
Refund liabilities, non-current | $ | — | $ | — | |||
Customer deposits, non-current | — | — | |||||
Deferred revenue (contract liabilities), non-current | 14.5 | 11.5 | |||||
Non-current portion of customer liabilities | $ | 14.5 | $ | 11.5 | |||
Total customer liabilities | $ | 45.9 | $ | 38.6 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
Realized gains (losses) recognized in cost of services | $ | (0.1 | ) | $ | — | |||
Unrealized gains (losses) recognized in other comprehensive income | (0.3 | ) | — | |||||
Net derivative gains (losses) | $ | (0.4 | ) | $ | — |
March 31, | December 31, | |||||||
2018 | 2017 | |||||||
(unaudited) | ||||||||
Assets | ||||||||
Prepaid expenses and other current assets | $ | — | $ | — | ||||
Other assets | — | — | ||||||
Total assets | $ | — | $ | — | ||||
Liabilities | ||||||||
Other accrued expenses | $ | 0.3 | $ | — | ||||
Other non-current liabilities | — | — | ||||||
Total liabilities | $ | 0.3 | $ | — |
March 31, | December 31, | |||||||
2018 | 2017 | |||||||
(unaudited) | ||||||||
Net assets | $ | — | $ | — | ||||
Net liabilities | (0.3 | ) | — | |||||
Total Fair Value | $ | (0.3 | ) | $ | — |
Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations |
Three Months Ended March 31, | 2018 vs. 2017 Change | |||||||||||||
2018 | 2017 | Amount | % | |||||||||||
(In millions except percentages) | ||||||||||||||
Consolidated Statement of Operations Data: | ||||||||||||||
Net operating fees | $ | 127.6 | $ | 70.7 | $ | 56.9 | 80.5 | % | ||||||
Incentive fees | 8.0 | 5.6 | 2.4 | 42.9 | % | |||||||||
Other | 11.7 | 10.6 | 1.1 | 10.4 | % | |||||||||
Net services revenue | 147.3 | 86.9 | 60.4 | 69.5 | % | |||||||||
Operating expenses: | ||||||||||||||
Cost of services | 138.7 | 80.9 | 57.8 | 71.4 | % | |||||||||
Selling, general and administrative | 17.0 | 14.3 | 2.7 | 18.9 | % | |||||||||
Other | 2.4 | 0.2 | 2.2 | 1,100.0 | % | |||||||||
Total operating expenses | 158.1 | 95.4 | 62.7 | 65.7 | % | |||||||||
Income (loss) from operations | (10.8 | ) | (8.5 | ) | (2.3 | ) | 27.1 | % | ||||||
Net interest income | 0.2 | 0.1 | 0.1 | 100.0 | % | |||||||||
Net income (loss) before income tax provision | (10.6 | ) | (8.4 | ) | (2.2 | ) | 26.2 | % | ||||||
Income tax provision (benefit) | 12.7 | (0.1 | ) | 12.8 | (12,800.0 | )% | ||||||||
Net income (loss) | $ | (23.3 | ) | $ | (8.3 | ) | $ | (15.0 | ) | 180.7 | % |
• | Adjusted EBITDA does not reflect changes in, or cash requirements for, our working capital needs; |
• | Adjusted EBITDA does not reflect share-based compensation expense; |
• | Adjusted EBITDA does not reflect income tax expenses or cash requirements to pay taxes; |
• | Adjusted EBITDA does not reflect certain Other expenses which may require cash payments; |
• | Although depreciation and amortization charges are non-cash charges, the assets being depreciated and amortized will often have to be replaced in the future, and adjusted EBITDA does not reflect cash requirements for such replacements or other purchase commitments, including lease commitments; and |
• | Other companies in our industry may calculate adjusted EBITDA differently than we do, limiting its usefulness as a comparative measure. |
Three Months Ended March 31, | 2018 vs. 2017 Change | ||||||||||||
2018 | 2017 | Amount | % | ||||||||||
(In millions except percentages) | |||||||||||||
Net income (loss) | (23.3 | ) | (8.3 | ) | $ | (15.0 | ) | 180.7 | % | ||||
Net interest income | (0.2 | ) | (0.1 | ) | (0.1 | ) | 100.0 | % | |||||
Income tax provision (benefit) | 12.7 | (0.1 | ) | 12.8 | (12,800.0 | )% | |||||||
Depreciation and amortization expense | 4.9 | 3.2 | 1.7 | 53.1 | % | ||||||||
Share-based compensation expense (1) | 3.9 | 3.7 | 0.2 | 5.4 | % | ||||||||
Other (2) | 2.4 | 0.2 | 2.2 | 1,100.0 | % | ||||||||
Adjusted EBITDA (non-GAAP) | 0.3 | (1.4 | ) | 1.7 | (121.4 | )% |
(1) | Share-based compensation expense represents the expense associated with stock options, restricted stock units and restricted stock awards granted, as reflected in our Consolidated Statements of Operations and Comprehensive Income (Loss). See Note 9, Share-Based Compensation, to the Consolidated Financial Statements included in this Quarterly Report on Form 10-Q for the detail of the amounts of share-based compensation expense. |
(2) | Other costs consist of the following (in millions): |
Three Months Ended March 31, | |||||||
2018 | 2017 | ||||||
Severance and employee benefits | $ | — | $ | — | |||
Non-cash share based compensation | — | — | |||||
Reorganization-related | — | — | |||||
Acquisition related costs (1) | 1.6 | — | |||||
Transitioned employees restructuring expense (2) | 0.8 | 0.2 | |||||
Other | 2.4 | 0.2 | |||||
Total other | $ | 2.4 | $ | 0.2 |
Three Months Ended March 31, | ||||||||
2018 | 2017 | |||||||
(In millions) | ||||||||
Net cash (used in) provided by operating activities | $ | (9.9 | ) | $ | (27.9 | ) | ||
Net cash (used in) investing activities | (3.4 | ) | (9.2 | ) | ||||
Net cash provided by (used in) financing activities | 17.6 | (2.1 | ) |
2018 | 2019 | 2020 | 2021 | 2022 | 2023 | Thereafter | Total | |||||||||||||||||||||||||
Operating Leases (1) | $ | 5.7 | $ | 7.3 | $ | 7.5 | $ | 7.3 | $ | 4.0 | $ | 15.4 | $ | 19.0 | $ | 66.2 | ||||||||||||||||
Purchase and Capital Lease Obligations (2) | $ | 1.5 | $ | 1.5 | $ | 1.5 | $ | 1.5 | $ | — | $ | — | $ | — | $ | 6.0 | ||||||||||||||||
Total | $ | 7.2 | $ | 8.8 | $ | 9.0 | $ | 8.8 | $ | 4.0 | $ | 15.4 | $ | 19.0 | $ | 72.2 |
Item 3. | Qualitative and Quantitative Disclosures about Market Risk |
Item 4. | Controls and Procedures |
Item 1. | Legal Proceedings |
Item 1A. | Risk Factors |
Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds |
Period | Number of Shares Purchased (1) | Average Price Paid per Share (3) | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs (2) | Maximum Dollar Value of Shares that May Yet be Purchased Under Publicly Announced Plans or Programs (in millions) (2) | ||||||||||
January 1, 2018 through January 31, 2018 | 716 | $ | 4.15 | — | $ | 49.0 | ||||||||
February 1, 2018 through February 28, 2018 | 361,526 | $ | 5.28 | — | $ | 49.0 | ||||||||
March 1, 2018 through March 31, 2018 | 160 | $ | 6.31 | — | $ | 49.0 |
(1) | Includes strategic repurchases and repurchases of our stock related to employees’ tax withholding upon vesting of restricted stock. See Note 9, Share-Based Compensation, to our consolidated financial statements included in this Quarterly Report on Form 10-Q. |
(2) | On November 13, 2013, the Board authorized, subject to the completion of the restatement of our financial statements, the repurchase of up to $50.0 million of our common stock from time to time in the open market or in privately negotiated transactions (the "2013 Repurchase Program"). The timing and amount of any shares repurchased under the 2013 Repurchase Program will be determined by our management based on its evaluation of market conditions and other factors. The 2013 Repurchase Program may be suspended or discontinued at any time. See Note 8, Stockholders' Equity (Deficit), to our consolidated financial statements included in this Quarterly Report on Form 10-Q. |
(3) | Average price paid per share of common stock repurchased under the 2013 Repurchase Program is the execution price, including commissions paid to brokers. |
Item 3. | Defaults upon Senior Securities |
Item 4. | Mine Safety Disclosure |
Item 5. | Other Information |
Item 6. | Exhibits |
Exhibit Number | Exhibit Description |
101.INS | XBRL Instance Document |
101.SCH | XBRL Schema Document |
101.CAL | XBRL Calculation Linkbase Document |
101.LAB | XBRL Labels Linkbase Document |
101.DEF | XBRL Taxonomy Extension Document |
101.PRE | XBRL Presentation Linkbase Document |
R1 RCM INC. | |
By: | /s/ Joseph Flanagan |
Joseph Flanagan | |
President and Chief Executive Officer | |
By: | /s/ Christopher Ricaurte |
Christopher Ricaurte | |
Chief Financial Officer and Treasurer |
I. | DEFINITIONS | ||
1.1 | Key Terms | ||
II. | STRUCTURE AND APPROACH | ||
2.1 | Services Agreement | ||
2.2 | References to Contract Documents | ||
2.3 | Transition from Original Services Agreement | ||
III. | SERVICES AND COVERED IMH FACILITIES AND PROVIDERS | ||
3.1 | Services | ||
3.2 | Commencement Date | ||
3.3 | R1 Responsibility | ||
3.4 | Appointment | ||
3.5 | Competent Performance of Services | ||
3.6 | Service Levels and Other Performance Standards | ||
3.7 | Covered Facilities and Providers | ||
3.8 | New Services | ||
IV. | TRANSITION OF SERVICES | ||
4.1 | Transition | ||
4.2 | Communication Plan | ||
4.3 | Alignment with Personnel Transition | ||
V. | ACQUISITIONS AND DIVESTITURES | ||
5.1 | Acquisitions. | ||
5.2 | Divestitures | ||
5.3 | Divestiture to an Affiliate | ||
5.4 | Divestiture of all IMH Facilities and IMH Providers | ||
VI. | TECHNOLOGY | ||
6.1 | R1 Technology | ||
6.2 | IMH IT Obligations | ||
VII. | RESOURCE NEEDS AND ASSETS | ||
7.1 | Assets to be made Available to R1 | ||
7.2 | Occupation of Intermountain Healthcare Space |
7.3 | Access to Areas | ||
7.4 | Additional Space | ||
7.5 | Intermountain Healthcare to Supply Data, Information, and Access to Computer System and Network | ||
7.6 | Third Party Software | ||
7.7 | Vendor Access Program | ||
VIII. | GOVERNANCE AND RELATIONSHIP MANAGEMENT | ||
8.1 | Joint Review Board and Sponsors | ||
8.2 | Executive Sponsors | ||
8.3 | Operations Oversight Council | ||
8.4 | R1 Site Lead | ||
8.5 | Reliance on Authorized Personnel | ||
IX. | CONFIDENTIALITY | ||
9.1 | Prior Non-Disclosure Agreements | ||
9.2 | Confidentiality of the Services Agreement | ||
9.3 | Confidentiality. | ||
9.4 | Good Faith and Cooperation | ||
X. | PERSONNEL TRANSITION AND BACKGROUND CHECKS | ||
10.1 | Personnel Transition | ||
10.2 | Background Checks, Drug Screening and Immunizations of R1 Personnel. | ||
XI. | CHARGES AND INVOICES | ||
11.1 | Charges for Services | ||
11.2 | Invoicing. | ||
11.3 | Payment of Charges | ||
11.4 | Incidental Expenses | ||
11.5 | Proration | ||
11.6 | Payment Disputes | ||
11.7 | Compliance with Laws | ||
XII. | R1 CONTRACTORS | ||
12.1 | Use of R1 Contractors | ||
12.2 | New R1 Contractors | ||
XIII. | R1 FACILITIES AND CENTER OF EXCELLENCE | ||
13.1 | Use of R1 Facilities | ||
13.2 | Outsourcing to Offshore Resources | ||
13.3 | Keeping Security Current | ||
13.4 | Center of Excellence |
18.4 | Compliance Programs | ||
18.5 | Unauthorized Acts | ||
18.6 | Record Retention | ||
18.7 | Privilege Issues | ||
18.8 | Additional Compliance Obligations | ||
18.9 | Compliance Investigations, Notifications and Reports. | ||
XIX. | AUDITS AND REPORTING | ||
19.1 | Audits and Inspections | ||
19.2 | Reports | ||
19.3 | Inspection of Servers | ||
19.4 | SOC 2 Type II Audits and Reports | ||
19.5 | Pre-Transition Audit | ||
XX. | DISPUTE RESOLUTION | ||
20.1 | Compliance with Rights of Cure and Dispute Resolution | ||
20.2 | Referral of Dispute to Executive Sponsors | ||
20.3 | Referral of Dispute to the Operations Oversight Council and/or Joint Review Board | ||
20.4 | Arbitration | ||
XXI. | INDEMNIFICATION AND LIABILITY | ||
21.1 | Indemnification by R1 | ||
21.2 | Indemnification by Intermountain Healthcare | ||
21.3 | Liability Cap | ||
21.4 | Exception for Wrongful Termination | ||
21.5 | [**] | ||
21.6 | Acknowledged Direct Damages | ||
XXII. | INSURANCE | ||
22.1 | R1 Insurance Requirements | ||
22.2 | IMH Insurance Requirements | ||
XXIII. | TERM AND TERMINATION | ||
23.1 | Term | ||
23.2 | Terms of Work Orders | ||
23.3 | Termination for Cause. | ||
23.4 | [Intentionally Blank] | ||
23.5 | Termination for Exclusion from Federal Health Programs, Changes in Law, Adverse Judgments. | ||
23.6 | Termination for Insolvency | ||
23.7 | Return or Destruction of RCO Data | ||
23.8 | Disengagement Services |
(a) | Services and Charges. |
(i) | The Services and Charges set forth in this Services Agreement shall only be effective as of the Commencement Date as further specified in any Exhibits to this Services Agreement. Prior to such time (i.e., the period between the Effective Date and the Commencement Date), the terms of the Original Services Agreement shall govern with respect to services and charges under the Original Services Agreement. |
(ii) | All determinations of payments due for services rendered under the Original Services Agreement shall be determined and paid under the payment terms of the Original Services Agreement in effect when such services were delivered. |
(iii) | All determinations relating to services rendered under the Original Services Agreement shall be determined under the applicable provisions of the Original Services Agreement in effect when such services were delivered. |
(b) | Employee Transitions. The transition dates for any Transitioned Employees shall be the applicable Employment Effective Date for each such Transitioned Employee, as set forth in Exhibit 10.1. |
(c) | Third Party Relationships. R1’s responsibility to manage and/or accept assignment of any In-Scope Agreement will only commence as of the date mutually agreed to by the Parties and set forth in an Exhibit 14.1 (or a subsequent amendment to Exhibit 14.1) for such In-Scope Agreement. |
(d) | Other. If circumstances giving rise to a contractual claim between the Parties continues for a period that starts before and ends after the Effective Date, then the claims under the Original Services Agreement and this Services Agreement shall be coordinated and allocated between the Original Services Agreement and this Services Agreement in a reasonable manner based on the date of the occurrence of such circumstances. |
(a) | Multiple Service Levels. If more than one Service Level applies to any particular obligation of R1, R1 shall perform in accordance with all applicable Service Levels. |
(b) | Service Level Defaults. Service Level Defaults shall be addressed by the Parties as set forth in Exhibit 3.6. If the same Service Level is not met in multiple Measurement Windows, then there is a corresponding number of Service Level Defaults for that Service Level. For example, if a Service Level is not met in one Measurement Window and then is subsequently not met in another Measurement Window, then there are two Service Level Defaults even though each such default applies to the same Service Level. |
(a) | IMH shall promptly notify R1 after IMH or any IMH Affiliate acquires any new hospital, medical group or other health care provider entity (each a “Potential Recipient”). There is no obligation to notify R1 until after the acquisition is publicly announced by IMH, but IMH may provide an earlier notification. After such notification to R1, then Subsections 5.1(b) and 5.1(c) will apply. If notification is given prior to the public announcement of the acquisition, then R1 will keep information about the acquisition strictly confidential until the information becomes publicly known. |
(b) | If IMH, or an IMH Affiliate if applicable, acquires a Potential Recipient that is performing for itself (or has an Affiliate perform for it) Similar Services, then promptly after such acquisition is closed and, solely in the case of such an acquisition, subject to any restrictions imposed as part of the terms of the acquisition that cannot be cured or removed using commercially reasonable efforts, IMH, or if applicable an IMH Affiliate, and R1 shall use their respective commercially reasonable efforts to transition such Similar Services to R1 and amend this Services Agreement as needed to reflect the change. [**] |
(c) | If IMH or such IMH Affiliate acquires a Potential Recipient that is at the time of the acquisition receiving Similar Services from an unaffiliated third party under a contract with that third party, then such Potential Recipient may continue receiving such Similar Services from the third party (or its successor, if any) until the earlier of (A) the expiration or termination of such contract, without any termination fee or expenses or other adverse consequences, and (B) the time, if any, that is mutually agreed upon by IMH and R1. Notwithstanding the foregoing, R1 may require that such Potential Recipient terminate such contract with such third party and commence receiving the applicable Services under the terms of this Services Agreement, provided that there is a pre-existing right to terminate for convenience under the applicable contract, and provided further that R1 shall [**] any and all early termination charges and expenses under the applicable contract and any other reasonable costs and expenses of the transition as a result of such termination. In the event that the contract includes any services that are not Similar Services or includes any license or right that is not the same or substantially the same as any license or right under this Services Agreement, then any obligation to terminate under this paragraph will not require any termination of the contract that would adversely impact the Potential Recipient with respect to any such services that are not Similar Services or any such license or right. But IMH will attempt to terminate the services that are Similar Services consistent with the first two sentences of this paragraph, provided that this does not affect any other services, license or rights under the contract. |
(a) | Divestiture Options. That notification (the “Divestiture Election Notice”) shall set forth such divested or sold IMH Facility’s or IMH Provider’s decision to proceed under either (i) or (ii) below: |
(i) | continue receiving Services from R1 under the terms of this Services Agreement for up to one (1) year after the closing of such sale or divestiture (the “Interim Service Period”), after which time it must renegotiate new terms with R1 in order to continue receiving Services (otherwise its right to receive Services under this Services Agreement and any Software and Services License shall expire, subject to its receipt of Disengagement Services, pursuant to Section 23.8), and further subject to: |
(ii) | terminate the provision of Services by R1 to such IMH Facility or IMH Provider (or acquirer, as the case may be) as of the date of consummation of the sale or divestiture, subject to its receipt of Disengagement Services, pursuant to Section 23.8. IMH shall provide R1 with prompt written notice |
(iii) | However, if IMH does not provide the Divestiture Election Notice within the Required Election Notice Period, IMH shall be deemed to have elected to proceed under clause (ii) above. |
(a) | Confidential Information. In connection with this Services Agreement (or any of the other agreements identified in Section 24.15, other than the NDA) or its performance, one Party (the “Receiving Party”) may learn, discover or have disclosed to it information from or about the other Party (the “Disclosing Party”) or its business, finances, plans, operations, software, computer systems, data, or networks. All information identified by the Disclosing Party as proprietary or confidential, or that is of a nature that it should reasonably be considered as proprietary or confidential (including, without limitation, Intellectual Property of a confidential nature such as a trade secret), shall be “Confidential Information” and shall not be disclosed by the Receiving Party to any third party without the express written consent of the Disclosing Party. Confidential Information does not include (1) anything that is publicly known or generally known in the industry or profession of either Party, or (2) anything that is known to the Receiving Party prior to the time of first disclosure thereof by the Disclosing Party to the Receiving Party, as shown by the Receiving Party’s records or other credible evidence. Confidential Information will cease to include (3) anything that becomes publicly known or generally known in the industry or profession of either Party through no fault of the receiving Party or its personnel, (4) anything that is lawfully disclosed by a third party (who did not receive the |
(b) | Protection of Confidential Information. Each Party agrees that it will: (i) treat as confidential all Confidential Information of the other Party, and (ii) not disclose or use the other Party’s Confidential Information except as expressly set forth herein or otherwise authorized by the Disclosing Party in writing. These restrictions do not apply to any disclosure required by applicable law or government regulation or by an order of a court or government agency; provided, however, that the Disclosing Party is provided with reasonable advance notice of such disclosure and thereafter the Receiving Party cooperates with any reasonable request of the Disclosing Party (at the Disclosing Party’s expense) to obtain a protective order or to otherwise protect the Confidential Information (unless the Receiving Party is prohibited by law or by order of a court or government agency from giving such notice to the Disclosing Party). |
(c) | Injunctive Relief. Failure on the part of Receiving Party to abide by this Section 9.3 will cause the Disclosing Party irreparable harm for which damages, although available, will not be an adequate remedy at law. Accordingly, the Disclosing Party has the right to seek preliminary and permanent injunctions to prevent any threatened or actual violations of this Section 9.3 in addition to all other available and applicable remedies. |
(d) | Consultants. Intermountain Healthcare may disclose R1’s Confidential Information to Intermountain Healthcare’s consultants, vendors, service providers, licensors, and other contractors (“Consultants”) as reasonably needed or useful in connection with any services or solutions that any Consultants provide to Intermountain Healthcare. However, in each such case, the following will apply: |
(i) | the disclosure of R1’s Confidential Information will be limited to that which is reasonably needed or useful for the services or solution to be provided by the Consultant to Intermountain Healthcare; |
(ii) | the Consultant must agree in writing to keep the Confidential Information confidential and to not use the Confidential Information for any purpose other than services or solutions for Intermountain Healthcare (and if the Consultant is a competitor of R1 as described in subsection (d)(iv) below, then |
(iii) | if a Consultant breaches the obligations described above, Intermountain Healthcare will enforce those obligations against the Consultant and will cooperate with the reasonable requests of R1 in enforcing those obligations against the Consultant; |
(iv) | Intermountain Healthcare shall not provide to any Consultant known by Intermountain Healthcare (at the time the materials are disclosed) to be a competitor of R1 with respect to the Services, any access (either directly or indirectly, such as providing such information to allow for replication) to Restricted Materials. The term “Restricted Materials” means R1’s software, source code, screen shots generated by that software, tool configuration documents, reports generated by that software, the specific analytics embodied in that software, user documentation for that software, and binders containing the proprietary Standard Operating Procedures (i.e., “SOPs”) of R1 for revenue cycle operations, in each case as provided by R1 to Intermountain Healthcare. R1 will keep Intermountain Healthcare informed of the names of these competitors to which this Subsection (d)(iv) applies; and |
(v) | It is agreed that [**] do not apply to [**]. |
(e) | Incidental and Permitted Disclosures. Nothing herein prohibits (and Section 9.3(d)) does not apply to) any use by Intermountain Healthcare or its Affiliates of any technology or R1’s Confidential Information as licensed or permitted by this Services Agreement or any incidental disclosure that reasonably occurs in connection with such licensed or permitted use or in the ordinary course of business (with the understanding that this sentence does not extend the duration or term of any license granted under this Services Agreement). By way of non-limiting example, screen displays generated by licensed software may be visible to patients and visitors to Intermountain Healthcare’s hospitals and clinics, and reports and other output generated by licensed software may be given to others as necessary or required in the ordinary course of business. Intermountain Healthcare makes limited disclosures of its operations, methods and practices to others and such limited disclosures may include incidental disclosures or disclosures of a general (i.e., not detailed nature) relating to R1’s Confidential Information, and therefore are permitted. Disclosures of R1’s Confidential Information to auditors, accountants and professional advisors |
(f) | Patient Safety Information. Notwithstanding anything in this Services Agreement or any other agreement of the Parties to the contrary, Intermountain Healthcare is under no obligation to suppress or refrain from disclosing or publishing any Patient Safety Information. “Patient Safety Information” means information that in the reasonable judgment of Intermountain Healthcare should or must be disclosed to others for the safety or wellbeing of the public or of any present or future patients of Intermountain Healthcare or any other health care providers or for any other ethical reasons. |
(g) | Other Agreements. Nothing in this Section or elsewhere in this Services Agreement negates, limits or affects the BAA (as defined in Section 17.2), the Malware and Security Agreement (as defined in Section 17.3) or the Access and Confidentiality Agreement (as defined in Section 17.4), or excuses any breach of any of these agreements. |
(a) | Submitted to and successfully passed a standard SAM 5 drug screen; |
(b) | Passed a criminal background check and is not listed on the sex offender website (http://www.nsopw.gov/Core/Portal.aspx?AspxAutoDetectCookieSupport=1) or any successor website thereto; |
(c) | Obtained appropriate immunizations as described below; and |
(d) | Completed all necessary training on Intermountain Healthcare policies and procedures (such training to be decided upon by the Parties as part of the transition to the Services). |
(i) | Is immune to measles, mumps and rubella, as demonstrated either by: |
(ii) | Has been screened for tuberculosis. Initial testing should be a two step tuberculin skin test (intradermal PPD) or a one-time BAMT (blood test). R1 will ensure that any R1 personnel who is PPD+ has had an adequate work-up for tuberculosis and is currently not communicable. (Chest x-ray report, physician or health department written note). |
(iii) | Has completed a three (3) dose series of Hepatitis B vaccine if working directly with patients or body fluid specimens. Has provided documentation of Hepatitis B surface antibody results although routine Anti-HBs testing is not recommended if titer was not obtained 1 - 2 months after original vaccine series. |
(iv) | Is immune to Varicella (Chickenpox). R1 will ensure that such immunity has been demonstrated by R1 personnel providing verification of one of the following: |
(v) | Has been immunized with one dose of Tdap. |
(vi) | Has been immunized with the current, annual influenza vaccine on a yearly basis. |
(a) | Invoicing Terms. Invoicing terms for Charges are set forth in Exhibit 11.1. |
(b) | Credits. To the extent a credit may be due to IMH pursuant to this Services Agreement, R1 shall provide IMH with an appropriate credit against amounts then due and owing; if no further payments are due to R1, R1 shall pay such amounts to IMH within [**] days of the credit becoming due and payable. |
(c) | Currency. Unless otherwise specified in Exhibit 11.1, Charges for all Services shall be invoiced and paid in United States Dollars. |
(a) | The Paying Party shall not withhold any undisputed amounts of the fees or other payments. Any fees or payments that are disputed, but made, by the Paying Party (e.g., on a disputed invoice) shall be deemed to be made under protest with a reservation of rights by the Paying Party and without prejudice to its position, claims or defenses. |
(b) | Each Party agrees to continue performing its obligations under this Services Agreement while any dispute is being resolved unless and until such obligations are terminated by the termination or expiration of this Services Agreement plus any extension attributable to Disengagement Services under Section 23.8. |
(a) | R1 commits to establish the Center of Excellence in Utah; |
(b) | R1 will select a location for the Center of Excellence accounting for the following factors (x) a centralized location to accommodate IMH transitioned employees, (y) a location with a sustainable pool of new employees for future growth, and (z) space with capacity for R1 investments in a new, modern and functional workspace; |
(c) | Over the course of the Term, R1 intends to grow the number of R1 employees located in Utah by [**]; and |
(d) | R1 direct hires involved in the provision of the Services will be required to attend on-site IMH orientation to learn about the history, mission, vision and values of IMH. |
(e) | The COE will anchor and expand value added capabilities, driving differentiation that includes: |
(a) | If an In-Scope Agreement is managed by or assigned to R1, then R1 may, subject to providing IMH with at [**] days’ written notice of its intent to terminate such agreement, terminate such agreement and make the Similar Services part of the Services under this Agreement. If during such [**] notice period, IMH has any concerns regarding such action, IMH may raise such concerns with the Operations Oversight Council for discussion and R1 shall consider and attempt to address IMH’s concerns in good faith; notwithstanding the foregoing, the final decision to terminate an In-Scope Agreement that is assigned to or managed by R1 and to then make the applicable Similar Services part of the Services under this Agreement shall rest with R1 provided that the termination does not adversely affect IMH in any material manner and that termination is not a breach of the In-Scope Agreement. |
(b) | Without limiting R1’s rights in Subsection (a) above, IMH agrees, promptly upon written request by R1, to provide R1 with a written analysis of the termination fees, |
(a) | copy, modify or create derivative works of the R1 Technology or any part of such tools, except as permitted by or needed for this Services Agreement or that is otherwise a fair use or a non-infringing act under applicable law (but for the avoidance of doubt, Intermountain Healthcare may copy screen displays as needed for training or support purposes); or |
(b) | rent, lease, lend, sell, sublicense, assign, distribute, publish, transfer or otherwise make available the R1 Technology to any third party; or |
(c) | reverse engineer, disassemble, decompile, decode, adapt or otherwise attempt to discern or gain access to the source code of the R1 Technology, in whole or in part, except pursuant to this Services Agreement or an escrow agreement or the written permission of R1. |
(a) | R1 and Intermountain Healthcare each represents to the other that throughout the Term of this Services Agreement they will each have, in effect, an appropriate corporate compliance program (a “Compliance Program”) designed to assure that their respective personnel and agents are aware of and fully observe the requirements of all applicable federal, state and local laws, regulations and rules. |
(b) | R1’s Executive Vice President, Compliance & Risk or his/her designee (the “R1 Compliance Officer”) and IMH’s Vice President, Business Ethics and Compliance or his/her designee (the “IMH Compliance Officer”) shall coordinate and cooperate with one another to: (i) provide each other with information reasonably requested by the other regarding the aspects of such Party’s Compliance Program relating to the Services; and (ii) in good faith keep each other updated about those aspects of the respective Compliance Programs that relate to the Services or the Party’s obligations under this Agreement. |
(c) | R1 acknowledges that all Services provided under this Services Agreement, and all of R1’s personnel, shall be explicitly subject to applicable Intermountain Healthcare policies and procedures which are provided to R1 prior to the Effective Date or thereafter upon [**] days notice. Nothing in this section shall limit the authority of IMH Authorized Personnel pursuant to Section 8.5 of this Agreement. Notwithstanding the foregoing, the R1 Compliance Officer may raise any proposed changes or issues with such policies with the IMH Compliance Officer and the IMH Compliance Officer shall consider such matters in good faith. If the R1 Compliance Officer and the IMH Compliance Officer are unable to agree upon a resolution of any such matter, either Party may refer the matter to the Operations Oversight Council or the Joint Review Board under Section 8.3 or 8.1 for resolution. |
(a) | Notify the other Party promptly of any material unauthorized possession, use or communication of any PHI, data or Confidential Information of the other Party which becomes known to the First Party. |
(b) | Promptly furnish to the other Party any information in the First Party’s possession related to the unauthorized possession, use or communication of any PHI, data or Confidential Information and reasonably assist the other Party in investigating the unauthorized conduct, and preventing the recurrence of any unauthorized conduct. This Section 18.5(b) does not apply to any information that is subject to a privilege (e.g., attorney-client privilege or attorney work product) or to any obligation of confidentiality to a third party. |
(c) | Cooperate with the other Party in responding to any third parties entitled to a report of the unauthorized conduct and in determining the nature and content of any required reporting. |
(d) | Take such remedial steps as might be appropriate to avoid any recurrence of any unauthorized conduct in the future. |
(a) | During the Term and for a period of [**] thereafter, R1 and Intermountain Healthcare agree to cooperate with one another in good faith in the investigation and resolution of any compliance matter that may arise affecting the Services to be provided under this Agreement. It is the Parties’ mutual intention that any investigations undertaken regarding the provision of the Services or this Agreement or the Business Associate Agreement or the Malware and Security Agreement will be undertaken jointly, and |
(b) | The R1 Compliance Officer shall maintain routine communications with the IMH Compliance Officer on aspects of the parties respective Compliance Program relating to the Services. Such contacts shall occur on a regularly scheduled basis, subject to the Parties’ coordination. The R1 Compliance Officer shall make an [**] report to the IMH Compliance Officer on the scope and effectiveness of the R1 Compliance Program with regard to the Services, to be delivered within [**] days after each anniversary of the Effective Date (or as otherwise agreed by the Parties) and shall include those elements set forth in Exhibit 18.9. |
(c) | Without limiting the above, each Party’s compliance head (i.e., the R1 Compliance Officer and the IMH Compliance Officer) shall promptly notify the other Party of (i) any and all actual or potential compliance issues identified by a Party’s Compliance Program relating to the Services, or (ii) any subpoena or similar compulsory request for information or documents relating to the Services. The Parties shall develop a system to facilitate and document these communications. |
(d) | Without limiting Section 18.9(c), whenever R1 or any of its subcontractors becomes aware of credible information by whatever means suggesting that IMH may have received an overpayment from Medicare, Medicaid, or any governmental payer, it shall promptly notify the IMH Compliance Officer or a designated IMH representative of that information. The Parties will follow IMH policies and procedures related to overpayments and shall develop a system to facilitate and document these communications. |
(a) | In the case of a wrongful termination by Intermountain, R1’s damages shall be [**]: (A) if such wrongful termination occurs prior to the date that is twelve (12) months after the first Commencement Date (the “Reference Date”), [**], and (B) if such wrongful termination occurs on or after the Reference Date, then [**]; and (ii) any direct damages not included in (i) above that can be established or documented by R1, including, without limitation, any direct damages under Section 21.6. [**] |
(b) | In the case of a wrongful termination by R1, Intermountain’s damages shall be [**], and (iv) any direct damages not included in (i), (ii) or (iii) above that can be established or documented by IMH, including, without limitation, any direct damages under Section 21.6. [**] |
21.6 | Acknowledged Direct Damages. The following categories of costs, expenses, damages, fines, penalties, amounts and losses shall be considered direct damages and neither Party |
(i) | Costs and expenses of recreating or reloading a Party's information which is lost, stolen or damaged as a result of the other Party's breach of its obligations under this Agreement. |
(ii) | [**] |
(iii) | [**] |
(iv) | [**] |
(v) | [**] |
(vi) | Straight time, overtime or related expenses incurred by either Party for employees, wages and salaries additional employees, travel expenses, and overtime expenses. |
(vii) | Damages, fines, and penalties imposed by a regulatory agency for a Party's failure to comply with deadlines which is not the result of a Force Majeure Event. |
(viii) | [**] |
(a) | Workmen’s Compensation - statutory limits in each state as applicable to R1 employees who work on the Services. |
(b) | Comprehensive General Liability Insurance - [**]. |
(c) | Comprehensive Auto Liability Insurance - [**] per accident. |
(d) | Umbrella excess liability coverage above the commercial general liability and comprehensive automobile liability described above in all amount not less than [**] per occurrence/accident. |
(e) | Crime Insurance -- R1 is responsible for loss to owner and third party property/assets and shall maintain comprehensive crime insurance coverage for the dishonest acts of its employees in a minimum amount of [**]. Intermountain Healthcare is to be named loss payee with respect to the comprehensive crime insurance coverage. |
(f) | Errors and Omissions Liability -- R1shall provide liability limits of at least [**] per claim and [**] in the aggregate. Coverage shall address the effects of any errors, omission, act, failure to act, neglect or breach of duty in the performance of Services or professional duties which are subject to this Services Agreement, including but not limited to, coverage for failure to properly maintain and/or protect personal information or confidential corporate information. The retroactive insurance date of such insurance shall be no later than the Effective Date of this Services Agreement. Such coverage must specifically identify Intermountain Healthcare and its officers, employees, and agents as additional insureds. If such errors and omissions liability coverage is written on a “claims made” basis, coverage must be continued for [**] years following the termination of this Agreement. All insurance required in this section must be with insurers holding AM Best rating no less than A VII. [**] If R1 becomes aware of a breach involving personal or patient information of Intermountain Healthcare, R1 must notify Intermountain Healthcare immediately and cooperate with Intermountain Healthcare in providing the appropriate breach response as directed and controlled by Intermountain Healthcare. |
(g) | Network Security and Privacy Liability -- R1 shall provide third party liability limits of at least [**] per claim and [**] in the aggregate, including regulatory fines and penalties coverage. The retroactive insurance date of such insurance shall be no later than the Effective Date of this Services Agreement. Such coverage must specifically identify Intermountain Healthcare and its officers, employees, and agents as additional insureds. If such network security and privacy liability coverage is written on a “claims made” basis, coverage must be continued for [**] following the termination of this Agreement. All insurance required in this section must be with insurers holding AM Best rating no less than A VII. [**] If R1 becomes aware of a breach involving personal or patient information of Intermountain Healthcare, R1 must notify Intermountain Healthcare immediately and cooperate with Intermountain Healthcare in providing the appropriate breach response as directed and controlled by Intermountain Healthcare. |
(a) | IMH will obtain and continuously maintain the following insurance coverages throughout the Term of this Services Agreement and where possible may do so in whole or in part through self-insurance: |
(i) | Workers’ Compensation – statutory limits in each state as applicable to IMH employees who work on the Services. |
(ii) | Comprehensive General Liability Insurance – [**] |
(iii) | Comprehensive Auto Liability Insurance – [**] per accident |
(iv) | Umbrella excess liability coverage above the Comprehensive General Liability Insurance and Comprehensive Auto Liability Insurance described above in an amount not less than [**] per occurrence/accident. |
(a) | By Either Party. If a Party commits a material breach of this Services Agreement, the Business Associate Agreement or the Malware and Security Agreement which material breach results in a Material Adverse Effect on the non-breaching Party and is not cured within [**] from the breaching Party’s receipt of a written notice of the breach, then the non-breaching Party may, by giving notice to the breaching Party, terminate this Services Agreement. The notice of breach must specifically identify the provisions that are breached and must state the actions that the non-breaching Party believes are necessary for the breaching Party to cure the breach. If more than [**] days are reasonably needed to cure the breach, then the breaching Party shall be allowed such additional time as is reasonably required provided that the breaching Party gives notice of the need and begins the cure within the [**] day period and the breaching Party is thereafter diligent in pursuing the cure to completion. If the breach is not curable, then for the purposes of this Section, the breach shall be deemed cured |
(i) | Protection of IMH Against Termination. In view of IMH’s critical reliance on the Services and this Services Agreement, if IMH disputes that a material breach has occurred, then the issue (i.e., whether or not a material breach by IMH has occurred) must first be decided by the dispute resolution provisions of Article XX, including arbitration if necessary. If the Parties agree in writing that the material breach by IMH has occurred or if an arbitrator holds that the material breach by IHM has occurred, then IMH shall have an opportunity to cure the breach as described above (or to address an incurable breach as described above) in order to preserve this Services Agreement and to avoid termination by R1. The [**] day cure period will begin when the Parties have agreed in writing that the material breach has occurred or when the Parties receive the final written decision of the arbitrator that the material breach by IMH has occurred, and such period is subject to extension as described above. |
(b) | Service Level Issues. If R1 has [**] or more Service Level Defaults over [**], then IMH may, upon at least [**] days’ prior written notice to R1, terminate this Services Agreement. At IMH’s option, only a subset of the Services may be terminated and this Services Agreement will continue for the remaining Services. |
(c) | [**]. |
(d) | [**]. |
(e) | [**]. |
(a) | Exclusion from Federal Health Care Program. A Party shall have the right to immediately terminate, upon written notice to the other Party, this Services Agreement if the other Party is excluded from a Federal Health Care Program, subject to Section 23.8. |
(b) | Changes in Law. Upon expiration of the Workaround Period (during which no reasonable workaround has been agreed to in accordance with Section 23.5(d)), a Party, upon [**] days’ prior written notice to the other Party, may terminate the applicable portion of the Services if there is a change in a Healthcare Law but only |
(c) | Adverse Judgments. |
(i) | “Adverse Judgment” means an adverse judgment, injunction, order or decision made against a Party by a domestic or foreign national, state, county, municipal, local, territorial or other government body, authority, department, agency, court, official or public or statutory person of competent jurisdiction. |
(ii) | Upon expiration of the Workaround Period (during which no reasonable workaround has been agreed to and implemented in accordance with Section 23.5(d)), if there has been an Adverse Judgment against IMH or any IMH Affiliate that receives the Services: |
(iii) | Upon expiration of the Workaround Period (during which no reasonable workaround has been agreed to and implemented in accordance with Section 23.5(d)), if there has been an Adverse Judgment against R1 or any R1 Contractor or R1 Affiliate that provides the Services: |
(d) | Reasonable Workarounds. Prior to either Party exercising any termination right in (b) or (c) above, unless a Party is prohibited from doing so by an Adverse Judgment, the Parties shall: |
(i) | cooperate in good faith for at least [**] days to agree upon and implement a reasonable workaround that would eliminate the Material Adverse Effect, if applicable, and cure the violation of Applicable Law (either Party may extend that period by up to an additional [**] days); and |
(ii) | if such period has passed, or at such earlier time as mutually agreed to by the Parties, and no such workaround has been agreed to and implemented by the Parties, then either Party may submit the dispute to non-binding mediation with the American Health Lawyer’s Association. The procedures for such mediation and related costs shall be substantially the same as those set forth in Section 20.4 for any arbitration under this Services Agreement, provided that the mediation shall not be binding. The Parties shall be required to participate in such mediation in good faith and use all reasonable efforts to reach a mutually agreed workaround (including any increase in fees required to implement such workaround but only if the Adverse Judgement is not the fault of R1 or any R1 Contractor or R1 Affiliate that provides the Services), and a proposed implementation plan. If a workaround is agreed to, then the Parties will implement it. |
(e) | Termination of a Portion of the Services. In the event of a termination of a portion of the Services pursuant to Section 23.3(b) or this Section 23.4, the termination shall be applied to the IMH Facilities and IMH Providers that were previously receiving such Services and an equitable reduction will be made to the Charges and other fees to take into account the reduced scope of the Services being performed by R1 pursuant to Exhibit 11.1-A. If the Parties cannot agree on the reduction, then the matter will be decided under Article XX. |
(a) | Use of the Intermountain Name. The term “Intermountain Name” means Intermountain Healthcare or IHC Health Services, Inc. or any other name by which IMH is recognized or any logo of IMH. R1 may use the Intermountain Name as reasonably needed to accurately identify Intermountain as a user of the Services. But any such use of the Intermountain Name in a publication or press release, in marketing, promotional or advertising materials, on a website, or other than in private |
(b) | Approval. Use by or for R1 of any Intermountain Name in a publication or press release, in marketing, promotional or advertising materials, on a website, or other than in private communications will require the prior written approval of the Communications Department of IMH. To obtain approval, R1 must fully and accurately disclose to the Communications Department the manner and context of the use. The manner and context of use may be considered in deciding whether or not to give the approval. Once approval for a specific use is given, repeat approval of the same use is not needed unless there is a significant change in the manner or context in which the Intermountain Name is used. But Intermountain may, at its reasonable discretion, withdraw approval of a particular use that was previously approved. |
(c) | Endorsement, Sponsorship and Affiliation. In no event, may R1 use any Intermountain Name in any manner or context that states, suggests or implies: (a) that IMH endorses or sponsors any products or services of R1 or a third party, or (b) that IMH is affiliated with R1 in any way other than as a minority owner of R1 or a customer of R1 consistent with the formal written agreements between the Parties. Notwithstanding the foregoing, R1 shall be permitted to truthfully inform current and prospective customers that IMH is a customer of R1. |
(d) | Names of Individuals. In no event will R1 use the name of any Intermountain Individual on a website or in any manner to market, promote, or advertise any products or services without the prior written consent in each case of the Intermountain Individual and the approval of the Communications Department of IMH. “Intermountain Individual” means a natural person who is in the management of IMH or its Affiliate or who is a physician, healthcare provider, researcher, employee or volunteer of IMH or its Affiliate. With respect to such approval, the provisions of Subsections (b) to (d) will apply on a mutatis mutandis basis to the extent reasonable. |
(e) | Law or Regulation. Disclosure of an Intermountain Name or Intermountain Individual’s name, to the extent required by applicable law or regulation (e.g., as needed to comply with the reporting requirements of federal or state law or regulation), will not be subject to the restrictions of this Section. |
R1 RCM Inc. By:/s/ Joseph Flanagan Name: Joseph Flanagan Its: President and CEO | IHC Health Services, Inc. By: /s/ Mark A. Runyon Name: Mark A. Runyon Its: VP Operational Finance |
Amended and Restated Services Agreement Signature Page | ||
1. | Introduction. The terms defined in this Exhibit include the plural as well as the singular and the derivatives of such terms. Unless otherwise expressly stated, the words “herein,” “hereof,” and “hereunder” and other words of similar import refer to this Services Agreement as a whole and not to any particular Article, Section, Subsection or other subdivision. Article, Section, Subsection and Attachment references refer to articles, sections and subsections of, and attachments to, this Services Agreement, unless specified otherwise. The words “include” and “including” shall not be construed as terms of limitation and introduce a non-exclusive set of examples. The words “day,” “month,” and “year” mean, respectively, calendar day, calendar month and calendar year. As stated in Section 24.11 of this Services Agreement, the word “notice” and “notification” and their derivatives means notice or notification in writing. Other terms used in this Services Agreement are defined in the context in which they are used and have the meanings there indicated. |
2. | DEFINITIONS. |
Defined Term | Exhibit |
[**] | [**] |
ABN | Exhibit 3.1 |
Actual Result | Exhibit 11.1-B |
Acute Adjusted Admissions | Exhibit 11.1-A |
Acute Adjusted Admissions Percentage Change | Exhibit 11.1-A |
Advanced Beneficiary Notice | Exhibit 3.1 |
Agent | Exhibit 17.4 |
Aggregate Hold Time | Exhibit 3.6 |
[**] | [**] |
[**] | [**] |
Balanced Score | Exhibit 11.1-B |
Base Fee | Exhibit 11.1-A |
[**] | [**] |
Baseline Year | Exhibit 11.1-A |
Benefit Plan | Exhibit 10.1 |
[**] | [**] |
Defined Term | Exhibit |
[**] | [**] |
[**] | [**] |
[**] | [**] |
[**] | [**] |
Book of Business | Exhibit 11.1-B |
Capped Score | Exhibit 11.1-B |
[**] | [**] |
[**] | [**] |
Coding Audit | Exhibit 3.6 |
Commencement Date | Exhibit 10.1 |
Confidential Information | Exhibit 17.4 |
Contingent Services | Exhibit 3.6 |
Continued Services | Exhibit 23.8 |
Contract Quarter | Exhibit 11.1-A |
Contract Year | Exhibit 11.1-A |
Cost to Collect Factor | Exhibit 11.1-A |
Cost to Collect Numerator | Exhibit 11.1-A |
Council | Exhibit 8.3 |
[**] | [**] |
CPT | Exhibit 3.1 |
CWL | Exhibit 6.1 |
[**] | [**] |
[**] | [**] |
[**] | [**] |
[**] | [**] |
Disengagement Plan | Exhibit 23.8 |
Disengagement Period | Exhibit 23.8 |
Employment Effective Date | Exhibit 10.1 |
EMR | Exhibit 3.1 |
Equipment | Exhibit 23.8 |
Facility Group | Exhibit 3.6 |
Financial Clearance | Exhibit 3.6 |
First SLA Effective Period | Exhibit 3.6 |
[**] | [**] |
Garfield | Exhibit 3.7-C |
Guiding Principles | Exhibit 11.1-B |
HCPCS | Exhibit 3.1 |
IMH Charity Care and Financial Assistance Policies | Exhibit 18.8 |
IMH Employee | Exhibit 10.1 |
IMH Facilities Base Fee | Exhibit 3.6 |
IMH Home Health | Exhibit 11.1-B |
IMH Providers Base Fee | Exhibit 3.6 |
Defined Term | Exhibit |
IMH Support Issue | Exhibit 3.6 |
[**] | [**] |
Incentive Fees | Exhibit 11.1-B |
Initial Assessment | Exhibit 11.1-A |
Initial Cost to Collect Factor | Exhibit 11.1-A |
Inpatient Accuracy Score | Exhibit 3.6 |
Inpatient Admissions | Exhibit 11.1-A |
Inpatient Revenue | Exhibit 11.1-A |
In-Scope Employees | Exhibit 11.1-A |
In-Scope Percentage | Exhibit 11.1-A |
In-Scope Vendors | Exhibit 11.1-A |
[**] | [**] |
IT Host System Vendor | Exhibit 11.1-A |
JRB | Exhibit 8.1-A |
KPIs | Exhibit 19.2 |
Lower Bound | Exhibit 11.1-B |
Management Employee | Exhibit 11.1-A |
Measurement Period | Exhibit 11.1-B |
Measurement Period Score | Exhibit 11.1-B |
Measurement Window | Exhibit 3.6 |
Metric | Exhibit 11.1-B |
Metric Reset Percentage | Exhibit 11.1-B-1 |
Metric Value | Exhibit 11.1-B |
Military Leave | Exhibit 10.1 |
[**] | [**] |
New Service Levels | Exhibit 3.6 |
New SLA Measurement Commencement Date | Exhibit 3.6 |
Old Metrics | Exhibit 3.6 |
On-Leave Offer Period | Exhibit 10.1 |
On-Leave Transition Employee | Exhibit 10.1 |
Out of Scope Services | Exhibit 3.1 |
Outpatient DX Score | Exhibit 3.6 |
Outpatient Procedure Score | Exhibit 3.6 |
Partially Related Vendors | Exhibit 11.1-A |
Patient | Exhibit 3.6 |
Patient Accounting System | Exhibit 11.1-B |
[**] | [**] |
[**] | [**] |
Payor | Exhibit 11.1-B |
[**] | [**] |
[**] | [**] |
[**] | [**] |
Defined Term | Exhibit |
PMMT | Exhibit 6.1 |
[**] | [**] |
Provider | Exhibit 17.4 |
Provider Group | Exhibit 3.6 |
Provider Visits | Exhibit 11.1-A |
[**] | [**] |
PSAT | Exhibit 6.1 |
Quarterly Base Fee Cash | Exhibit 11.1-A |
Remittance Posting Within One Business Day | Exhibit 3.6 |
Remittance Posting Within Two Business Days | Exhibit 3.6 |
Revenue Integrity Collected Accounts | Exhibit 19.2 |
Risk Pool | Exhibit 11.1-B |
Scorecard Calculation | Exhibit 11.1-B |
Scorecard Review Period | Exhibit 11.1-B |
Self-pay Patients | Exhibit 11.1-B |
Service Level Credit | Exhibit 3.6 |
Service Level Default | Exhibit 3.6 |
Service Level Effective Date | Exhibit 3.6 |
Service Levels | Exhibit 3.6 |
[**] | [**] |
SLA Initial Measurement Period | Exhibit 3.6 |
SLA Measurement Commencement Date | Exhibit 3.6 |
[**] | [**] |
Target Level | Exhibit 3.6 |
Temporary Incentive Fees | Exhibit 11.1-B |
[**] | [**] |
Total Charges | Exhibit 11.1-B |
[**] | [**] |
[**] | [**] |
[**] | [**] |
Total Weighted Value | Exhibit 11.1-B |
[**] | [**] |
Transition Employee | Exhibit 10.1 |
Transition Services | Exhibit 4.1 |
Transitioned Employee | Exhibit 10.1 |
[**] | [**] |
[**] | [**] |
Upper Bound | Exhibit 11.1-B |
Vendor | Exhibit 17.4 |
Vendor Service | Exhibit 11.1-A |
VP-BEC | Exhibit 18.9 |
[**] | [**] |
1. | Services. In accordance with Section 3.1 of the Services Agreement, R1 shall provide the following Services in accordance with IMH policies and procedures. |
a. | Functional Areas. The Services shall include the following functional areas: |
i. | FRONT END - Provide leadership, management oversight, staffing and technical expertise of and for: |
(1) | Scheduling (including inpatient, outpatient, and diagnostics, but excluding surgical) – In accordance with the technical systems, policies, practices, and standards of IMH, obtain required information and all core set of data elements from either the patient or the referring physician practice to enable successful subsequent front end processes. To aid scheduling processes, provide patient in advance with instructions based on the scheduled medical procedure, manage scheduling of physician-order services, manage IMH medical procedure facility schedule as directed, and provide follow up or reminders to patients of scheduled visits. |
(2) | On-Site Process of Pre-Registration – As a result of a scheduled service or a last minute add-on to the next day or current day’s schedule, gather as much demographic, clinical, and financial information from the patient or a prior visit as possible to allow (as a minimum) verification of current insurance and potential need for an authorization. If time or situation permits, complete entire registration prior to patient arriving at the hospital. |
(3) | Off-Site Process of Pre-Registration – As a result of a scheduled service or a last minute add-on to the next day or current day’s schedule, gather as much demographic, clinical, and financial information from the patient or a prior visit as possible to allow (as a minimum) verification of current insurance and potential need for an authorization. If time or situation permits, complete entire registration prior to patient arriving at the hospital. |
(4) | Registration – Obtain all required patient liability (i.e., outstanding balance), clinical, demographic, and financial information from patients that was not obtained during scheduling or pre-registration when the patient is present for service regardless of status (Emergency Department, outpatient services or inpatient). Obtain information necessary to obtain financial clearance at time of service (to include collection of co-pay, deductible, or co-insurance); this includes documenting data into the system in order to set up an account. This process is highly dependent on IMH’s Patient Accounting system and the physical layout driving patient arrivals at each IMH Facility. Obtain completed IMH non-clinically-related forms, ensure forms have been completed fully and are signed, when required, and if applicable, scan documents into IMH’s document imaging system. Determine non-covered outpatient Medicare services, administer an “Advanced Beneficiary Notice” or (“ABN”) and note in the patient accounting system relevant ABN status for Medicare non-covered outpatient charges. For services that are not covered by the relevant third party payer for patients with insurance, take comparable action. |
(5) | Insurance Eligibility Verification – Once a payer is identified, check benefit eligibility and obtain verification from insurance (governmental or commercial) that the patient reported insurance for the applicable service is still in force and will reimburse the provider for the service. Every effort will be made to do this verification prior to services rendered. |
(6) | Authorization – Communicate and coordinate with the referring physician practice and patient’s insurance (governmental or commercial) to obtain necessary authorization prior to service to ensure reimbursement and to minimize denials. If additional diagnostic procedures are identified and require an authorization, obtain required payer authorization. Document all payer authorizations in IMH’s patient accounting system. |
(7) | Collection of Residual Patient Balances – As part of the patient education and communication process, present the opportunity for patients to pay their estimated residual prior to service as both a convenience and improvement to patient flow at the point of service. |
(8) | Self-Pay Financial Counseling and Eligibility of Services (e.g., self-pay conversions) – For those patients that are unaware of what insurance they have, or declare they have no insurance, work diligently and use proprietary tools to gather information from the patient to understand what might be an acceptable source of |
(9) | Prior Balance Found Insurance – Continue to retroactively identify and pursue possible means for paying for services that were previously provided. |
(10) | Admitting – Provide leadership and oversight of all activities involved in point of service operations including greeting patients and collecting financial information required for an accurate and complete registration in accordance with IMH and individual hospital policies and practices. |
ii. | MIDDLE - Provide leadership, management oversight, staffing and technical expertise of: |
(1) | Chart Analysis and Assembly - Whether electronic or paper based, confirm that processes are followed to ensure medical records are complete in accordance with all applicable local and regulatory policies and practices. |
(2) | Coding/Coding Audits –Once a medical record of service is completed, certified coders assign codes to inpatient and outpatient encounters, as appropriate, to create billable charges. In accordance with the respective IMH Compliance and R1 Compliance Program coverage and other requirements set forth in the Agreement, perform coding audits and remediate any identified deficiencies. The IMH Compliance Officer shall have access, upon reasonable request to the R1 Compliance Officer, to all coding audit findings, including any adjusted claims which the R1 Compliance Officer or his/her staff has access to. |
(3) | Record Retention/Record Management – Whether electronic or paper based, confirm that processes are in place to meet IMH policies and practices. This includes: overseeing chart completion, capturing medical record documents via scanning post discharge, preparing and indexing the electronic medical record (“EMR”) as necessary, record reconciliation, record filing and retrieval, and generating relevant records for necessary governmental agencies. |
(4) | Transcription – Transcribe physician dictation of required reports into paper or electronic reports to become an official part of the medical record. Manage transcription services and vendors, including coordinating work assignments, overseeing dictation quality, and managing internal/external report distribution. |
(5) | Lost Charges/Charge Capture Pre-Bill - Use automated and manual methods to assist IMH to correctly bill gross revenue and to capture all applicable and authorized charges by clinical departments before the bill is sent to the payer / patient. |
(6) | Lost Charges/Charge Capture Post-Bill – Analyze claims after the bill has been sent to identify groups of patient accounts that could have missing or incorrect charges, codes, documentation, or other information to identify cases involving undercharging or overcharging, and re-submit these bills to reflect correct charges for reimbursement. Use retrospective automated and manual methods to identify groups of patient accounts that could have missing or incorrect charges, codes, documentation, or other information, and resubmit related bills to the payer / patient. |
(7) | Transfer Diagnosis Related Group (DRG) Reconciliation and Follow-Up – Based on current Medicare reimbursement policies and requirements, identify, investigate and appeal claims (specific DRGs) that were paid at a lower level based on subsequent services (e.g., skilled nursing facility, home health, etc.) that did not subsequently occur. Once DRG is identified as appealable, construct appropriate case for DRG validation based on full review of medical record and official coding guidelines, and write appeal letters to the relevant party based on Medicare and applicable payer appeal guidelines. The Operating Oversight Council shall approve all forms of any appeal letters and, as clarified in Exhibit 18.8, in the event that legal counsel representing IMH needs to be engaged in connection with any appeal, the selection of such counsel shall be made by IMH in its sole discretion and at IMH’s sole expense. |
(8) | Charge Description Master (CDM) Maintenance and Revenue Integrity - Review IMH’s CDM and analyze the following items with respect to the CDM: revenue codes, Current Procedural Terminology “CPT” codes, Healthcare Common Procedure Coding System “HCPCS” codes, and dosage multipliers. With IMH’s agreement, implement corrections to such codes to improve accuracy and avoid under-charging and/or over-charging for services. Provide regulatory updates related to hospital CDM activity, including the AMA’s CPT coding updates at year end. Provide leadership and oversight regarding compliance issues related to the CDM, linking CDM associates to the appropriate IMH resource. Assist IMH with implementation of updates and corrections to CDM, and provide support during the implementation phase. |
(9) | Strategic Pricing - Develop comprehensive pricing recommendations that balance rational and defensible prices, market positioning, and revenue capture opportunities both in the short-term and long-term. Deploy an iterative data driven process that focuses on selective price adjustments that yield greater net revenue potential for the organization than a standard across-the-board rate increase, Present recommendations to IMH leadership for approval. |
(10) | Release of Information – Follow all applicable IMH privacy and security policies and procedures, HIPAA and privacy rules and laws, and other IMH external communication policies in providing copies of medical records or other patient or medical information to authorized person or parties. |
iii. | BACK END - Provide leadership, management oversight, staffing and technical expertise of: |
(1) | Billing (patient and payer) - Send all required information to the billing editor application or system so that a claim proceeds to the applicable payer. Though the goal is to have no bill editor rejects, R1 will resolve all discrepancies in a timely manner for resubmission of the bill to the applicable payer. Once the insurance balance is resolved, use the applicable patient billing system to send a bill for the residual patient responsibility. Recommend billing edits and bridge routines to improve the number of claims sent to the payer without intervention and/or to reduce denials. |
(2) | Cash Posting and Processing - Electronically and manually post cash from both payers’ and patients’ accounts and reconcile outstanding accounts receivable in a timely and accurate manner. Reconcile daily cash at patient account level to the extent reasonably feasible (except IMH will be responsible for general ledger and patient accounting reconciliation). Follow IMH’s cash control policies and procedures. Post payments not processed electronically (e.g., over-the-counter deposits, payroll deductions, returned lockbox items, bank credit/debit adjustments, credit card chargebacks) on the day such items are received or in a longer timeframe determined by IMH to be proper. Identify and reconcile unidentified cash receipts and daily lockbox deposits to payment posting in hospital’s patient accounting system on a daily basis. |
(3) | Denial Management (Operational and Clinical) - Attempt to resolve all issues (e.g., registration, coding, billing, preauthorization, etc.) which have caused a partial or full denial. Resubmit the applicable bill to the payer as necessary and make/recommend systemic improvements to reduce or eliminate re-occurrence. |
(4) | Underpayment Review/Recovery – Use a contract management system and other tools or vendors to identify claims that were underpaid by a payer (commonly due to a payer mistake or a misinterpretation of or a vague contractual term). Once such claims have been identified, appeal such claims and follow-up until either the claim is paid correctly or the contract is clarified for re-modeling or changed. In the event any such appeals take place, IMH shall have the right, but not the obligation, to hire its own legal counsel or participate in any such appeals, each at its own expense, upon reasonable request to R1. In addition, to the extent any material overpayment issues are identified, such issues should be brought to the attention of both the IMH Compliance Officer and the R1 Compliance Officer in accordance with the policies and procedures of each Party’s respective Compliance Program. |
(5) | Patient Billing Customer Service/Patient Financial Services – Provide an inbound call center capability and mail response capabilities for patient inquires, complaints, and possible payment/resolutions via a phone number and address listed on the patient bill. Customer service agent shall handle and resolve a wide range of questions, issues or include disputes. R1 will record all relevant customer service calls and maintain recordings for a period of a least [**] days after the date of call or according to IMH’s Record Retention Policy, whichever is longer, making such recordings available to IMH upon request. Scan and manage all correspondence received by the call center or patient correspondence sent to IMH’s lockbox. This function will also include processing post-service financial assistance applications, Medicaid applications, and other patient liability functions (e.g. bankruptcy, attorney requests, etc.). This call center will receive calls relating to patient balances for the IMH Facilities and IMH Providers. |
(6) | Secondary Billing – Identify secondary payers as part of the registration process (preferred) or subsequently from the patient at time of patient billing. Send a secondary payer bill for the patient responsibility portion of such bill after the primary insurance is settled to gain reimbursement from a secondary insurance payer. |
(7) | Third Party Collections and Self-Pay Follow-Up (internal and external collection activities) - Manage the collection process in accordance with IMH standards and federal and state policies and practices. Coordinate with third party collectors for debt in default. |
(8) | Credits - Research credit balances and reasons for credit balances (e.g., over-contractualization, system processing issues, actual over-payments, etc.), and prepare appropriate account adjustments where no refund is due. R1 will process credit balances for refund payment for IMH's review and approval. Implement processes necessary to comply with state escheatment laws for uncashed refund payments. |
(9) | Finance and Managed Care Analytical Support as Appropriate to Support General Operations – Provide payer yield and other accounts receivable and operational data that will assist the managed care team with strengthening their interaction with payers and will allow finance to have better visibility into their reserving processes. |
(10) | Bad Debt Management - Manage patient bad debt through internal means and/or third party vendors and maintain documentation to support bad debt logging. |
iv. | Other Services - Provide leadership, management oversight, staffing and technical expertise of: |
(1) | Payer Audit and RAC Support - Support insurance account audits and Medicare RAC audits by performing account reviews and obtaining required documentation for appeal. |
(2) | Revenue Cycle Analytics and Reporting - Provide detailed reports and analytical support to revenue cycle functions through data mining, analysis and report creation. |
(3) | Revenue Cycle Technology and Support - Revenue cycle support services including, but not limited to, technology support, training and special projects. |
(4) | Revenue Cycle Training – Conduct training and quality assurance across all revenue cycle processes. |
(5) | Vendor Management - Contracting for and management of vendor relationships specializing in revenue cycle sub-functions including areas such as authorization management, coding and debt collection. |
b. | Record Keeping. |
2. | In-Scope Departments. The Services outlined above will be limited to the areas included and characterized by the IMH departments as a part of Schedule 1 below. |
3. | Out of Scope Services. |
a. | Scheduling: surgical (operating room) and/or services directly scheduled by a clinician. |
b. | Clinical Documentation – Ensure continued quality improvement for accurate and complete coding, resulting in increase in revenue and careful compliance with effective documentation. Provide pre-billing audit of DRG change, Physician/ CDS/ Coder Training Program or CDI comprehensive program implementation that includes a DRG Integrity tool and interim CDI roles performed by AH specialist team. |
c. | Managed Care Contract Negotiation - Manage relationships and conduct appropriate negotiations with managed care payers to maximize revenue for IMH. Identify gaps in existing contractual agreements by comparing net to gross ratios across commercial payers against relevant benchmarks. Provide insights and recommendations to support payer negotiations using detailed modeling of contract terms. |
d. | Medicare Cost Reporting – Assist in identification of costs associated with categories eligible for reimbursement under a Medicare cost report. |
e. | Case Coordination/Utilization Review/Case Management – Review patient cases to ensure the proposed level of care is appropriate for the condition of the patient and evaluate necessity and efficiency in the use of medical services and facilities. This includes: ongoing certification and authorizations processing, routing processing of medical necessity, concurrent and retrospective clinical denial process, overseeing incomplete or pending physician order that require additional data, ongoing hiring and training for utilization management, charge defense audit process, management of claims that require utilization management attention for processing, analytical reporting of clinical denials, analysis and implementation of process improvement or systemic improvement intended to reduce clinical denials, and review of accounts for potential zero bill claims. |
f. | Social Work/Discharge Planning – Coordinate process in which patient receives assistance in developing a healthcare plan to make sure that the patient receives ongoing healthcare maintenance post discharge. Ensure open communication and comprehensive case management services are offered. |
g. | Charge Entry – Entry of charges into patient accounting system for all services rendered. Collaborate with clinical system support teams to support charge entry management. |
h. | Patient Outreach – Guide patients around barriers to care including patient enrollment in programs offering transportation, food, housing, child care, etc. |
i. | Physician Advisory Services – Provide clinical resource support for concurrent review services, including assistance with compliance with payer policies regarding |
• | “Base Fee” means the base fee calculated with respect to the IMH Facilities and the IMH Providers under Exhibit 11.1-A. |
• | “IMH Facilities Base Fee” means the portion of the Base Fee attributable to the IMH Facilities based on the Cash Collections received by the IMH Facilities during the [**] period that ends one month prior to the commencement of the relevant [**]. |
• | “IMH Providers Base Fee” means the portion of the Base Fee attributable to the IMH Providers based on the Cash Collections received by the IMH Providers during the [**] period that ends one month prior to the commencement of the relevant [**]. |
• | “Measurement Window” means the time during, or frequency by, which a Service Level shall be measured. The Measurement Window shall be [**], unless otherwise specified. |
• | “New Service Levels” means any additional Service Levels agreed to by the Parties following the Commencement Date. After the Service Level Effective Date for any such New Service Level, each such New Service Level will be referred to herein simply as a “Service Level.” |
• | “New SLA Measurement Commencement Date” means, for Service Levels 4 – 5 and for any New Service Levels, the first day of the next calendar [**] following the later of: (a) the Commencement Date and (b) written agreement of the Service Level definition and related Target Level. |
• | “Old Metrics” means the performance metrics with respect to the services provided under the Original Services Agreement. |
• | “Patient” means an individual who receives medical care from IMH. |
• | “Service Level” means each Service Level set forth herein and any New Service Level. |
• | “Service Level Default” means R1’s level of performance for a particular Service Level fails to meet the applicable Target Level during the applicable Measurement Window with respect to IMH. |
• | “Service Level Effective Date” means: (i) for Service Levels 1 - 3 and 6 - 10, the first day of the next calendar [**] following the [**]-month anniversary of the Commencement Date; and (ii) for Service Levels 4 – 5 and for any New Service Levels, the [**]month anniversary of the New SLA Measurement Commencement Date. |
SMRH:484510755.9 | Exhibit 3.6-1 | |
• | “SLA Initial Measurement Period” means the period of time beginning on the SLA Measurement Commencement Date or the New SLA Measurement Commencement Date, as applicable, and ending on the Service Level Effective Date. |
• | “SLA Measurement Commencement Date” has the meaning set forth in Section 2.1. |
2.1 | As of the Commencement Date of Services by R1 for IMH (the “SLA Measurement Commencement Date”), or as otherwise specified in this Exhibit, R1 will perform the Services so as to meet or do better than the Target Levels (as defined below) for the Service Levels; provided, that the Service Levels will not be effective, measured and enforced until the applicable Service Level Effective Date for the Service Levels. For the avoidance of doubt, the Old Metrics shall apply to those services provided under the Original Services Agreement from the Effective Date until the Commencement Date of the corresponding Services, after which such services shall be replaced by Services under this Services Agreement and such Services will be subject to the provisions of this Exhibit regarding Service Levels. |
2.2 | The IMH Facilities and IMH Providers will be combined for purposes of monitoring, measuring, collecting, recording and reporting Service Levels 1, 4 and 8 - 10. |
2.3 | With respect to Service Levels 2 – 3 and 5 - 7, all IMH Facilities will be grouped together (the “Facility Group”), on the one hand, and all IMH Providers will be grouped together (the “Provider Group”), on the other hand, for purposes of monitoring, measuring, collecting, recording and reporting such Service Levels. The Facility Group and Provider Group shall be considered separately from each other when calculating any Service Level Credits resulting from a Service Level Default under Service Levels 2 – 3 or 5 - 7. |
2.4 | IMH will have the right to receive Service Level Credits in accordance with Section 7 below. |
2.5 | Beginning on the SLA Measurement Commencement Date or the New SLA Measurement Commencement Date, as applicable, R1 shall use reasonable commercial efforts to monitor, measure, collect and record R1’s performance with respect to the Service Levels and report its performance to IMH and shall continue to do so through the Term. R1 shall report to IMH R1’s performance against the Service Levels for each Measurement Window as specified in Section 6 below and as set forth in Section 19.2 of the Services Agreement. |
2.6 | During the [**] month period following the Service Level Effective Date (each such period, a “First SLA Effective Period”), the target with respect to each Service Level for IMH shall be equal to R1’s average performance regarding such Service Level |
SMRH:484510755.9 | Exhibit 3.6-2 | |
2.7 | The Parties acknowledge and agree that, for purposes of this Agreement, the Service Level targets and metrics are intended to reflect rational and reasonable standards of performance in line with upper performance of industry standards. Following the Effective Date, the Parties shall work together in good faith during the [**] days following the Commencement Date to define the metrics (in Article 3) and the targets (in Article 4) with respect to Service Levels 4 and 5. |
2.8 | IMH will have the right to have reports and reporting from R1 audited and verified by IMH’s designees. R1 will fully cooperate with any such audits or verifications. |
SMRH:484510755.9 | Exhibit 3.6-3 | |
3.1 | Service Level 1 - Customer Service Mean Speed to Answer (Mean wait time, in seconds, to answer calls at R1’s Customer Service Centers). This Service Level shall mean for a given Measurement Window, (a) the Aggregate Hold Time, divided by (b) the number of calls to R1’s Customer Service Center for which the caller requested to speak with a R1 representative during the Measurement Window. For purposes of calculating this Service Level, “Aggregate Hold Time” means the aggregated total amount of time during the Measurement Window that all callers to R1’s Customer Service Center (excluding “hang-ups”) remained on hold or in the interactive voice response unit after such callers requested to speak with a R1 representative with respect to R1’s Customer Service Center. |
3.2 | Service Level 2 - Percentage of scheduled Patients who have 100% Financial Clearance Completion. This Service Level shall mean for a given Measurement Window for IMH (a) the number of Patients (both inpatient and outpatient) who had an appointment at an IMH Facility or IMH Provider, as applicable and which appointment (1) was scheduled 48 hours or more prior to such Patient’s appointment, and (2) occurs during such Measurement Window and who had 100% Financial Clearance, divided by (b) the number of Patients, both inpatient and outpatient, who had an appointment and which appointment (1) was scheduled 48 hours or more prior to such Patient’s appointment and (2) occurs during such Measurement Window, expressed as a percentage. “Financial Clearance” shall mean that (i) the Patient’s eligibility has been identified and (ii) the requisite insurance authorization has been obtained. |
3.3 | Service Level 3 - Percentage of inpatients who presented as uninsured, were admitted, and were screened for a third party paying solution. This Service Level shall mean for a given Measurement Window (a) the number of Patients, who (1) were admitted as inpatients, (2) had their stay at an IMH Facility commence during such Measurement Window, (3) presented themselves as uninsured at or prior to the time of registering/checking-in, and (4) were screened for a third party paying solution, divided by (b) the number of inpatients who (1) had their stay at an IMH Facility commence during such Measurement Window, and (2) presented themselves as uninsured. If a change in IMH policy impedes or alters the ability of R1 to perform the applicable Services, the Parties shall meet to change this Service Level measurement and/or Target Level as applicable. |
3.4 | Service Level 4 - Associate Engagement. The Parties will mutually agree on a metric definition within [**] of the Commencement Date and will add that definition to this Section 3.4. |
3.5 | Service Level 5 - Patient Satisfaction survey. The Parties will mutually agree on a metric definition within [**] of the Commencement Date and will add that definition to this Section 3.5. IMH and R1 will develop an appropriate survey mechanism |
SMRH:484510755.9 | Exhibit 3.6-4 | |
3.6 | Service Level 6 – Credit AR Days. This Service Level shall mean for a given Measurement Window for IMH (a) the negative balance accounts receivable as of the last day of the Measurement Window, divided by (b) the average daily gross patient service revenue (GPSR) for such Measurement Window. Average daily GPSR is calculated by dividing the total GPSR for the applicable Measurement Window by the number of calendar days during such Measurement Window. The source data for measurement will be the Revenue Cycle Analytics Report. |
3.7 | Service Level 7 – Coding Quality. This Service Level shall mean, for any Measurement Window, the weighted average of each of [**]. |
3.8 | Service Level 8 – Remittance Posting. This Service Level shall mean, for any Measurement Window, each of (i) Remittance Posting Within One Business Day and (ii) Remittance Posting Within Two Business Days. |
SMRH:484510755.9 | Exhibit 3.6-5 | |
3.9 | Service Level 9 – Pre-Registration Mean Speed to Answer (Mean wait time, in seconds, to answer pre-registration calls at departments managed by R1 that are managing incoming calls). This Service Level shall mean for a given Measurement Window for IMH, (a) the Aggregate Hold Time, divided by (b) the number of calls to the pre-registration department managed by R1 with respect to IMH for which the caller requested to pre- register for service with a R1 representative during the Measurement Window. For purposes of calculating this Service Level, “Aggregate Hold Time” means the aggregated total amount of time during the Measurement Window that all callers to the pre-registration department managed by R1 with respect to IMH (excluding “hang-ups”) remained on hold or in the interactive voice response unit after such callers requested to speak with a R1 representative with respect to the pre-registration department managed by R1 with respect to IMH. |
3.10 | Service Level 10 – Customer Service Abandonment Rate. This Service Level shall mean for a given Measurement Window for IMH, (A) the number of calls to R1’s Customer Service Center with respect to IMH entering the queue that are abandoned, divided by (B) the total number of inbound calls. |
4.1 | Service Level 1 – Less than or equal to [**]. |
4.2 | Service Level 2 – |
a. | IMH Facilities: Greater than or equal to [**]. |
b. | IMH Providers: Greater than or equal to [To Be Determined]. |
4.3 | Service Level 3 – Greater than or equal to [**]. |
a. | IMH Facilities: Greater than or equal to [**]. |
b. | IMH Providers: N/A |
4.4 | Service Level 4 – The Parties will mutually agree on a service level within [**] of the Commencement Date. |
SMRH:484510755.9 | Exhibit 3.6-6 | |
4.5 | Service Level 5 – |
a. | IMH Facilities: The Parties will mutually agree on a service level within [**] of the Commencement Date. |
b. | IMH Providers: The Parties will mutually agree on a service level within [**] of the Commencement Date. |
4.6 | Service Level 6 – |
a. | IMH Facilities: Less than or equal to [**]. |
b. | IMH Providers: Less than or equal to [**]. |
4.7 | Service Level 7 – |
a. | IMH Facilities: [**]. |
b. | IMH Providers: [**]. |
4.8 | Service Level 8 – (i) for Remittance Posting Within One Business Day, greater than or equal to [**]; and (ii) for Remittance Posting Within Two Business Days, greater than or equal to [**]. For the avoidance of doubt, R1 must meet (i) and (ii) to achieve the Target Level for this Service Level. |
4.9 | Service Level 9 – Less than or equal to [**] seconds. |
4.10 | Service Level 10 – Less than or equal to [**]. |
SMRH:484510755.9 | Exhibit 3.6-7 | |
6.1 | R1’s performance against the Service Levels and Target Levels will be measured for each Measurement Window as of the Service Level Effective Date (or, if later, the date R1 assumes responsibility for the applicable Services in accordance with the Transition Plan). |
6.2 | R1 will implement automated or other measurement and monitoring tools and procedures reasonably acceptable to IMH to measure R1’s performance against the Service Levels and Target Levels in a manner and at a level of detail approved by IMH. R1 will provide IMH with access to up-to-date problem management data and other data reasonably requested by IMH regarding the status of failures and/or user inquiries. Unless mutually agreed upon by R1 and IMH, the measurement of R1’s performance for a Measurement Window will be completed no later than [**] after the completion of such Measurement Window. |
6.3 | If R1 fails to measure its performance with respect to a Service Level and its Target Level so that it is not possible to confirm whether the level of performance specified for the Service Level has been achieved for a given Measurement Window, then, unless such failure to measure was previously excused in writing by IMH, such failure will be deemed a Service Level Default for the applicable Measurement Window. |
6.4 | R1 shall provide to IMH, as part of R1’s [**] performance reports, a set of hard- and soft-copy reports to verify R1’s performance and compliance with the Service Levels and Target Levels where data is available [**]. |
6.5 | R1 shall provide detailed supporting information for each report to IMH in machine-readable form suitable for use on a personal computer running the Windows operating system version used by IMH for this purpose. The data and detailed supporting information shall be IMH Confidential Information, and IMH may access such information online, where technically feasible and permissible under R1’s applicable third party agreements, at any time. |
7.1 | If R1 fails to meet any Service Level and its Target Level, then R1 shall pay or credit IMH for the amounts described below (each, a “Service Level Credit”). Except as otherwise provided in Section 23.3(b) of the Services Agreement, R1’s payment to IMH of Service Level Credits are the exclusive remedy for any Service Level Default, but not for any other default or breach of this Services Agreement or any of its Exhibits (including, without limitation, the other provisions of this Exhibit, e.g., Section 8). For example, to the extent IMH has a claim for breach of the Services Agreement by R1, this Exhibit does not preclude IMH from receiving remedies, nor shall it limit remedies, for such breach simply because the breach also resulted in a |
SMRH:484510755.9 | Exhibit 3.6-8 | |
7.2 | If R1’s performance relative to any one of the Service Levels does not achieve the Target Level during a particular Measurement Window, such failure shall be deemed a Service Level Default, and R1 will perform the problem analysis described in Section 8. R1 will also propose a corrective action plan to improve R1’s performance in the upcoming Measurement Window, subject to IMH’s approval. |
7.3 | If R1’s performance for a Service Level does not achieve the Target Level in a Measurement Window, resulting in a Service Level Default for such Service Level, R1 shall apply a Service Level Credit on the next practicable invoice following determination of the Service Level Credit, equal to the product of (i) [**], divided by the number of Service Levels that have commenced their respective Service Level Effective Date and for which this Exhibit contains both a metric (in Section 3) and a Target Level (in Section 4), multiplied by (ii) [**] for such Measurement Window. Any Service Level credit resulting from a Service Level Default of Service Levels 2, 3, 5, 6 or 7 shall apply only to the IMH Facilities Base Fee or the IMH Providers Base Fee, as applicable, except to the extent that there are Service Level Defaults with respect to both the IMH Facilities and the IMH Providers for such Service Level. |
7.4 | If more than one Service Level has experienced a Service Level Default for a Measurement Window with respect to IMH, R1 will apply the sum of the Service Level Credit amounts for each of the Service Levels with respect to IMH that had Service Level Defaults during such Measurement Window. There shall be up [**] at risk with respect to such Measurement Window (and R1 shall in no event be liable for Service Level Credits in excess of such at risk amount). |
7.5 | In the event that IMH provides to R1 notice of its election to terminate less than all of the Services pursuant to Section 23.3(b) of the Agreement (such notice will be the first day of [**] day notice period), and R1 reasonably believes that either (a) it can remedy the issues giving rise to the applicable Service Level Default(s) within [**] notice period, or (b) as a result of the termination of such Services (i.e., the Services designated by IMH for termination), it would be impossible for R1 to provide any one or more other Services not subject to the termination right (“Contingent Services”), R1 may, within [**] days of receiving such notice, either (i) notify IMH of its intent to remedy such Service Level Defaults and provide to |
SMRH:484510755.9 | Exhibit 3.6-9 | |
SMRH:484510755.9 | Exhibit 3.6-10 | |
SMRH:484510755.9 | Exhibit 3.6-11 | |
o | IMH Facilities |
§ | Alta View Hospital |
§ | American Fork Hospital |
§ | Intermountain Medical Center |
§ | Orem Community Hospital |
§ | Riverton Hospital |
§ | TOSH - The Orthopedic Specialty Hospital |
§ | Utah Valley Hospital |
§ | Bear River Valley Hospital |
§ | Cassia Regional Hospital |
§ | Logan Regional Hospital |
§ | McKay-Dee Hospital |
§ | Delta Community Hospital |
§ | Dixie Regional Medical Center |
§ | Fillmore Community Hospital |
§ | Sanpete Valley Hospital |
§ | Sevier Valley Hospital |
§ | Cedar City Hospital |
§ | Heber Valley Hospital |
§ | Park City Hospital |
§ | LDS Hospital |
§ | Primary Children’s Hospital |
§ | McKay-Dee Surgical Center |
§ | Intermountain Rehab Agency |
§ | Avenues Surgical Center |
§ | Layton Hospital (New opening 2018) |
o | IMH Providers |
§ | Intermountain Medical Group |
§ | Intermountain Home Health |
§ | Intermountain Hospice |
§ | Intermountain Home Medical Equipment |
§ | Intermountain IV Therapy |
1. | Definitions. Capitalized terms used in this Work Order but not defined herein shall have the meanings given in the Agreement. |
2. | Term of Work Order. |
3. | New Services. |
4. | Certain Client Responsibilities. |
5. | Pricing. |
6. | Recitals and Counterparts. |
IHC HEALTH SERVICES, INC. By: Name: Title: Date: | R1 RCM INC. By: Name: Title: Date: |
1. | Generally: R1 will perform transition and implementation services as agreed in the Transition Work Plan (collectively, “Transition Services”). Transition Services will be Services under this Services Agreement. The Parties will work collaboratively to assure the successful completion of the Transition Services and implementation of the Services for IMH at [**]. |
2. | Governance: The transition team will periodically meet at regular intervals with the operations team to coordinate the Transition Services. The Parties will cooperate and collaborate as needed to monitor, test and participate in the Transition Services. |
3. | Transition Team: A transition team inclusive of personnel from both Parties will be identified in the Transition Work Plan with clear accountability and decision rights relating to the transition and implementation. |
4. | Transition Work Plan: The Transition Work Plan will include all the key services, activities, resources and implementation milestones needed for the transition of IMH’s revenue cycle operations (including the transition of IMH employees, asset transition, reporting and communication) to R1 and implementation of the Services for IMH. The Transition Work Plan will be amended and supplemented as needed. The Transition Work Plan will, at a minimum, include the following key components: |
a. | Time Frame for Transition: The Transition Work Plan will specify the date for the commencement of Services for IMH and will address activities to be undertaken by each Party during the first three months of the Services for IMH. |
b. | Leadership and Communication: The Transition Work Plan will include a schedule of leadership and communication initiatives with IMH approval. |
c. | Training and Development: The Transition Work Plan will include a schedule of management and staff training and development. |
d. | Process and Technology Initiatives: The Transition Work Plan will include identification, prioritization and implementation of key process and technology initiatives, including key dates, scope, and deliverables. |
e. | Resources: The Transition Work Plan will include identification of resources required and available to execute the Transition Plan and implementation and commencement of Services. |
f. | Financial Data: The Transition Work Plan will include a schedule for delivery of applicable financial data required to support the applicable measurement processes. |
g. | Financial Assistance Policies: The Transition Work Plan will include identification of applicable policies affecting financial assistance and billing practices relating to the uninsured. |
h. | System Access: The Transition Work Plan will include protocols and processes for required system access and for provisioning requests including application/solution and network access. |
i. | Supplier Obligations: The Transition Work Plan will include supplier obligations that are related to regulatory and compliance training. |
j. | Data Requests: The Transition Work Plan will include identification of both quantitative and qualitative data requests necessary to support operations. |
6. | Preparation of the Transition Work Plan: Preparation of the Transition Work Plan beyond this Exhibit will begin on or before the Effective Date of this Agreement and will continue until completed to the reasonable satisfaction of the Parties, and consistent with this Exhibit. The Parties will work collaboratively to complete development of the Transition Work Plan within [**] of the Effective Date of this Agreement. |
7. | The initial schedule draft is attached and is incorporated herein by this reference. |
Services | Desktop/Laptop computers | Scanners, printers, other similar devices | Other office equipment | General network connections | Servers and other dedicated information technology HW or SW | Phones and telecommunication (e.g. fax) devices | Transcription or dictation equipment | Others as relevant | Location and description of Office space | Notes/Comments |
Front End | ||||||||||
Scheduling (including inpatient, outpatient, and diagnostics, but excluding surgical) | ||||||||||
On-Site Process of Pre-Registration | ||||||||||
Off-Site Process of Pre-Registration | ||||||||||
Registration | ||||||||||
Insurance Eligibility Verification | ||||||||||
Authorization | ||||||||||
Collection of Residuals | ||||||||||
Self-Pay Financial Advocacy and Eligibility of Services (e.g., self-pay conversions) | ||||||||||
Prior Balance Found Insurance | ||||||||||
Admitting | ||||||||||
Across all Front-End Services | ||||||||||
Middle | ||||||||||
Chart Analysis and Assembly | ||||||||||
Coding / Coding Audits | ||||||||||
Record Retention / Record Management | ||||||||||
Transcription | ||||||||||
Lost Charges/Charge Capture Pre-Bill |
Services | Desktop/Laptop computers | Scanners, printers, other similar devices | Other office equipment | General network connections | Servers and other dedicated information technology HW or SW | Phones and telecommunication (e.g. fax) devices | Transcription or dictation equipment | Others as relevant | Location and description of Office space | Notes/Comments |
Lost Charges/Charge Capture Post-Bill | ||||||||||
Charge Description Master (CDM) Maintenance / Revenue Integrity | ||||||||||
Strategic Pricing | ||||||||||
Release of Information | ||||||||||
Across all Middle Services | ||||||||||
Back End | ||||||||||
Billing (Patient and Payor) | ||||||||||
Cash Posting and Processing | ||||||||||
Denial Management (Operational and Clinical) | ||||||||||
Underpayment Review / Recovery | ||||||||||
Patient Billing Customer Service / Patient Financial Services | ||||||||||
Secondary Billing | ||||||||||
Third Party Collections and Self-Pay Follow-up (internal and external collection activities) | ||||||||||
Credits | ||||||||||
Finance and Managed Care Analytical Support | ||||||||||
Bad Debt Management | ||||||||||
Across all Back-end Services | ||||||||||
Other Dependent Services | ||||||||||
Payor Audit and RAC support | ||||||||||
Revenue Cycle Analytics and Reporting | ||||||||||
Revenue Cycle Technology and Support |
Services | Desktop/Laptop computers | Scanners, printers, other similar devices | Other office equipment | General network connections | Servers and other dedicated information technology HW or SW | Phones and telecommunication (e.g. fax) devices | Transcription or dictation equipment | Others as relevant | Location and description of Office space | Notes/Comments |
Revenue Cycle Training | ||||||||||
Vendor Management | ||||||||||
General/Unspecified |
• | be responsible for general oversight and management of the relationship between the Parties under the Services Agreement, including oversight of the Operations Oversight Council; |
• | have authority to make final and binding decisions on behalf of the Parties; |
• | make decisions relating to cost allocation, the Cost to Collect Factor and the Base Fee calculation, as such decisions may be required under the Services Agreement; |
• | resolve payment disputes arising between the Parties pursuant to Section 11.6 of the Services Agreement; |
• | serve as a critical step in the dispute resolution process set forth in Section 20.4 of the Services Agreement with respect to the matters under its responsibilities; |
• | attempt to resolve any matters under the responsibility of the Operations Oversight Council that the Operations Oversight Council is unable to resolve; |
• | approve any material modifications to the Services Agreement that revise commercial terms prior to signature; |
• | evaluate Service Level Defaults and propose resolutions to the Parties; and perform such other functions as set forth in the Services Agreement or as the Parties may mutually agree in writing, except where in conflict with any provision of the Services Agreement |
• | The JRB will report to, the Parties and the Parties shall be kept informed of its activities on a current basis. |
• | The JRB will record and keep minutes of all JRB meetings which will be available to each Party. |
• | Bert Zimmerli |
• | Mark Runyon |
• | Joseph Flanagan |
• | Gary Long |
• | H. Jeffrey Brownawell |
• | Todd E. Craghead |
• | all decisions specially identified in the Services Agreement as requiring the consent, approval or vote of the Council; |
• | coordinate the Parties’ activities under the Services Agreement; |
• | provide input on any concerns with R1’s decision to insource the services under an In-Scope Agreement or to subcontract such services to a new vendor; |
• | make recommendations regarding additional offshore outsourcing of the Services which require prior approval of the JRB under the terms of the Services Agreement; |
• | provide input on R1’s selection of New Technology Partners and have authority to waive privacy, data security and compliance requirements for any proposed New Technology Partners that do not meet all such requirements; |
• | review proposals for new reporting requested under Section 19.2 of the Services Agreement; |
• | make recommendations to the Joint Review Board on operational matters; |
• | serve as a critical step in the dispute resolution process set forth in Section 20.3 of the Services Agreement with respect to those matters under its responsibility; |
• | create such other operational committees with such responsibilities as the Parties may mutually agree to from time to time; |
• | define operational strategies and oversee the Parties’ execution of such strategies; and |
• | perform such other functions as are set forth in the Services Agreement or as the Parties may mutually agree in writing, except where in conflict with any provision of the Services Agreement. |
• | The Council shall report to the JRB following regular meetings. |
• | Richard Bagley |
• | Nancy Baxter |
• | Todd Craghead |
• | Rob Carlisle |
• | Jeff Howes |
• | Cindy Hutchinson |
• | Kimberly Telford |
• | Mike Weed |
• | Jana Anderson |
• | Jeff Brownawell |
• | Jose Diaz |
• | Jared Jorgensen |
• | Sherilynn Quist |
• | Robert Troksa |
• | Wes Arnett |
• | Non-Disclosure Agreement dated March 22, 2011 between Accretive Health, Inc. and IHC Health Services, Inc. |
• | Mutual Non-Disclosure Agreement dated September 6, 2013 between Accretive Health, Inc. and IHC Health Services, Inc. |
• | Mutual Nondisclosure Agreement, effective as of September 1, 2017, between IHC Health Services, Inc. and R1 RCM Inc. |
1.1 | Definitions. Capitalized terms used but not defined in this Exhibit shall have the respective meanings set forth in the Services Agreement or the other Exhibits to the Services Agreement. |
(a) | “IMH Employee” means any person who is employed by IMH. |
(b) | “Benefit Plan” means Welfare Plans, incentive, compensation and other employee programs and policies. |
(c) | “Commencement Date” means April 8, 2018; [**]. |
(d) | “Employment Effective Date” means the Commencement Date, except that the Employment Effective Date for On-Leave Transitioned Employees shall be the date on which an On-Leave Transitioned Employee actually ceases employment with IMH, as applicable, and begins employment with R1 pursuant to the offer extended by R1 under Section 2.1 below. |
(e) | “Military Leave” means a leave of absence for purposes of active service in any branch of the United States Armed Services. |
(f) | “On-Leave Transition Employee” has the meaning given in Section 2.2(e). |
(g) | “On-Leave Offer Period” has the meaning given in Section 2.2(e). |
(h) | “Transition Employee” means an IMH Employee who is designated by mutual agreement of the Parties to receive an offer of employment by R1 and who is not subject to any collective bargaining agreement immediately prior to the Employment Effective Date with respect to IMH. Such designation will be accomplished by describing such IMH Employee as a Transition Employee in the Schedule of Transition Employees, substantially in the form of Schedule A attached hereto, to be completed by the Parties prior to the Employment Effective Date. |
(i) | “Transitioned Employee” means an IMH Employee who accepts R1’s [**] offer of employment, successfully clears R1’s pre-hire checks and screening as described in this Exhibit, and who commences employment with R1. |
(j) | “Welfare Plans” has the meaning given in Section 2.4(b). |
(a) | Provision of Employee Data; Notice of Offer. To facilitate R1’s ability to extend offers and the IMH Employees’ likelihood of acceptance, IMH shall allow R1 reasonable access to the IMH Employees in order to allow for an orderly transition of their employment to R1. R1 shall notify IMH at a reasonable time prior to making any offer of employment to any IMH Employee. Such notice shall describe in reasonable detail the terms of each such offer. For the purpose of facilitating R1’s ability to extend offers, IMH agrees to use commercially reasonable efforts to disclose to R1, within [**] of the Effective Date, [**] with respect to the applicable IMH Employees. IMH further agrees to provide R1, prior to each Employment Effective Date, an update with respect to all such data and information with respect to any changes thereto during the period of time from [**] until such Employment Effective Date. |
(b) | Terms of Offer. With regard to Transitioned Employees and all other R1 personnel providing Services, R1 agrees that: each [**] offer of employment for a Transition Employee shall: (x) be for full-time or part-time, [**] employment with R1 in a position comparable to the position that he or she held with IMH; and (y) include initial base wages or salary not less than the Transition Employee’s base wages or salary provided by IMH immediately prior to the Employment Effective Date, which shall not [**]. |
(c) | Offers Shall Comply with Laws. R1 shall comply with all applicable laws and regulations, including laws and regulations related to employment requirements and employment transitions, in offering employment to the IMH Employees and in employing such individuals. IMH shall comply with all applicable laws and regulations in connection with the termination of employment of Transitioned Employees. |
(d) | Responses to Offers and Employment Effective Date. R1 shall notify IMH within [**] days after offers of employment are made whether each IMH Employee has accepted such conditional offer. Unless otherwise specified in the Schedule of Transition Employees or Section 2.2(e), Transitioned Employees shall commence employment with R1 on the Employment Effective Date. R1 shall use all commercially reasonable efforts to employ the Transitioned Employees as of the date their employment with IMH ceases. |
(e) | On-Leave Transition Employee. With respect to each Transition Employee who [**] on an approved leave of absence in accordance with IMH’s on-leave policies (an “On-Leave Transition Employee”): |
(i) | IMH shall provide R1 with the date when his or her applicable leave commenced and is expected to end (if known); and |
(ii) | Upon each On-Leave Transition Employee’s return, subject to each such employee (A) being released to work prior to September 30, 2018, (B) being fully cleared to perform the responsibilities required for their position, and (C) clearing R1’s pre-hire screening as more fully set forth in this Exhibit, R1 shall make [**] employment offers meeting the requirements in this Section 2.2, except that, in the case of a Military Leave, the period for accepting such shall be as required by applicable law following the completion of active duty (“On-Leave Offer Period”). |
2.3 | [**] Transitioned Employees. [**]. Consistent with Section 2.2(a) above, IMH agrees to provide, where possible, evidence of compliance with background checks, drug screening, OIG checks and sex offender register checks. IMH acknowledges and agrees that, as a condition of continued employment, R1 may require the Transitioned Employees to undergo and clear R1’s standard background check, drug screening, OIG checks, and sex offender check after accepting R1’s job offer. |
2.4 | Employee Benefit Plans. |
(a) | Years of Service Credit. Unless otherwise agreed by the Parties, Transitioned Employees shall receive credit for years of service with IMH under each R1 employee benefit plan, where applicable, for purposes of promotion consideration, vesting (other than for stock or option grants), participation, eligibility for benefits, benefit accrual, and/or optional forms of payment, [**] but subject to the provisions outlined in Section 2.6. In the event the employment of a Transitioned Employee is terminated after [**], and said Transitioned Employee is eligible for severance under R1’s benefits plan as described in Section 2.6, credit for service shall be calculated from the Employment Effective Date for such Transitioned Employee. |
(b) | Employee Welfare Benefit Plans. Each benefit-eligible Transitioned Employee, as determined by R1, shall be eligible to participate in R1’s employee welfare benefit plans (“Welfare Plans”). [**]. R1 will provide access [**], R1 will honor all out-of-pocket expenses already paid by the Transitioned Employees towards their annual deductible. IMH shall be responsible for the provision of benefits with respect to |
(c) | Paid-Time-Off (PTO) (Vacation/Sick Leave). R1 shall make available to each Transitioned Employee paid-time-off benefits for vacation and sick leave consistent with R1’s applicable plans and policies, in each case beginning on his or her Employment Effective Date, with years of service of such Transitioned Employee determined in accordance with Section 2.4(a). Unless otherwise set forth in this Section 2.4(a), R1’s policy shall govern the Transitioned Employee’s use of paid leave, as well as the other criteria governing paid leave. |
(d) | Incentive Bonus. With respect to any Transitioned Employee that is entitled to an incentive bonus from IMH that is payable in a subsequent tax year following the Employment Effective Date, [**]. |
(e) | Pension Plans. R1 shall not be responsible for any (and IMH shall be solely responsible for all) payments, responsibilities, and other obligations with respect to any current or former pension plans or pension obligations, whether or not accrued, with respect to any IMH Employees. |
2.5 | Payment of Accrued PTO for IMH Employees. Upon an IMH Employee’s cessation of employment with IMH, IMH shall pay to each such IMH Employee an amount equal to the value of such IMH Employee’s accrued paid time off as of the date of such cessation. |
2.6 | [**] for Transitioned Employees. If a Transitioned Employee is terminated within [**] of the Commencement Date, then the Transitioned Employee will be eligible for [**]. R1 will provide to IMH the names of the Transitioned Employees to [**] of the Commencement Date. [**], and will provide such information to R1. R1 will [**] the terminated Transitioned Employees. Subject to the last sentence below, (i) R1 will be financially responsible for [**] to terminated Transitioned Employees and (ii) [**] terminated Transitioned Employees. [**] any terminated Transitioned Employees beyond [**]; provided that IMH’s total payments for [**] to terminated Transitioned Employees under this Section 2.6 shall not [**]. |
2.7 | Training and Skill Development. Transitioned Employees will be provided skill development and career growth opportunities that are substantially similar to those provided to similarly situated R1 employees in the United States. R1 will waive any waiting period for tuition reimbursement as long as the Transitioned Employee meets all other requirements and R1 offers the benefit. If R1 does not offer tuition reimbursement and the Transitioned Employee is currently enrolled in and attending school during the semester/quarter when the transition occurs, then R1 will reimburse the Transitioned Employee the amount they would receive if still employed by IMH for that semester/quarter, provided that the Transitioned Employee meets all of the requirements. |
3.1 | Employment Status with IMH. The Parties agree that no Transitioned Employee shall be considered an employee of IMH on and after his or her Employment Effective Date. In addition, the Parties shall conduct their respective businesses in a manner intended to eliminate or minimize the risk that, following any Transitioned Employee’s Employment Effective Date, IMH shall be considered an employer, co-employer or joint employer of any employee of R1 or any of its Affiliates or Subcontractors, including the Transitioned Employees. Neither R1 nor its employees (including Transitioned Employees), subcontractors or agents shall be deemed employees or agents of IMH for any purpose including for: (a) federal, state or local tax, employment, withholding or reporting; (b) provident fund, gratuity, bonus, workers’ compensation, employee state insurance or disability coverage, severance pay and paid time off; or (c) eligibility or entitlement to any benefit under any of IMH’s Benefit Plans. Neither IMH, nor its employees, subcontractors or agents shall be deemed employees or agents of R1 for any purpose including for: (i) federal, state or local tax, employment, withholding or reporting; (ii) provident fund, gratuity, bonus, workers’ compensation, employee state insurance or disability coverage, severance pay and paid time off; or (iii) eligibility or entitlement to any benefit under any of R1’s Benefit Plans. R1, and not IMH, is responsible for payment of its own employees’ worker’s compensation, disability, unemployment and other insurance, for its social security and Benefit Plans and all applicable income and other taxes. IMH, and not R1, is responsible for payment of its own employees’ worker’s compensation, disability, unemployment and other insurance, for its social security and Benefit Plans and all applicable income and other taxes. |
3.2 | Equal Employment Opportunity Employers Statement. IMH is an equal opportunity employer and federal contractor. Consequently, the Parties agree that, to the extent applicable, they will comply with the following, which are incorporated herein by reference: 41 CFR 60 1.4(a), 41 CFR 60 300.5(a), 41 CFR 60 741.5(a), and Executive Order 13496 (29 CFR Part 471, Appendix A to Subpart A), relating to the notice of employee rights under federal labor laws, specifically: |
(a) | IMH and R1 shall abide by the requirements of 41 CFR 60 300.5(a), as applicable. This regulation prohibits discrimination against qualified protected veterans, and |
(b) | IMH and R1 shall abide by the requirements of 41 CFR 60 741.5(a), as applicable. This regulation prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. |
3.3 | Other Employee Matters. As of the Employment Effective Date, the Transitioned Employees shall be employees of R1 for all purposes. R1 shall be responsible for all necessary recruiting and hiring costs associated with employing appropriate staff, including all travel and relocation requirements and costs of hiring or transitioning the Transitioned Employees. In addition, R1 shall be responsible for funding and distributing benefits under the Benefit Plans in which benefit-eligible Transitioned Employees participate on or after the Transitioned Employee’s Employment Effective Date and for paying any compensation and remitting any income, disability, withholding and other employment taxes for such Transitioned Employees beginning on the Employment Effective Date. IMH shall be responsible for funding and distributing benefits under the IMH Benefit Plans in which Transitioned Employees participated prior to the applicable Employment Effective Date and for paying any compensation and remitting any income, disability, withholding and other employment taxes for such Transitioned Employees for the period prior to the Employment Effective Date of such Transitioned Employee. IMH shall provide R1 with such information in IMH’s possession reasonably requested by R1 in order to fulfill its obligations under this Exhibit 10.1. R1 acknowledges that there may be some employees of IMH who do not transition employment to R1 in accordance with this Exhibit 10.1, but continue to provide revenue cycle services. For the avoidance of doubt, these employees shall remain and be considered employees of IMH and not R1, and accordingly shall be subject to IMH’s personnel policies and regulations. R1 agrees to include Transitioned Employees working in and IMH Facility or IMH Provider location in IMH caregiver appreciation celebrations and activities. |
3.4 | [**]. |
3.5 | [**]. |
3.6 | No-Hire After Transition. The Transitioned Employees shall be employees of R1 for all purposes. For the avoidance of doubt, as of the Employment Effective Date, the Transitioned Employees shall be subject to Section 24.4 of the Services Agreement. |
Empl ID | Last Name | First Name | Description | Transition Date by Employee |
XXXXXXXX | Doe | Jane | Financial Counselor | 2/05/2018 |
1.1 | For the period from the Commencement Date through [**] fee (to be invoiced in accordance with Exhibit 11.1-C) equal to the product of : |
(i) | The result of: |
a. | the prior year [**] Cash Collections with respect to such quarter for the revenue cycle operations of the IMH Facilities and the IMH Providers in the aggregate, |
b. | the sum of (A) one, plus (B) [**], plus (C) [**] (the result of (a) multiplied by (b) will be referred to herein as “[**] Base Fee Cash”), |
(ii) | the result of: |
a. | the Cost to Collect Factor (as defined in Section 3.1), |
b. | [**] (as defined in Section 4.3), |
c. | [**] (as defined in Section 5). |
1.2 | For all periods beginning on or following [**], a [**] fee equal to (to be invoiced in accordance with Exhibit 11.1-C) the product of: |
(i) | The result of: |
a. | the prior year’s [**] Base Fee Cash with respect to such quarter, |
b. | the sum of (A) one, plus (B) [**], plus (C) [**] |
(ii) | the result of: |
a. | the Cost to Collect Factor (as defined in Section 3.1), |
b. | [**] (as defined in Section 4.3), |
c. | [**] (as defined in Section 5). |
1.3 | Certain Definitions |
(i) | “Acute Adjusted Admissions” means, for any Contract Quarter, the quotient of: (x) Total Patient Revenue for such quarter, divided by (y) the quotient of (1) Inpatient Revenue for such quarter, divided by (2) Inpatient Admissions for such quarter. |
(ii) | “Acute Adjusted Admissions Percentage Change” means, for any Contract Quarter, the quotient of: (x) the difference between (a) the Acute Adjusted Admissions for such Contract Quarter, minus (b) the Acute Adjusted Admissions for the prior Contract Quarter, divided by (y) the Acute Adjusted Admissions for the prior Contract Quarter. |
(iii) | “Baseline Year” means [**]. |
(iv) | “Contract Quarter” means each three-month period during a Contract Year during the Term (i.e., January 1st to March 31st, April 1st to June 30th, July 1st to September 30th and October 1st to December 31st). Notwithstanding the foregoing, for the initial 2018 Contract Year, the first Contract Quarter shall be truncated, starting on the Commencement Date and ending at the first to occur of March 31st, June 30th, September 30th or December 31st of 2018; and the remaining Contract Quarters for 2018 shall follow the preceding methodology. |
(v) | “Contract Year” means each calendar year during the Term, [**]. |
(vi) | [**]. |
(vii) | “Inpatient Admissions” means, for any Contract Quarter, the total number of Inpatient Admissions as set forth in IMH’s Enterprise Data Warehouse or equivalent reporting system. |
(viii) | “Inpatient Revenue” means, for any Contract Quarter, the total dollar value of Inpatient Revenue as set forth in IMH’s Enterprise Data Warehouse or equivalent reporting system. |
(ix) | [**]. |
(x) | “Provider Visits” means, for any Contract Quarter, the total number of Provider Visits as set forth in IMH’s Enterprise Data Warehouse or equivalent reporting system. |
(xi) | “[**] Cash Collections” means, for each of the IMH Facilities and the IMH Providers (or both), the cumulative Cash Collections received by IMH for the IMH Facilities or the IMH Providers (or in the aggregate with respect to both), during the [**] period that ends one month prior to the commencement of the quarter for which the Base Fee with respect to IMH is payable. |
(xii) | [**]. |
2.1 | Performance and Timing. The Parties will perform and complete a collaborative initial assessment of the Services prior to the Commencement Date in order to determine the Initial Cost to Collect Factor (as defined in Section 3.1 below) (the “Initial Assessment”). |
2.2 | Assessment Principles. In connection with the Initial Assessment, the following principles will be followed. |
(i) | Payroll Expenses for IMH: All payroll costs and expenses at IMH for In-Scope Employees (defined below) and, to the extent not otherwise included in the definition of In-Scope Employees, all payroll costs and expenses for Management Employees (as defined in this Section 2.2), all of which shall be borne by R1. “In-Scope Employees” means: |
a. | those non-clinical employees, as identified by job title, which are responsible for performing functions that relate to the Services which are designated, pursuant to the Initial Assessment, as having an In-Scope Percentage (as defined below) that is greater than or equal to [**] (all of which employees shall also be deemed to be In-Scope Employees); and |
b. | if approved by the Joint Review Board, any non-clinical employees, as identified by job title, that are responsible for performing functions that relate to the Services and are designated, pursuant to the Initial Assessment as having an In-Scope Percentage higher than [**] but lower than [**]. |
(ii) | IT Support/Real Estate Expenses for IMH: With respect to allocation of costs and expenses related to information technology support and real estate for purposes of inclusion in the Cost to Collect Numerator, the Parties shall, prior to the Commencement Date, mutually agree in good faith on a methodology that (A) represents an accurate reflection of the allocation of costs and expenses between the Parties including both operating expense and depreciation expense; and (B) favors simplicity in execution and invoicing and excludes any cost allocation for In-Scope Employees whom we reasonably expect to remain in Authorized Space. The Parties shall mutually agree in good faith on a mechanism to avoid a material amount of duplicate or unfunded costs or expenses related to IT support and real estate. |
(iii) | Other Expenses for IMH: Allocation of all other expense categories shall be determined through mutual agreement of both Parties in good faith. |
(iv) | [**] |
(v) | Non-Payroll Expenses for Third-Party Vendors: The Cost to Collect Numerator, as defined below, will include all costs and expenses related to In-Scope Vendors (defined below), [**] shall [**], excluding any portion of the costs and expenses for Partially Related Vendors that are not related to the Services. |
(vi) | Partially Related Vendors: For any Partially Related Vendors, the portion of the cost of the Partially Related Vendor that relates to the Services will be [**]. The Joint Review Board may review the list of vendors from time to time and, when appropriate, determine whether any such vendor is not an In-Scope Vendor. If a vendor is deemed not to be an In-Scope Vendor, an adjustment to the Cost to Collect Numerator shall be made to [**] accordingly, and R1 shall [**], such costs. |
(vii) | Additional Considerations: |
a. | If a termination fee or other termination-related costs or expenses must be paid to allow for the termination or any splitting of an existing In-Scope Vendor contract, such fee will be [**], subject to Section 14.6 of the Agreement. |
b. | The allocation of one-time, lump-sum implementation and/or license fees for a particular In-Scope Vendor will be [**]the Cost to Collect Numerator. |
c. | R1 and IMH shall each be responsible for its own incurred costs associated with information technology, such as interface |
d. | The allocation between the Parties of one-time costs related to information technology system conversion services, including consulting services, staff augmentation and training, will be excluded from the Cost to Collect Numerator. |
e. | Recurring maintenance, support, service, license, or contingency fees for all In-Scope Vendor products, solutions, and services, shall be included in the Cost to Collect Numerator, and [**] R1. |
f. | The Parties will work together to identify any costs from the Initial Assessment that should be either added or removed from the Cost to Collect Numerator. |
2.3 | Determination of Initial Cost to Collect Factor. The Initial Cost to Collect Factor shall be determined by the Joint Review Board after the completion of the Initial Assessment. |
(i) | Calculation Principles. In addition to the principles listed in Section 2.2 above, the Joint Review Board shall also follow the methodology below with respect to completing the table set forth in Section 3.1 in order to establish the Initial Cost to Collect Factor: |
a. | The fraction to be set forth in the table (expressed as a percentage) representing the Cost to Collect Factor as of the Effective Date will be calculated as follows: (i) the aggregated annual value of all costs from the Initial Assessment for IMH, as approved by the Joint Review Board, and otherwise normalized to account for any extraordinary costs that do not relate to the Services provided during the Baseline Year or are not reasonably expected to continue (e.g. payroll costs related to Transcription) (collectively, “Cost to Collect Numerator”); and (ii) the denominator is equal to the aggregate amount of Cash Collections for the IMH Facilities and the IMH Providers, in the aggregate, during the Baseline Year. |
(ii) | The Parties must determine the Initial Cost to Collect Factor prior to the Commencement Date. |
3.1 | “Cost to Collect Factor” means the fraction (expressed as a percentage) which will be determined by the Parties and approved by the Joint Review Board after completion of the Initial Assessment (such fraction subject to any adjustment agreed by the Joint Review Board in accordance with Sections 3.2 and 3.3 below). |
Baseline Year Cash | Cost to Collect Numerator | Initial Cost to Collect Factor | |
All IMH Facilities and IMH Providers | $ | $ | % |
(i) | the Initial Cost to Collect Factor listed above, |
(ii) | any downward adjustments, as provided for in Section 3.2 below, and |
(ii) | any upward adjustments, as provided for in Section 3.3 below. |
3.2 | Discontinued Services |
3.3 | New Services, Acquisitions and New Hospitals |
(i) | For the avoidance of doubt, if IMH requests that R1 provide any services other than the Services or if IMH requests that R1 provide any Services which were not provided to IMH prior to the date of such request, all such requested services shall be New Services under Section 3.8 of the Services Agreement. The Parties agree that for any such New Services, if the costs or expenses associated with such New Service are not accounted for in the determination of the Cost to Collect Factor as of the date such New Service would commence, then the Cost to Collect Factor will be equitably increased by an amount to be determined by the Joint Review Board, and such adjustments shall be effective as of the date R1 begins performing such New Service. |
(ii) | In the event that after the Commencement Date additional existing facilities and providers are added to the IMH Facilities or IMH Providers that result in an increase of [**] net patient services revenue, the Parties will perform and complete an assessment of such facilities and providers that is consistent |
(iii) | In the event that after the Commencement Date IMH opens new facilities that are added to the IMH Facilities or IMH Providers,. If IMH opens new facilities as described in this Section 3.3(iii), and R1 hires any employees who will perform the Services for such new facility more than [**] days in advance of IMH opening a new facility at IMH’s request, IMH shall reimburse R1 for the expenses incurred for hiring each such employee. |
4.1 | During the Term, Intermountain shall be entitled to a [**] each quarterly Base Fee invoice, as reflected in Section 1.1, of the applicable [**] (as defined below), which shall be phased in over the [**] period from the Commencement Date. |
4.2 | For each year that Intermountain receives Services from R1 during the Term, the Cost to Collect Factor shall be [**] to be calculated as follows: |
(i) | For the period starting on the Commencement Date and ending [**] of the [**] shall be [**] from the Cost to Collect Factor; |
(ii) | For the [**] of the [**] shall be [**] from the Cost to Collect Factor; |
(iii) | For each subsequent calendar year during the term thereafter, [**] of the [**] shall be [**] from the Cost to Collect Factor. |
4.3 | “[**]” means the quotient (expressed as a percentage) of (x) [**] (the “[**]”), divided by (y) the aggregate Cash Collections of the IMH Facilities and the IMH Providers during the Baseline Year. |
Period | [**] | [**] |
Commencement Date – [**] | [**] | -- |
[**] | [**] | -- |
[**] – Term | [**] | -- |
6.1 | In the event that there is a Force Majeure Event, a material change in the environment in which IMH is operating its revenue cycles, or a material change in the laws and regulations that apply to IMH or R1 that significantly affects the economics of one or more of the Parties or frustrates the ability of a Party to perform its obligations hereunder, through no fault of its own, there will be a fair and appropriate adjustment (increase or decrease) to portions of the Base Fee. Upon such request, the Parties will, in good faith, discuss the costs associated with the change in circumstance, with the outcome to equitably reflect the incremental change in costs to deliver the Services. |
6.2 | Examples of matters that could trigger an adjustment to the Base Fee include the following: |
(i) | Material changes in the form of reimbursement by commercial or government payors, including changes to a payment model such as an at-risk or partial or fully capitated system; |
(ii) | [**]. |
(iii) | Changes to the IMH IT Environment, which results in a material [**] in the cost of revenue cycle operations. |
• | “Actual Result” means, with respect to any Metric, the value obtained by performing the calculation in accordance with the definition of such Metric. |
• | [**] |
• | “Book of Business” means the aggregate IMH Providers on the one hand and aggregate IMH Facilities on the other hand. |
• | [**] |
• | “Balanced Score” shall mean: |
o | with respect to Metrics No. 1 to 3 and 5, the quotient of: |
§ | (x) the difference between (1) the Lower Bound for each such Metric in Table 2.2(e), minus (2) the Actual Result for such Metric in the Measurement Period, divided by |
§ | (y) the result of (1) the Lower Bound for each such Metric in Table 2.2(e), minus (2) the Upper Bound for such Metric. |
o | with respect to Metric No. 4, the quotient of: |
§ | (x) the difference between (1) the Actual Result for Metric No. 4 in the Measurement Period, minus (2) the Lower Bound for Metric No. 4, divided by |
§ | (y) the difference between (1) the Upper Bound for Metric No. 4, minus the Lower Bound for Metric No. 4 in Table 2.2(e). |
• | [**] |
• | “Capped Score” shall mean, the Balanced Score, as modified, if at all, in accordance with the following formula: |
o | if the Balanced Score for each such Metric is [**], then the Capped Score for such Metric shall be equal to [**]; |
o | if the Balanced Score for each such Metric is greater than [**], then the Capped Score for such Metric shall be equal to [**]; and |
o | if the Balanced Score for each such Metric is [**], then the Capped Score for such Metric shall be equal to [**]. |
• | [**] |
• | “Contract Quarter” has the meaning given in Section 1.3(iv) of Exhibit 11.1-A. |
• | “Contract Year” has the meaning given in Section 1.3(v) of Exhibit 11.1-A. |
• | [**] |
• | [**] |
• | [**] |
• | “Lower Bound” means, for any Metric, on a Book of Business specific basis, the lower bound result set forth in Table 2.2(e) for such Metric. The Joint Review Board will approve the Lower Bound for each Metric prior to the Commencement Date. For each Metric, the Parties intend to use as the Lower Bound [**]: (a) the Actual Result for such Metric [**]; and (b) the Actual Result for such Metric [**]. Notwithstanding the foregoing, the Parties intend that the Lower Bound for Metric Nos. 1 and 2 for the IMH Providers Book of Business will be the average of the Actual Results for each such Metric [**]. The Lower Bound for each Metric shall be adjusted [**], starting with the Lower Bound in effect for [**] as set forth in Exhibit 11.1-B-1. |
• | “Measurement Period” means a period of measurement hereunder following the Commencement Date calculated at the end of each Contract Quarter during a Contract Year as follows: Starting at the beginning of each Contract Year, the initial Measurement Period will be the first Contract Quarter, and each subsequent Measurement Period will be equal to the sum of such Contract Quarter plus all previous Contract Quarters during such Contract Year. Notwithstanding the foregoing, for the 2018 Contract Year, the initial Measurement Period shall be the shortened Contract Quarter described in the Contract Quarter definition above. |
• | “Measurement Period Score” shall mean, for any Metric (expressed as a percentage) the Metric’s [**] Score for such Measurement Period. |
• | “Metric” means each of the individual measurements set forth in Table 2.2(e), the “Metric Value Table,” or any other individual measurement agreed by the Parties in accordance with Section 3.1; provided that there shall not be more than [**] individual measurements in place for any Contract Year. |
• | “Metric Value” has the meaning set forth in Section 2.3(b). |
• | [**] |
• | “Patient” has the meaning given in Section 1 of Exhibit 3.6. |
• | “Patient Accounting System” means IMH’s iSeries, GE Centricity, Cerner CPR Plus or Horizon patient accounting system, as applicable for any Metric as of the date of determination. |
• | [**] |
• | “Payor” means any third party that is contractually responsible for the payment of all or any portion of any Patient’s medical expenses, including, without limitation, commercial medical insurers and government insurers. |
• | [**] |
• | [**] |
• | [**] |
• | “Risk Pool” shall mean for each Measurement Period, for each Book of Business: |
o | if total incentive fees paid to R1 in accordance with Section 2.3 [**], the Cash Collections for such Book of Business during such Measurement Period, multiplied by [**]; and |
o | if total incentive fees paid to R1 in accordance with Section 2.3 [**], the Cash Collections for such Book of Business during such Measurement Period, multiplied by [**]. |
• | “Scorecard Calculation” means the process of calculating Incentive Fees described in Sections 2.2 and 2.3. |
• | “Self-pay Patients” are those Patients that present at the time of admission or service as having no Payor obligated to pay for any portion of the care for which such individual is presenting. |
• | “Total Charges” means, for any Measurement Period, the dollar value of total charged amounts posted for Patient services during such Measurement Period. |
• | [**] |
• | [**] |
• | “Total Weighted Value” shall mean the sum of each of the Metric Values for all Metrics as of the end of such Measurement Period. |
• | [**] |
• | “Upper Bound” means, for each Metric, on a Book of Business specific basis, the upper bound value set forth in Table 2.2(e) for such Metric. The Upper Bound for each Metric may be [**] as described in Section 3.1. |
• | “Weighting” means the weight of each Metric, expressed as a percentage, that is set forth in Table 2.2(e) of Exhibit 11.1-B, as specified for each Contract Year listed in such Table and as such weights may be adjusted by agreement of the Parties in accordance with Section 3.1. |
2. | Incentive Fees. IMH shall pay R1 any incentive fees earned for each Book of Business based on certain targeted performance metrics related to the successful delivery of the in-scope Services, and the amount of such incentive fees shall be determined in accordance with this Section 2 (“Incentive Fees”). |
2.1 | Guiding Principles. R1 and IMH agree that the “Guiding Principles” set forth below, outline the Parties’ intent in establishing the Scorecard Calculation and the Incentive Fees. |
(a) | The Parties intend that the performance measurement model reflect improvements in revenue cycle operations process effectiveness over time. |
(b) | All calculations shall be based on the financial data as reported in IMH’s iSeries, GE Centricity, Cerner CPR Plus or Horizon patient accounting systems, or successor systems, as applicable, in the ordinary course of business. |
(c) | In the event one of the Parties requests that, due to an intervening change in the healthcare industry or other external event or factor unrelated to the performance of IMH’s revenue cycle operations, the Parties consider whether any aspect of the measurement methodology outlined in this Section 2 should be revised (i.e., changes that would impact the Lower Bound or changes to the Metrics or the Metric Values in the Measurement Period), either as a one-time exception or as a going-forward amendment to this Exhibit 11.1-B, the Parties will meet to discuss such request in good faith (it being understood that any such exception or amendment would require the mutual agreement of the Parties). Such events could include, but are not limited to: |
(i) | Major increases or decreases to the number of sites operated by IMH; |
(ii) | Delayed implementation of agreed to contract rates between Payors and IMH; |
(iii) | Third party settlements; |
(iv) | Changes in accounting treatment; |
(v) | Changes in self-pay discounts, insured patient residual discounts, and charity policies or practices; |
(vi) | Changes to payor relationship status (eg. Payors moving from in-network to out-of-network) as a direct result of contracting decisions by IMH Payor Contracting. |
(d) | The Parties acknowledge and agree that the Guiding Principles are meant to be a statement of intent only and are not meant to supersede, amend, waive or otherwise change the measurement methodology set forth in this Section 2. Any amendment, waiver, or change to the measurement methodology may only be made through a subsequent written agreement between the Parties. |
(a) | The Parties shall calculate separate Scorecard Calculations for each Book of Business at the end of each Measurement Period and such calculations will be performed cumulatively throughout each Contract Year. |
(b) | The Scorecard Calculations for each Book of Business will be performed in the aggregate for all entities within each such Book of Business and the impact of positive results at one facility/provider with respect to a given Metric can be offset by negative results at a different facility/provider within that Book of Business. |
(c) | Subject to Section 3.1, the Metrics, Weighting, and Upper Bounds will remain in effect for the duration of the Services Agreement. The calculation of Measurement Period Scores for each Metric in any Measurement Period will utilize the same definitions, data sources, and systems as were used in calculating the then-current Lower Bound for such Measurement Period. In the event that there is a change to source data or systems that impacts the Lower Bound or the Measurement Period Score for a Metric, then the Parties will discuss whether such Lower Bound, Measurement Period Score or both should be recalculated. For those Metrics or any subcomponents of such Metrics that are currently delineated in IMH’s internal financial statements or operating reports, unless the Parties agree otherwise, during the Term, IMH will continue to calculate each Metric in the same manner that it calculated such Metric immediately prior to the Commencement Date. |
(d) | In the event that after the Commencement Date, facilities are added or removed to/from the IMH Facilities, then such IMH Facilities will be included/removed in the Scorecard Calculations beginning in the first full Contract Quarter following the closing of such acquisitions or divestitures. If such acquisitions or divestitures, individually or through a series of related transactions, result in a growth or reduction of [**], then the Parties agree to evaluate the Lower and/or Upper Bounds to account for the new or removed facilities or providers, as the case may be. Any adjustments to calculations under this Section 2.2(d) will take effect upon mutual agreement, prospectively applied, and will not be retroactive. The Lower and/or Upper Bounds |
(e) | The table below sets forth the Metrics, Weighting and Upper Bounds that the Parties agree will be used to perform the Scorecard Calculations for each Measurement Period for [**]. The table also contains the Lower Bound for each Book of Business that the Parties have agreed to for [**] as set forth in the table. |
Metric | Weighting for [**] | Weighting for [**] | IMH Facilities | IMH Providers | IMH Facilities | IMH Providers | |
Lower Bound for [**] | Lower Bound for [**] | Upper Bound for [**] | Upper Bound for [**] | ||||
1 | [**] | [**] | [**] | [**] | [**] | ||
2 | [**] | [**] | [**] | [**] | [**] | ||
3 | [**] | [**] | [**] | [**] | [**] | ||
4 | [**] | [**] | [**] | [**] | [**] | ||
5 | [**] | [**] | [**] | [**] | [**] |
(f) | Metric No. 1. [**]. |
(g) | Metric No. 2. [**]. |
(h) | Metric No. 3. [**] |
(i) | Metric No. 4. [**] |
(j) | Metric No. 5. [**] |
(a) | At the end of each Measurement Period, IMH shall pay to R1 fees equal to the following calculation if it results in a positive amount: (x) the Total Weighted Value for each Book of Business for such Measurement Period multiplied by the Risk Pool for such Book of Business for such Measurement Period; minus (y) any Incentive Fees previously paid by IMH for the same Contract Year. If such calculation results in zero or a negative amount prior to the last Contract Quarter in a Measurement Period, no payment shall be made by IMH to R1 and if such calculation results in a negative amount for the last Measurement Period of a Contract Year, then R1 shall provide to IMH a credit memo that IMH may use as a credit against future payments to R1. |
(b) | For each Metric, the “Metric Value” for each Measurement Period shall be equal to the product of (x) the Measurement Period Score for such Metric for such Measurement Period, multiplied by (y) the Weighting for such Metric. |
(c) | In the event of any adjustments to the Lower and/or Upper Bounds that take effect during a Contract Year in progress, pursuant to Section 2.1(c), Section 2.2(d) or Section 4.1, the Parties will equitably perform the Scorecard Calculations for the Contract Year to take into account such changes. |
(a) | Within [**] days following the last day of each month, IMH shall deliver to R1 a scorecard containing the Scorecard Calculations for the prior month. |
(b) | When the prior month is the last month of a Measurement Period, IMH shall deliver to R1 within [**] days following the end of the Measurement Period, a scorecard containing the Scorecard Calculations, including the Incentive Fees amount, for such Measurement Period; provided that if such Measurement Period occurs at the end of a Contract Year, then IMH shall deliver a preliminary scorecard by [**] and another scorecard within [**] days following the end of the Contract Year. If IMH has not delivered such scorecard within [**] days following the end of the Measurement Period, then R1 may perform the Scorecard Calculations and deliver the related scorecard to IMH. If the Party that receives the scorecard does not dispute the Scorecard Calculations within [**] days following delivery of such scorecard to such Party (the “Scorecard Review Period”), then that Party will be deemed to have consented to the Scorecard Calculations for purposes of invoicing and payment of the quarterly Incentive Fees only, provided that if the Measurement Period occurs at the end of a Contract Year, then the Scorecard Review Period will be calculated from the date of delivery of the second scorecard and Section 2.4(c) will apply. Subject to Section 2.4(e), upon the conclusion of the Scorecard Review Period, R1 will issue an invoice for the Incentive Fees owed for the applicable Measurement Period. |
(c) | When the Measurement Period occurs at the end of a Contract Year, then at the conclusion of the Scorecard Review Period and subject to Section 2.4(e) and Section 2.5, R1 will issue an invoice for the Incentive Fees owed for the Contract Year and the Scorecard Calculations and the amount of Incentive Fees shall be deemed to be final and binding upon the Parties, and such Scorecard Calculations and Incentive Fees shall no longer be subject to any adjustment or revision (including as a result of any audit or any newly discovered information or changes in data). |
(d) | IMH shall pay all invoices in full within [**] days following delivery of such invoice to IMH. |
(e) | In the event of a good faith dispute between the Parties regarding any quarterly scorecard, such payment dispute shall be resolved in accordance with Section 11.6 |
(f) | Once the payment dispute has been resolved, R1 will issue an invoice for the Incentive Fees owed for the Measurement Period, less any payments previously made by IMH for such Measurement Period. If the payment dispute occurs following the end of a Contract Year, then upon resolution, the Scorecard Calculations, including any adjustments agreed to by the Parties in connection with the dispute, shall be deemed to be final and binding upon the Parties, and shall no longer be subject to any adjustment or revision. |
(a) | At the end of each Contract Year, the Parties will agree to adjustments to the [**] values and perform the Scorecard Calculations using such adjustments for [**]. The scorecard shall be delivered in accordance with the process set forth in Section 2.4(b). Upon the conclusion of the Scorecard Review Period, R1 will issue an invoice for such Contract Year and IMH shall pay to R1 the Incentive Fees, if any, owed for such Contract Year; however, such Scorecard Calculations will not be deemed final with respect to the Actual Results reflected therein for [**]. |
(b) | After [**] days but before [**] days after the end of each Contract Year, the Parties will re-run the Scorecard Calculations for the [**]. Upon the conclusion of the Scorecard Review Period for such Scorecard Calculations, such Scorecard Calculations and the amount of Incentive Fees shall be deemed final and binding upon the Parties with respect to the Actual Results reflected therein for [**], and shall no longer be subject to any adjustment or revision. If the fees paid to R1 for such Contract Year are greater than the actual Incentive Fees for such Contract Year, then R1 will provide IMH with a credit for such difference on the next available invoice, whether such invoice is for the Base Fee or Incentive Fees. If the fees paid to R1 for such Contract Year are less than the actual Incentive Fees for such Contract Year, then R1 will invoice IMH for, and IMH will pay, such additional amount. |
(a) | In the event that all of the data required to complete a Scorecard Calculation is not available for any or all IMH Facilities or IMH Providers at the conclusion of a Contract Quarter, R1 shall bill IMH, and IMH shall pay Incentive Fees to R1, based on Scorecard Calculations using a Measurement Period Score of [**] for each Metric that lacks sufficient data to determine the Measurement Period Score based on Actual Results in accordance with Section 2.2 (the “Temporary Incentive Fees”). |
(b) | IMH agrees to use best efforts to include such missing data in a Scorecard Calculation as soon as possible. Once such information becomes available, the Parties agree to |
(c) | IMH recognizes the importance to R1 of finalizing the Incentive Fees for accounting and public reporting purposes. Therefore, if the data required to complete a Scorecard Calculation remains unavailable for more than [**] the end of a Contract Year, the Parties agree that the Temporary Incentive Fees amount relating to such Scorecard Calculation shall be deemed final and binding upon the Parties, and shall no longer be subject to any adjustment or revision (including as a result of any audit or any newly discovered information or changes in data). |
3.1 | Review. Starting with the Contract Year beginning on [**], the Parties agree to meet every to review the performance of IMH’s revenue cycle operations and to discuss the potential for amending the Scorecard Calculations set forth in Section 2.2 of this Exhibit 11.1-B to create other incentives for improvement. With respect to the Scorecard Calculations, beginning [**] and every [**] thereafter the Parties will have the opportunity to: (a) add new Metrics, provided that the Scorecard Calculations shall not use more than [**] Metrics at any time; (b) [**]; and (c) [**]. The Parties further agree that any such amendments to the Scorecard Calculation and Incentive Fees shall be completed in the first quarter of the Contract Year and shall apply to the Scorecard Calculations for that Contract Year. Changes to Scorecard Calculations shall not be applied to a completed Contract Year. In the event that the Parties do not agree on changes to the Scorecard Calculation within [**] after the end of a Contract Year, the then-current Metrics, Weighting and Upper Bounds will remain in place for such Contract Year. |
4.1 | Meaningful Improvements. R1 acknowledges that IMH is working collaboratively with [**] to [**]. The Parties’ intent is that if the efficiency of such functionality is materially improved, then there should be a [**] for the IMH Facilities Book of Business. The Parties shall mutually agree as to what level of efficiency needs to be achieved [**] and make such determination no later than [**]. |
5.1 | Home Health Business. R1 and IMH acknowledge and agree that post-acute care operations, including home health, skilled nursing and hospice care, (collectively “IMH Home Health”) are a distinct business unit within the IMH Providers Book of Business. Accordingly, the Parties will work together in good faith during [**], to establish IMH Home Health as a separate Book of Business with a separate Incentive Fee from the IMH Providers Book of Business and the IMH Providers Incentive Fee. If the Parties are not able to agree to the Metrics, Weighting, and Upper and Lower Bounds for a separate IMH Home Health Book of Business by [**], then either Party may submit the matter for resolution by the Joint Review Board. Any determination by the Parties to separate IMH Home Health into a separate Book of Business that occurs prior to the last day of [**] or any later Contract Year shall be effective as of such Contract Year. If the Parties have not reached agreement by the end of the [**], then the separation of IMH Home Health into a separate Book of Business shall be effective in the Contract Year after the Contract Year in which the Parties mutually agreed to separate Metrics, Weighting and Upper and Lower Bounds for an IMH Home Health Book of Business. |
• | “Metric Reset Percentage” means, for any Metric, the percentage set forth in the table below for such Metric. |
No. | Metric | Reset Percentage |
1 | [**] | [**] |
2 | [**] | [**] |
3 | [**] | [**] |
4 | [**] | [**] |
5 | [**] | [**] |
1. | If the Metric’s Capped Score for [**] is equal to [**], then the Lower Bound shall not be adjusted. |
2. | If the Metric’s Capped Score for [**] is equal to [**], then the Parties will discuss whether to adjust the Lower Bound and the Upper Bound, in accordance with Section 3.1 of Exhibit 11.1-B. The Parties intend that any adjustment of the Lower Bound of the Metric will be accompanied by an adjustment to the Upper Bound for the same Metric. |
3. | In the event that the Metric’s Capped Score for [**] is equal to [**], then the Lower Bound for any such Metric shall be adjusted using [**] as the adjustment basis year [**]. |
a. | the sum of: |
i. | the Actual Result for such Metric in [**], plus |
ii. | the product of (x) the Metric Reset Percentage for such Metric, multiplied by (y) the Upper Bound for such Metric in [**], less |
iii. | the product of: (x) the Upper Bound for such Metric in [**], multiplied by (y) the Balanced Score for such Metric in [**], |
b. | the sum of: (i) one, plus (ii) the Metric Reset Percentage for such Metric, less (iii) the Balanced Score for such Metric in [**]. |
4. | In the event that: (A) the Metric’s Capped Score for [**], then the Lower Bound for any such Metric shall be adjusted using [**] as the adjustment basis year [**]. |
a. | the sum of: |
i. | the Actual Result for such Metric in the [**] Year, plus |
ii. | the product of (x) the Metric Reset Percentage for such Metric, multiplied by (y) the Upper Bound for such Metric for the [**] Year, less |
iii. | the product of: (x) the Upper Bound for such Metric for the [**] Year, multiplied by (y) the Balanced Score for such Metric in the [**] Year, |
b. | the sum of: (i) one, plus (ii) the Metric Reset Percentage for such Metric, less (iii) the Balanced Score for such Metric in the [**] Year. |
5. | Any such adjustments to the Lower Bound of any Metric shall be applied in the first quarter of the Contract Year and will take effect prospectively. |
1.1 | Base Fee Invoicing. The Base Fee will be invoiced [**] and paid [**]. R1 shall provide IMH with a properly stated invoice for the Base Fee [**] days before the [**] in which the Services applicable to IMH are to be provided. The [**]payment of the applicable portion of the properly stated invoice for Base Fee will be due on the [**] day of the applicable [**] and shall be made by wire transfer, or other mutually acceptable means. |
2.1 | Incentive Fee Invoicing. Invoicing for Incentive Fees will be performed in the manner set forth in Exhibit 11.1-B. Payment for such properly stated invoices shall be made by wire transfer, or other mutually acceptable means, within [**] days after receipt of such invoice. |
3.1 | Any disputes involving Base Fees or Incentive Fees shall be addressed in the manner set forth in Section 11 of the Services Agreement. |
3.2 | All other charges, fees, reimbursements, and other amounts due or owing pursuant to this Agreement shall be paid by IMH by wire transfer or other mutually acceptable means, within [**] days after receipt of R1’s properly stated invoice with respect thereto. |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]; |
• | [**]. |
• | Noida Shared Services Center: Building 3 and Building 9 Situated at IT/ITeS Sez, Sector 135 Noida, India |
• | Gurgeon Shared Services Center: Building 2, Tower A Situated at IT/ITeS Sez, Sector 21, Dundahera, Gurgaon, Haryana, India |
• | Hyderabad Shared Services Center: NSL SEZ Arena, Survey No-1, Plot No. 6, Ramanthapur Road, Uppal, Gaddi, annaram, Hyderabad, Telangana 500039, India |
• | Tikri Shared Services Center: Candor Gurgaon One Reality Projects Private Limited IT/ITES, SEZ 2nd, 3rd and 4th floor, Building No. 1 Village Tikri, Sector 48, Gurugram 122001 |
Vendor | Service Type | Termination Date | Scope/ Standard and Financial/Operational Responsibility (To Be Determined by the Parties) |
Exhibit 14.1-1 | ||
• | Implement a sufficiently dedicated production environment for IMH that complies with the Malware and Security Agreement and provides segmentation of the IMH specific components to facilitate the creation of an independent, recoverable backup of the IMH production environment. |
• | Execute scheduled, dedicated backups specifically for IMH’s production environment. |
• | Contract with a 3rd party offsite backup storage vendor to hold the IMH production environment backup and make the backup available to IMH directly if and when a triggering event occurs (i.e., R1 enters bankruptcy protection and is no longer operating its business as a going concern, or otherwise abruptly ceases to operate its business). |
• | [**] test the ability to restore individual servers from these backups. |
• | At IMH’s discretion, execute [**] Q1 joint test of the Recovery environment. |
• | Separate directories will be used to receive IMH data on the [**] server. |
• | Databases on separate logical portions of the storage area network (SAN) will be dedicated to IMH for use in the [**] servers. |
• | [**] servers will support user and partner interaction with each request logically separated from all other requests passing through the server. These requests will not be stored on the server and will not survive a reboot. |
• | Execute [**] system level backups for the [**] servers providing service to IMH. These backups will (a) capture the configuration of each server and the services running on it and (b) allow a server to be restored to an empty “bare metal” server. |
• | Execute [**] database server backups for the TRAN and CARE servers providing service to IMH. These backups will capture (a) the configuration of the server and the services running on it, (b) the database including its configuration and stored procedures stored in it, and (c) the data in the database. |
• | Execute [**] backups of the databases on the [**] servers providing service to IMH. These backups will capture the current data in the database on the server. |
• | [**] |
• | [**] |
• | R1 will notify IMH when changes are made in the technology used to back up the dedicated production environment. |
• | The test will consist of a pre-defined set of scripts created to validate key components of the application. |
• | The test will simulate interactions with third party providers rather than create live connections. Detailed instructions will be created to implement live connections when required. |
• | The test duration will be limited to [**] days. |
• | IMH will maintain physical control over any back up media. |
• | IMH will maintain access logs to the physical space, as well as to the information. |
• | After the restoration is completed, IMH will dispose of or destroy the information and data in a secure manner consistent with the data destruction requirements in the Malware and Security Agreement between the Parties. |
• | IMH agrees to be responsible for the protection and security of R1’s proprietary information and intellectual property, and as such, will indemnify R1, without limitation, from and against any claims, losses, damages and costs that result from any inappropriate disclosure, loss or misappropriation of the data and materials that are provided to IMH in connection with any periodic restoration that occurs in any non-R1 location. In addition, IMH will be responsible for the incremental costs associated with performing the restoration at any such non-R1 location. |
• | [**] |
• | [**] |
• | [**] |
• | [**] |
• | [**] |
• | [**] |
1.1 | Purpose of this Agreement. Federal and state laws, as well as Intermountain’s policies, protect Confidential Information, assure that it remains confidential, and permit it to be used for appropriate purposes. Those laws and policies assure that Confidential Information, which is sensitive and valuable, remains confidential. They also permit you to use Confidential Information only as necessary to accomplish legitimate and approved purposes. You need access to Confidential Information because you have one of the following roles: |
A. | An Intermountain Workforce member, which includes volunteers (a ‘Workforce Member”): or |
B. | An Intermountain-affiliated Provider, an Intermountain-credentialed Provider, or a Provider’s employee (a “Provider”) ;or |
C. | A vendor or agent of IHC Health Services, Inc., or a Vendor’s or Agent’s employee or subcontractor (a “Vendor’’ or “Agent”). |
1.2 | Definition. “Confidential Information” means data proprietary to Intermountain, other companies, or other persons, plus any other information that is private and sensitive and which Intermountain has a duty to protect. You may learn or access Confidential Information through oral communications, paper documents, computer systems, or through your activities at or with Intermountain. Examples of Confidential Information include the following information that is maintained by, or obtained from, Intermountain: |
A. | An individual’s demographic, employment, or health information; |
B. | Peer-review information; |
C. | Intermountain’s business information, (e.g., financial and statistical records, strategic plans, internal reports, memos, contracts, peer review information, communications, proprietary computer programs, source code, proprietary technology, etc.); and |
D. | Intermountain’s or a Third-party’s information (e.g., computer programs, client and vendor proprietary information, source code, proprietary technology, etc.). |
2.1 | Compliance. To qualify to access or use Confidential Information, you will comply with the laws and Intermountain policies governing Confidential Information. |
Exhibit 17.4-1 | ||
2.2 | Principal Duties. Your principal duties regarding Confidential Information include, but are not limited to, the following: |
A. | Safeguard the privacy and security of Confidential Information; |
B. | Use Confidential Information only as needed to perform your legitimate and Intermountain-approved responsibilities. This means, among other things, that you will not: |
(1) | Access Confidential Information for which you have no legitimate need to know; |
(2) | Divulge, copy, release, sell, loan, revise, alter, or destroy any Confidential Information except as properly authorized within the scope of your legitimate and Intermountain-approved responsibilities; or |
(3) | Misuse Confidential Information; |
C. | Safeguard, and not disclose, your access code or any other authorization that allows you to access Confidential Information. This means, among other things, that you will: |
(1) | Accept responsibility for all activities undertaken using your access code and other authorization; and |
(2) | Report any suspicion or knowledge that you have that your access code, authorization, or any Confidential Information has been misused or disclosed without Intermountain’s permission(Report this suspicion or knowledge to the Intermountain Compliance Hotline at 1-800-442-4845, or, if you are a member of Intermountain’s Workforce, to your supervisor or facility compliance coordinator.); |
D. | Not remove Confidential Information from an Intermountain facility unless necessary for your legitimate and Intermountain-approved responsibilities (If removal of Confidential Information from an Intermountain facility is necessary, you will use reasonable and appropriate physical and technical safeguards-such as encrypting electronic Confidential Information.); |
E. | Report activities by any Individual or entity that you suspect may compromise the confidentiality of Confidential Information (To the extent permitted by law, Intermountain will hold in confidence reports that are made in good faith about suspect activities, as well as the names of the individuals reporting the activities.): |
F. | Not use or share Confidential Information after termination of your role triggering the requirement to sign this Agreement (For example, if you are a Workforce Member, when you leave Intermountain’s employment; if you are a Provider, when you lose your privileges at an Intermountain facility or your privileges to access Confidential |
Exhibit 17.4-2 | ||
G. | Claim no right or ownership interest in any Confidential Information referred to in this Agreement. |
3.1 | Responsibility. You are responsible for your noncompliance with this Agreement. |
3.2 | Discipline. If you violate any provision of this Agreement, you will be subject to discipline, including but not limited to, the following: |
A. | If you are a Workforce Member, to dismissal as a member of Intermountain’s Workforce, loss of employment with Intermountain, termination of your ability to access Confidential Information, and legal liability; |
B. | If you are a Provider, a Vendor, or an Agent, to discipline, including revocation of your ability to access or use Confidential Information, and legal liability. |
3.3 | Relief. Any violation by you of any provision of this Agreement will cause irreparable injury to Intermountain that would not be adequately compensable in monetary damages alone or through other legal remedies, and will entitle Intermountain to the following: |
A. | If you are a Workforce Member, or an Vendor or Agent, to preliminary and permanent injunctive relief, a temporary restraining order, and other equitable relief in addition to damages and other legal remedies; or |
B. | If you are a Provider, to a court order prohibiting your use of Confidential Information except as permitted by this Agreement, and Intermountain may also seek other remedies: and |
3.4 | Authority. Intermountain may terminate your access to Confidential Information if your status as a Workforce Member, Provider, Vendor, or Agent changes, if Intermountain determines that to be in the best interests of Intermountain’s mission, or if you violate any provision of this Agreement. |
Exhibit 17.4-3 | ||
1. | Selection of Legal Counsel. For avoidance of doubt, the selection of legal counsel, whether internal or external, to represent a Party in connection with the Services shall be made by such Party in its sole discretion. |
2. | IMH Compliance Policies and Procedures. Subject to Section 18.7(b) of this Agreement, R1 and R1 Contractors shall comply with IMH policies and procedures relating to revenue cycle operations. |
3. | Compliance Training Materials. Without limiting Section 18.9 of the Services Agreement, the R1 Compliance Officer shall keep the IMH Compliance Officer informed of all material changes to R1 compliance training materials which are used to train R1 or IMH personnel in relation to Services provided under the Agreement. |
4. | Communications. The Parties agree that their respective communications departments will need to be coordinated and work in concert in order to provide for the efficient delivery of the Services. Accordingly, each Party shall direct their respective communications’ departments and personnel to keep their counterparts at the other Party informed of and work collaboratively on all material form communications to patients, payers or regulators related to the Services. |
5. | Authority of Intermountain Healthcare. Nothing in this Agreement shall be interpreted to restrict the rights or responsibilities of the governing body, medical staff, or the appointed administrator(s) of any IMH Facility or IMH Provider to exercise any authority or conduct any oversight required by Medicare conditions of participation, conditions of coverage, or other applicable laws or regulations. |
6. | IMH Budgets, Expenditures and Property. IMH retains final approval authority and control over IMH’s annual budgets, capital expenditures, or disposition of IMH property. |
7. | IMH 501(c)(3) Obligations. The Parties expressly acknowledge that in furtherance of its charitable mission IMH has implemented charity care, billing and collection policies, procedures and guidelines (the “IMH Charity Care and Financial Assistance Policies”). Such policies may apply to both insured and uninsured patients and may require discounts to be given to both patients in financial need and those who are not. R1 agrees to abide by the IMH Charity Care and Financial Assistance Policies or any amendment, replacements or additions thereto. The Parties further agree that IMH will promptly notify R1 of any such amendments, replacements or additions to said policies. The Parties additionally agree that there will be no targeting of uninsured patients in the course of implementing charge master and pricing initiatives. The Parties acknowledge that IMH is exempt from federal tax under Section 501(c)(3) of the Internal Revenue Code and that notwithstanding any other provision of this Services Agreement, IMH shall not be required to take any action or perform in a manner which jeopardizes its tax-exempt status, including IMH’s compliance with IRS |
Exhibit 18.8-1 | ||
Exhibit 18.8-2 | ||
• | Each of the activities described below have been initiated and/or completed for the applicable time period. |
• | R1 maintains evidence to support the accomplishment of the activities included within this attestation. |
• | Significant compliance matters have been disclosed to the VP-BEC and/or his/her designee. |
1. | High Level Oversight |
1.1 | Dedicated Compliance Officer |
1.2 | R1’s Compliance Officer will report to R1’s Board of Directors and/or any designated R1 committees or designees responsible for oversight of the Compliance Program, no less than [**] times [**]. |
2. | Risk Assessment |
2.1 | [**] risk assessment |
2.2 | Compliance work plan |
3. | Policies and Procedures |
3.1 | General Compliance Policy |
3.2 | Standards of Conduct |
3.3 | Criminal background testing |
3.4 | Excluded individuals/entities testing |
3.5 | Disciplinary sanctions for compliance violations |
3.6 | Reporting compliance issues |
3.7 | Investigation response |
3.8 | Conflicts of Interest |
3.9 | Coding and Billing procedures/guidelines |
3.10 | HIPAA/Privacy |
3.11 | HIPAA Security |
4. | Training and Education |
4.1 | [**] compliance training for all workforce members (employees, contractors) |
4.2 | Compliance onboarding training for all new workforce members |
4.3 | Written attestation of [**] review of Code of Conduct, Whistleblower & Anti-Retaliation Policy |
4.4 | Focused compliance training for coding, billing and registration/admissions workforce members |
4.5 | Periodic compliance updates to all employees (e.g., online R1 Forum articles, e-mail communications) |
5. | Open Lines of Communication |
5.1 | Anonymous compliance hotline |
5.2 | Compliance log/tracker of issues |
5.3 | Prompt response to compliance reports |
6. | Auditing and Monitoring |
6.1 | Third-party coding and billing audits |
6.2 | Internal audits based on risks identified in compliance/compliance audit work plans |
7. | Response to Detected Deficiencies |
7.1 | Action plan development and completion |
7.2 | Timely response to action plans |
8. | Enforcement of Disciplinary Standards |
8.1 | Consistent discipline in response to violations of compliance policies |
8.2 | [**] review of excluded provider associates and contractors |
8.3 | Prompt response/corrective action in response to excluded provider testing |
• | “Revenue Integrity Collected Accounts” has the meaning given in Section 3.6(a) of this Exhibit 19.2. |
2. | General. In accordance with Section 19.2 of the Services Agreement, R1 shall provide the following Reports and Data Sets on a [**] basis by no later than [**] days following the end of each [**], unless another deadline is explicitly specified within this Exhibit 19.2; provided that if problems with IMH’s IT Environment cause any delay in creating or providing Reports and Data Sets, then R1 will not be responsible for the delay in timely delivery of Reports and Data Sets but R1 must work in good faith with IMH and any applicable third party vendors or licensors to resolve those problems and overcome the delay. |
3. | Dependent Standard Report Set |
3.1 | Summary. |
(a) | Key Performance Indicators (“KPIs”) – R1 will provide all of the standard core operating metrics included in R1’s analytics platform on a [**] basis, as well as upon request. The standard core operating metrics will be provided for individual IMH Facilities and IMH Providers as well as at a consolidated levels for IMH Facilities, IMH Providers, and IMH. IMH shall also have the right to request other key performance indicators not included in R1’s standard core operating metrics, and R1 will provide reasonable efforts to fulfill such request. Should R1 determine in good faith that such performance data cannot reasonably be provided or validated, or would be overly burdensome to provide or validate, the request will be referred to the Executive Council. The Executive Council will discuss possible approaches to providing the data, and determine whether and from where it will be obtained. |
(b) | Any documentation required to support and comply with “Exhibit 3.6 – Service Levels” of the Services Agreement. |
(c) | Any documentation or KPIs required to support and comply with Exhibit 11.1-A – Base Fee for Services” and “Exhibit 11.1-B – Incentive Fees” of the Services Agreement. |
3.2 | Registration. |
(a) | [**] for each step of the registration process as currently agreed upon and calculated by the Parties. |
3.3. | Self- pay and Uncompensated Care. |
(a) | Patient Totals – This report will provide metrics for all patients, broken out by patient type, who present as uninsured or self-pay during the period being measured. The metrics will be [**] during the period. |
(b) | Pending Conversion [**] – This report will detail the period end [**] who, as a result of the screening processes have been identified as potentially able to be converted to a paying solution. |
3.4 | Patient Accounts Receivable - The total dollar amount of open accounts receivable from patients at the reporting date. |
3.5 | Payor Accounts Receivable. |
(a) | The total dollar amount of open accounts receivable from third party payors at the reporting date. The total dollar amount will be stratified by payor. The Payor Accounts Receivable report will also provide the aggregate amount of [**] at the reporting date. |
(b) | Accounts Receivable [**]. This report will display the amount of patient accounts receivable at period end expressed in terms of [**], for self-pay as well as each third party payer. |
(c) | [**] by Payor – This report will display the dollar amount of [**] by each third party payor at period end. To the extent reasonably available in IMH workflow and reporting tools, a breakdown of dollar amounts by hold reason and aging will also be included. |
(d) | [**] Summary – This report will display by each third party payor the net dollar amount [**], and the net dollar amount of [**] during the prior rolling [**] months, as well as for all active accounts receivables. |
3.6 | Revenue Integrity Reports. On a [**] basis, Rl will deliver to IMH the following reports with respect to the Revenue Integrity Services: |
(a) | a scorecard containing details on: [**]; and (iv) ideas for future projects. |
(b) | a summary report of past, present and expected future projects and the status of such projects; and |
(c) | a list of open issues, if any, or other items requiring discussion between the Parties. |
3.7 | Other Reports. The Parties understand that the reports listed above are not all inclusive and R1 agrees to use reasonable efforts to provide to IMH such other reports as IMH reasonably requests. If R1 determines in good faith that any such additional reports cannot be provided or validated using reasonable efforts, then R1 may refer such request to the Operations Oversight Council to propose possible alternatives for producing the data |
• | “Continued Services” means the portion of the Services under this Services Agreement that IMH requests to have continued during the Disengagement Period. |
• | “Disengagement Period” has the meaning set forth in Section 2.1(a). |
• | “Disengagement Plan” has the meaning set forth in Section 2.2(a). |
• | “Disengagement Services” has the meaning set forth in Exhibit 1.1; for the avoidance of doubt, Disengagement Services exclude the Continued Services, but include any other services or assistance under this Exhibit. |
• | “Equipment” has the meaning set forth in Section 2.2(e). |
2.1 | Availability. As part of the Services and subject to payment of fees substantively similar to the Charges, including as set forth in Sections 2.2(b) and 2.3 below or pursuant to any applicable Exhibit or Work Order, R1 shall provide to IMH and its designee(s) the Continued Services described in Section 2.2 below and any Disengagement Services requested by IMH pursuant to the terms of this Exhibit. |
(a) | Period of Provision. R1 shall provide Continued Services and Disengagement Services to IMH, commencing upon the effective date of a request for Continued Services and Disengagement Services, and, at IMH’s request, continuing for up to twelve (12) months following the effective date of the termination of the Services, or, if applicable, the expiration or termination of the Term of the Services Agreement (the “Disengagement Period”). Portions of the Continued Services could cease at different times during the Disengagement Period if and as requested by IMH. |
(b) | Firm Commitment. R1 shall provide any Continued Services and Disengagement Services regardless of the reason for termination of the Services or expiration or termination of the Services Agreement; provided, that if this Services Agreement is terminated by R1 under Section 23.3(a) of the Services Agreement for failure to pay undisputed amounts, R1 may require payment in advance at the beginning of each month for Disengagement Services to be provided or performed under this Exhibit 23.8. Such advance payments shall be based on a reasonable estimate provided by R1 at least [**] days in advance of such month with any additional Charges or credits to be reflected on the next invoice. In addition, if this Agreement is terminated by R1 under Section 23.3(a) for breach of R1’s Confidential Information or misuse of R1 Intellectual Property, then R1 may require that IMH provide reasonable assurance |
(c) | Performance. All Continued Services and Disengagement Services shall be provided subject to and in accordance with the terms and conditions of this Agreement. Without limiting the foregoing, R1 shall perform the Continued Services with the same degree of accuracy, quality, and timeliness as it provided with respect to the same or similar Services during the Term, including compliance with the Service Levels and subject to Exhibit 3.6 and Service Level Credits (if applicable). R1 personnel reasonably considered by IMH and R1 to be critical to the performance of the Continued Services and Disengagement Services shall be listed in the applicable Disengagement Plan and retained on the IMH account, unless reassignment is necessary for the retention of the employee by R1, as reasonably determined by R1 with notice to IMH (but reassignment will not excuse performance of the Continued Services or Disengagement Services as contemplated by this Exhibit). Subject to the foregoing, assignment of personnel shall be consistent with the periods set forth in the Disengagement Plan. |
2.2 | Scope of Continued Services and Disengagement Services. At IMH’s request, the Continued Services and Disengagement Services provided by R1 shall include the services, functions and responsibilities described below (in addition to any Disengagement Services described in the Disengagement Plan or in any particular Work Order under the Services Agreement). |
(a) | General Support. To the extent requested by IMH, R1 shall (i) use commercially reasonable efforts to assist IMH in developing a written disengagement plan (“Disengagement Plan”) to effect the disengagement, (ii) perform programming and consulting services to assist in implementing the Disengagement Plan, (iii) train personnel designated by IMH in the use of any business processes, work instructions and work procedures, any Equipment, materials or tools, and, subject to Section 2.2(g), third party software or systems used in connection with the performance of the Continued Services, (iv) assist in the execution of a parallel operation, data migration and testing process until the successful completion of the transition or the end of the Disengagement Period, whichever is sooner, (v) create and provide copies of the Intermountain RCO Data stored or controlled by R1 in the format and on the media reasonably requested by IMH, (vi) provide a complete and up-to-date, electronic copy of R1’s SOPs for revenue cycle operations for the IMH Facilities and the IMH Providers and applicable business processes, work instructions and work procedures, subject to protection of R1’s Intellectual Property, including trade secrets and business processes, consistent with the Services Agreement (e.g., Section IX and XV), and (vii) provide other technical assistance requested by IMH that is reasonably related to the disengagement with respect to the Continued Services and transition to a substitute solution. |
(b) | Continuation of the Continued Services. At and to the extent requested by IMH, R1 shall continue providing to IMH the Continued Services after their anticipated termination or the date of expiration or termination of the Services Agreement. R1 shall provide any such Continued Services subject to and in accordance with the terms and conditions of this Services Agreement and IMH shall pay R1 the Charges specified in the Services Agreement that IMH would have been obligated to pay R1 for such Continued Services if the Agreement had not yet expired or been terminated or had the Continued Services not been terminated. To the extent IMH requests a portion of the Services included in a particular Charge, the amount to be paid by IMH will be equitably reduced to reflect the portion of the Continued Services included in such Charge that R1 will not be providing or performing. |
(c) | Hiring. IMH shall be permitted to solicit during the provision of the Continued Services, but not hire, R1 employees assigned to the performance of Continued Services or Disengagement Services, during the Disengagement Period. At the conclusion of the Disengagement Period, R1 shall waive its rights, if any, under contracts with such personnel restricting the ability of such personnel to be recruited or hired by IMH (and IMH may solicit and hire them notwithstanding Section 24.4 of the Services Agreement). R1 shall provide IMH with reasonable assistance in its efforts to hire such R1 personnel, and shall give IMH reasonable access to such R1 personnel for interviews, evaluations and recruitment. IMH shall endeavor to conduct the above-described hiring activity in a manner that is not unnecessarily disruptive of the performance by R1 of its obligations under this Services Agreement. |
(d) | Software. As provided in Section 15.3 of the Services Agreement and subject to payment of the Charges (or substantively similar fees) during the term of the Disengagement Services, R1 shall continue to provide and license to IMH the R1 Technology and the Software and Services License. The Software and Services License will terminate at the end of the Disengagement Period and IMH shall cease all use of the R1 Technology in accordance with Section 15.3 of the Services Agreement. Any license to the R1 Technology following the term of the Disengagement Services would be documented by the Parties in a separate agreement. |
(e) | Equipment. Except as otherwise agreed by the Parties, IMH shall have the right (but not the obligation) to purchase at [**], or assume the lease for, any equipment located in the Utah Center of Excellence owned or leased by R1 that is used by R1 exclusively to perform the Continued Services (“Equipment”). In the case of R1-owned Equipment, at the time of such purchase, R1 will grant to IMH, a warranty of title and a warranty that such Equipment is free and clear of all liens and encumbrances. |
(f) | IMH Facilities, Equipment and Software. To the extent that the Services requiring any IMH Facilities, equipment, materials and software are no longer being provided by R1, then R1 shall vacate the IMH Facilities and return to IMH, if not previously |
(g) | Third Party Providers and In-Scope Agreements. |
(i) | R1 will use commercially reasonable efforts to make available to IMH on reasonable terms and conditions third party services then being utilized by R1 in the performance of the Services under shared agreements (e.g., agreements that R1 uses for multiple clients). |
(ii) | IMH may, in its sole discretion, assume any third party license and service agreements used by R1 to provide the Services that are dedicated exclusively to IMH (e.g., agreements that are only used for IMH Services). |
(iii) | At IMH’s request, R1 shall reassign to IMH any In-Scope Agreement that has been assigned to R1 pursuant to, and in accordance with, this Agreement and is still in effect at the time of the expiration or other termination of this Agreement, to the extent legally permitted and commercially practicable. R1 will not be liable for any breach by IMH of an assigned In-Scope Agreement. Intermountain will not be liable for any breach by R1 of an assigned In-Scope Agreement. Each Party will indemnify the other Party against any claims or damages to the extent arising from breach of an assigned In-Scope Agreement caused by the assigning Party. |
(iv) | It is understood and agreed that, in all events, IMH retains the right to contract directly with any service provider, contractor or third party with which IMH was contracted prior to the Effective Date. |
2.3 | Rates and Charges. Except as provided in Section 2.2(b) above, to the extent the Continued Services and Disengagement Services requested by IMH can be provided by R1 using personnel and resources already assigned to perform Services for IMH and where R1 is being compensated for such personnel or resource through payment of the Charges specified in the Services Agreement, there will be [**] to IMH for such Continued Services or Disengagement Services provided by such personnel or resource. If material Disengagement Services requested by IMH cannot be provided by R1 using [**] without adversely affecting R1’s ability to meet its performance obligations under this Services Agreement, then IMH, in its sole discretion, may forego or delay any work activities or temporarily or permanently adjust the work to be performed by R1, the schedules associated with such work or the Service Levels to permit the performance of such Disengagement Services using such personnel. To the extent IMH authorizes R1 to use additional R1 personnel to perform material Disengagement Services requested by IMH, IMH shall pay R1 the rates and charges specified in the Services Agreement, including any applicable Exhibit or Work Order, or, if no such rates and charges are specified in the Agreement, the Parties will come to agreement |
2.4 | Intent. The intent of this Exhibit, the Continued Services and Disengagement Services is to ensure a successful transition from the Services to a substitute solution for IMH and its revenue cycle operations. Accordingly, if any additional services, information or assistance from R1 is reasonably requested by IMH, then R1 will provide the services, information and assistance to IMH as additional Disengagement Services, and they will be subject to any additional payment obligations under this Exhibit for Disengagement Services. At IMH’s reasonable request, the Parties will amend the Disengagement Plan to better reflect the intent expressed above. The Disengagement Period may be extended by mutual agreement of the Parties. |
1. | Purpose |
2. | Schedules and Attachments |
Schedule A: | Transition Employees |
Schedule B: | IMH Assets to Be Made Available to R1 |
Schedule C: | In-Scope Agreements |
Schedule D: | Third Party Software Licenses and Agreements |
Schedule E: | Transition Work Plan |
3. | Definitions |
3.1 | Capitalized terms used in this Addendum but not otherwise defined herein shall have the meanings given to such terms in the Services Agreement. |
3.2 | “Commencement Date” shall mean April 8, 2018. |
4. | Base Fee |
4.1 | the Initial Cost to Collect Factor shall be [**]; |
4.2 | in accordance with Exhibit 11.1-A to the Services Agreement, including Section 3.1 thereof, the Baseline Year Cash, the Cost to Collect Numerator and the Initial Cost to Collect Factor for all IMH Facilities and IMH Providers are set forth in the table below: |
Baseline Year Cash | Cost to Collect Numerator | Initial Cost to Collect Factor | |
All IMH Facilities and IMH Providers | [**] | [**] | [**] |
4.3 | [**] |
[**] | [**] |
[**] | [**] |
[**] | [**] |
[**] | [**] |
[**] | [**] |
4.4 | [**] |
4.5 | in accordance with the terms of Exhibit 11.1-A, including Section 4, the [**] as set forth in the table below: |
[**] | [**] | [**] |
Commencement Date – [**] | [**] | [**] |
[**] | [**] | [**] |
[**] – Term | [**] | [**] |
5. | Lower Bounds for Metrics |
Metric | Weighting for [**] | Weighting for [**] | IMH Facilities | IMH Providers | IMH Facilities | IMH Providers | |
Lower Bound for [**] | Lower Bound for [**] | Upper Bound for [**] | Upper Bound for [**] | ||||
1 | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
2 | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
3 | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
4 | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
5 | [**] | [**] | [**] | [**] | [**] | [**] | [**] |
6. | Service Levels. |
7. | R1 Site Lead |
R1 Site Lead: H. Jeffrey Brownawell |
8. | Operations Oversight Council |
IHC Health Services, Inc. By: /s/ Mark Runyon Name: Mark Runyon Title: VP Operational Finance | R1 RCM Inc. By: /s/ H. Jeffrey Brownawell Name: H. Jeffrey Brownawell Title: SVP Operations |
EMPNO1 | FIRSTNAME | LASTNAME | JOBTITLE |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | PSR Productivity Skills Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Custom Rehab Reimbursement Coord |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Custom Rehab Reimbursement Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | Patient Srvc Rep-Specialty-HC |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Account Resolution Spec-HC |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Data Analyst II |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Application Systems Spec-Senior |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PAS Dir-MG |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Specialized Contracts |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Specialized Contracts |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PSR Specialized Contracts |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Coding Specialist-MG |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Productivity Skills Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PSR Productivity Skills Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | PSR Operations Coord |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | AR Provider Affil/Enroll Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Srvc Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Patient Acct Rep |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Audit Resolution Spec |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec III |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec III |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec III |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec III |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec II |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Accounting Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Appeals Supv-SH |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | AR Appeals Hearing Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Appeals Analyst/Writer/Trainer Sr |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Nurse Mgr III |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Executive Asst |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Analyst/Writer/Trainer Sr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Analyst/Writer/Trainer Sr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Secretary |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Analyst/Writer/Trainer Sr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Analyst Sr-Payer Contracting |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | AR Data Analyst |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | AR Appeals Hearing Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Contract Coord |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | AR Appeals Hearing Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Contract Coord |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | AR Appeals Hearing Spec |
[**] | [**] | [**] | Corp Clinical Appeals Cnsltnt |
[**] | [**] | [**] | Secretary |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Analyst Sr-Payer Contracting |
[**] | [**] | [**] | Analyst Sr-Payer Contracting |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Analyst Sr-Payer Contracting |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Appeals Spec I |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Appeals Spec II |
[**] | [**] | [**] | Financial Analyst II |
[**] | [**] | [**] | Contract Coord |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Regional Coding Mgr |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec I |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Regional Coding Mgr |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec I |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Technician |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Regional Coding Mgr |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Technician |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec I |
[**] | [**] | [**] | HIM Coding Spec IV |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Technician |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Regional Coding Mgr |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec I |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Services Dir |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Operations Mgr |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Svcs Training Cnsltnt |
[**] | [**] | [**] | HIM Coding Compliance Cnsltnt II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Compliance Cnsltnt II |
[**] | [**] | [**] | HIM Coding Compliance Cnsltnt II |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Regulatory Consultant |
[**] | [**] | [**] | HIM Coding Compliance Cnsltnt II |
[**] | [**] | [**] | HIM Regional Coding Mgr |
[**] | [**] | [**] | HIM Coding Svcs Training Cnsltnt |
[**] | [**] | [**] | HIM Coding Spec II |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | HIM Coding Svcs Training Cnsltnt |
[**] | [**] | [**] | HIM Coding Technician |
[**] | [**] | [**] | HIM Coding Spec III |
[**] | [**] | [**] | Executive Asst |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Transplant Financial Coord |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Eligibility Counselor I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Quality Assurance Asst |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-AF |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-CA |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Mgr-CC |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Technician III |
[**] | [**] | [**] | HIM Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Mgr-LO |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Supv |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Spec III |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Supv |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-IM |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Coord |
[**] | [**] | [**] | HIM Mgr-MK |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Coord |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Mgr-PM |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Coord |
[**] | [**] | [**] | HIM Mgr-UV/OR |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Spec III |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Spec III |
[**] | [**] | [**] | HIM Spec III |
[**] | [**] | [**] | HIM Mgr-SV/SP |
[**] | [**] | [**] | HIM Spec III |
[**] | [**] | [**] | HIM Spec II |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-RV |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-PCH |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-LD |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-AV |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Supv-HC |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-HC |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Mgr-DX |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Supv |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | HIM Tech Trainee |
[**] | [**] | [**] | HIM Operations Dir |
[**] | [**] | [**] | HIM Privacy Specialist-MG |
[**] | [**] | [**] | Release Of Information Coord |
[**] | [**] | [**] | HIM Document Coord |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Operations Dir |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | HIM Document Coord |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Document Coord |
[**] | [**] | [**] | HIM Document Coord |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | HIM Privacy Specialist-MG |
[**] | [**] | [**] | HIM Operations/Privacy Mgr-MG |
[**] | [**] | [**] | HIM Tech Sr |
[**] | [**] | [**] | HIM Operations Consultant |
[**] | [**] | [**] | HIM Tech Generalist |
[**] | [**] | [**] | HIM Document Coord |
[**] | [**] | [**] | Release Of Information Coord |
[**] | [**] | [**] | AR Data Analyst |
[**] | [**] | [**] | Data Analyst-Technical-Sr |
[**] | [**] | [**] | Financial Analyst |
[**] | [**] | [**] | Application Systems Spec-Senior |
[**] | [**] | [**] | Application Systems Spec-Senior |
[**] | [**] | [**] | Application Systems Spec-Senior |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | RCO Operational Tech Analyst II |
[**] | [**] | [**] | Data Analyst-Technical-Cnsltnt |
[**] | [**] | [**] | RCO Strategy Dir |
[**] | [**] | [**] | Application Systems Spec-Assoc |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Continuous Improvement Cnslt I |
[**] | [**] | [**] | Accounts Receivable Coord |
[**] | [**] | [**] | Continuous Improvement Cnslt I |
[**] | [**] | [**] | RCO Operational Tech Analyst I |
[**] | [**] | [**] | Continuous Improvement Cnslt II |
[**] | [**] | [**] | Continuous Improvement Cnslt I |
[**] | [**] | [**] | AR Data Analyst |
[**] | [**] | [**] | Data Analyst-Technical -Stf |
[**] | [**] | [**] | Financial Analyst |
[**] | [**] | [**] | Continuous Improvement Cnslt II |
[**] | [**] | [**] | PAS Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | PAS Dir |
[**] | [**] | [**] | PAS Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | Revenue Cycle AVP |
[**] | [**] | [**] | Revenue Cycle AVP |
[**] | [**] | [**] | PAS Dir |
[**] | [**] | [**] | PAS Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | RCO Operations Team Dir |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Tech/Ops Programs Mgr |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | RCO Operations Dialer Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Operations Dialer Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | RCO Operations Dialer Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Operations Dialer Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | RCO Operations Dialer Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec II |
[**] | [**] | [**] | RCO Quality Coord |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Financial Application Rep |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Srvc Rep-PFS Support I |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Patient Financial Srvs Spec |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Regl Patient Access/Elig Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Office Coord III |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | FAIR Coord |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Patient Srvc Rep-High Dollar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Cashier-RCO |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Office Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Regional/Enterprise Mgr |
[**] | [**] | [**] | Administrative Asst II |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Mgr-PAS |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Cashier-RCO |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Cashier-RCO |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Training/Operation Coord |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Revenue Integrity Coord |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Mgr |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Administrative Asst I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Billing Specialist III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Revenue Integrity Mgr |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Revenue Integrity Coord |
[**] | [**] | [**] | Secretary Medical II |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Secretary Medical II |
[**] | [**] | [**] | Secretary Medical II |
[**] | [**] | [**] | Secretary Medical II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Patient Srvc Rep-Specialty |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Revenue Integrity Analyst Sr |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Analyst I |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Mgr |
[**] | [**] | [**] | Revenue Integrity Coord |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Revenue Integrity Mgr |
[**] | [**] | [**] | Biller-Emergency Dept |
[**] | [**] | [**] | Revenue Integrity Analyst I |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Coord |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based I |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Billing Specialist III |
[**] | [**] | [**] | Billing Specialist III |
[**] | [**] | [**] | Clinical Charge Audit Analyst IV |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based II |
[**] | [**] | [**] | Clinical Charge Audit Analyst III |
[**] | [**] | [**] | Reimbrsmnt Anlyst-Code Based III |
[**] | [**] | [**] | Revenue Integrity Supv |
[**] | [**] | [**] | Clinical Charge Audit Analyst II |
[**] | [**] | [**] | Revenue Integrity Mgr |
[**] | [**] | [**] | Revenue Integrity Coord |
[**] | [**] | [**] | Secretary Medical I |
[**] | [**] | [**] | Revenue Integrity Analyst I |
[**] | [**] | [**] | Revenue Integrity Analyst II |
[**] | [**] | [**] | Clinical Charge Audit Analyst I |
[**] | [**] | [**] | Billing Specialist III |
[**] | [**] | [**] | Data Analyst-Technical -Stf |
[**] | [**] | [**] | Charge Services CDM Analyst Sr |
[**] | [**] | [**] | Charge Services CDM Analyst Sr |
[**] | [**] | [**] | Charge Services CDM Analyst II |
[**] | [**] | [**] | Charge Services CDM Analyst II |
[**] | [**] | [**] | Application Systems Spec-Stf |
[**] | [**] | [**] | Charge Services CDM Analyst I |
[**] | [**] | [**] | Charge Services CDM Analyst I |
[**] | [**] | [**] | Charge Services CDM Analyst Sr |
[**] | [**] | [**] | Financial Analyst II |
[**] | [**] | [**] | Financial Analyst Sr |
[**] | [**] | [**] | Application Systems Spec-Senior |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Office Coord II |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Account Resolution Spec |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | RCO Supv |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | PAS Mgr |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Registrar |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Prior Authorization Rep |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Enhanced Scheduler |
[**] | [**] | [**] | Authorization Rep |
[**] | [**] | [**] | Imaging Scheduler |
[**] | [**] | [**] | System Scheduling Mgr |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Training and Development Dir-RCO |
[**] | [**] | [**] | Curriculum Developer II |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Project Coord |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Curriculum Developer II |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Curriculum Developer II |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | Curriculum Developer II |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Project Coord |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | RCO Training Mgr |
[**] | [**] | [**] | E-Learning Developer II |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Curriculum Developer II |
[**] | [**] | [**] | Curriculum Developer I |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer II-RCO |
[**] | [**] | [**] | Trainer I-RCO |
[**] | [**] | [**] | E-Learning Developer I |
[**] | [**] | [**] | E-Learning Developer I |
[**] | [**] | [**] | Medical Transcriptionist Coord II |
[**] | [**] | [**] | HIM Transcription Mgr |
[**] | [**] | [**] | Medical Transcriptionist Supv |
[**] | [**] | [**] | Medical Transcriptionist |
[**] | [**] | [**] | Reimbursement Auditor-RCO |
Location | Computers | Printers | Scanners |
Alta View Hospital | [**] | [**] | |
American Fork Hosp | [**] | [**] | |
Bear River Hospital | [**] | [**] | |
Cassia Regional Hospital | [**] | [**] | |
Cedar City Hospital | [**] | [**] | |
Delta Community Hospital | [**] | [**] | |
Dixie Reg River Road | [**] | [**] | |
Dixie Regional MC | [**] | [**] | |
Fillmore Community Hospital | [**] | [**] | |
HCS Salt Lake City | [**] | [**] | |
Heber Valley Hospital | [**] | [**] | |
Holladay Clinic | [**] | [**] | |
Intermountain Medical Center | [**] | [**] | |
Layton Hospital | [**] | [**] | |
LDS Hospital | [**] | [**] | |
Logan Regional Hosp | [**] | [**] | |
McKay-Dee Hospital | [**] | [**] | |
Memorial Clinic | [**] | [**] | |
Orem Community Hosp | [**] | [**] | |
Park City Hospital | [**] | [**] | |
Primary Childrens Hospital | [**] | [**] | [**] |
Riverton Hospital | [**] | [**] | [**] |
Sanpete Valley Hospital | [**] | [**] | [**] |
Sevier Valley Hospital | [**] | [**] | [**] |
Taylorsville Clinic | [**] | [**] | |
TOSH | [**] | [**] | [**] |
Utah Valley Hospital | [**] | [**] | [**] |
Grand Total | [**] | [**] | [**] |
Computer Names | Location Description |
[**] | Alta View Hospital |
[**] | [**] |
[**] | American Fork Hosp |
[**] | [**] |
[**] | Bear River Hospital |
[**] | [**] |
[**] | Cassia Regional Hospital |
[**] | [**] |
[**] | Cedar City Hospital |
[**] | [**] |
[**] | Delta Community Hospital |
[**] | [**] |
[**] | Dixie Reg River Road |
[**] | [**] |
[**] | Dixie Regional MC |
[**] | [**] |
[**] | Fillmore Community Hospital |
[**] | [**] |
[**] | HCS Salt Lake City |
[**] | [**] |
[**] | Heber Valley Hospital |
[**] | [**] |
[**] | Holladay Clinic |
[**] | [**] |
[**] | Intermountain Medical Center |
[**] | [**] |
[**] | Layton Hospital |
[**] | LDS Hospital |
[**] | [**] |
[**] | Logan Regional Hosp |
[**] | [**] |
[**] | McKay-Dee Hospital |
[**] | [**] |
[**] | Memorial Clinic |
[**] | [**] |
[**] | Orem Community Hosp |
[**] | [**] |
[**] | Park City Hospital |
[**] | [**] |
[**] | Primary Childrens Hospital |
[**] | [**] |
[**] | Riverton Hospital |
[**] | [**] |
[**] | Sanpete Valley Hospital |
[**] | [**] |
[**] | Sevier Valley Hospital |
[**] | [**] |
[**] | Taylorsville Clinic |
[**] | [**] |
[**] | TOSH |
[**] | [**] |
[**] | Utah Valley Hospital |
[**] | [**] |
Facility | Printer Name | Printer Serial Number |
Alta View Hospital | [**] | [**] |
[**] | [**] | [**] |
American Fork Hospital | [**] | [**] |
[**] | [**] | [**] |
Bear River | [**] | [**] |
[**] | [**] | [**] |
Cassia | [**] | [**] |
[**] | [**] | [**] |
Delta | [**] | [**] |
[**] | [**] | [**] |
Dixie and Cedar City | [**] | [**] |
[**] | [**] | [**] |
Filmore | [**] | [**] |
[**] | [**] | [**] |
Heber Valley | [**] | [**] |
[**] | [**] | [**] |
HomeCare | [**] | [**] |
[**] | [**] | [**] |
IMED | [**] | [**] |
[**] | [**] | [**] |
LDS | [**] | [**] |
[**] | [**] | [**] |
Logan | [**] | [**] |
[**] | [**] | [**] |
McKay-Dee | [**] | [**] |
[**] | [**] | [**] |
PCMC | Riverton | Sanpete | Sevier | Tosh | Utah Valley |
[**] | [**] | [**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] | [**] | |
[**] | [**] | [**] | [**] | ||
[**] | [**] | ||||
[**] | [**] | [**] | [**] | [**] | [**] |
[**] | [**] | [**] | |||
[**] | [**] | [**] | |||
[**] | [**] | ||||
[**] | [**] | ||||
[**] | [**] | ||||
[**] |
Vendor | Service Type | Termination Date | Scope/ Standard and Financial/Operational Responsibility |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | |
[**] | Consulting Services | [**] | |
[**] | Office Equipment | [**] | |
[**] | Supplies | [**] | |
[**] | Car Rental | [**] | |
[**] | Telephony | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Armored transportation | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Office Equipment | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Software | [**] | |
[**] | [**] | [**] | [**] |
[**] | Computers | [**] | |
[**] | Consulting Services | [**] | |
[**] | Office Equipment | [**] | |
[**] | Software | [**] | |
[**] | [**] | [**] | [**] |
[**] | Office Equipment | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Copier Services | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Furniture | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | [**] |
[**] | Software | [**] | |
[**] | [**] | [**] | [**] |
[**] | Office Equipment | [**] | |
[**] | Software | [**] | |
[**] | [**] | [**] | [**] |
[**] | Signs | [**] | |
[**] | [**] | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | [**] | |
[**] | Software | [**] | |
[**] | Mail Services | [**] | |
[**] | [**] | [**] | [**] |
[**] | [**] | ||
[**] | Office Equipment | [**] | |
[**] | Janitorial Services | [**] | |
[**] | Office Equipment | [**] | |
[**] | [**] | [**] | |
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | [**] | ||
[**] | Office Supplies | ||
[**] | Postage | ||
[**] | Postage | ||
[**] | [**] | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment |
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Equipment | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | Office Supplies | ||
[**] | [**] | ||
[**] | Telecom | ||
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[**] | Telecom | ||
[**] | Telecom | ||
[**] | Telecom | ||
[**] | Telecom | ||
[**] | Telecom | ||
[**] | Utilities - Electricity | ||
[**] | Utilities - Electricity |
Vendor | Application | # Current Users (RCO Users) |
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Adobe | Adobe CC Master Collection | [**] |
Adobe | Adobe Creative Suite 4 | [**] |
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Microsoft | Office 365 | |
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1. | the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
2. | the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. |
1. | the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
2. | the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. |