Seyyone Profile


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Seyyone Profile

  1. 1. SeyyoneSeyyone SoftwareSoftware SolutionsSolutions Confidential
  2. 2. Confidential Seyyone Software Solutions - A brief profile  Seyyone is a offshore Medical Billing Company with delivery center providing healthcare billing solutions and transcription services.  We take pride in utilizing global resources to cover physician practices and offshore delivery centers for cost effective solutions.  We do billing for all specialties across United States of America.  We take pleasure in delivering quality services with high caliber to maximize the Practice revenue.  We are fully equipped in Revenue Cycle Management.
  3. 3. Confidential CorporateCorporate OverviewOverview
  4. 4. Confidential Corporate Overview Focus on excellence driven by Accuracy, Confidentiality and Turnaround Time Highly skilled and experienced specialists and dedicated follow up teams Consistently demonstrating the highest levels of commitment, competency and professionalism One stop solution-End to End process from dictation to accounts receivable – 24/7 Support Management team has Over 11 years of experience in the area of Medical Transcription Strict compliance with all HIPAA standards to maintain integrity and confidentiality of our client’s records
  5. 5. Confidential Corporate Overview Scalability, Reliability with improved quality End to end services and all kinds of financial reports. Quick response to the client needs as we are always able to fully staff each and every project 24/7 operations and customer support Highly Cost Effective Solutions - up to 40% cost reduction
  6. 6. Confidential ServicesServices @@ Seyyone SoftwareSeyyone Software SolutionsSolutions
  7. 7. Confidential Financial Reports Maintained by Seyyone Software Solutions In Seyyone Software Solutions, you can request for specific reports based on your requirements.  Aged Accounts Receivable Reports  Collections Reports  Daily Activity Reports (Demo/Charges/Payments)  Collection Ration Statistics and Trend  Cash Log  Daily Activity Report (EDI and AR)  Client Update Tracker  Claims Transmission and Rejections Tracker (EDI Team)  Denials Tracker  Exception Handling and Escalation matrix
  8. 8. Confidential Expertise  Radiology  Pathology  ENT  Surgery and Allied  Medicine and Allied  Obstetrics  Obstetrics and Gynecology  Ophthalmology  Radiation Oncology  Nuclear Medicine and Psychiatry  Allergy and Immunology  Emergency Medicine  Internal Medicine  Pediatrics  Dermatology  Family Medicine  Urology  Anesthesiology  Physical Medicine and Rehabilitation  Podiatric The Team has expertise to handle any of the specialities
  9. 9. Confidential Medical billing and coding services Charge EntryCharge Entry  On-line entry of patient details directly into Health-Nautical billing software  Separate Audit team for compliance and accuracy  CPT-4 and ICD-9 match performed before completing charges  Electronic submission of bills to all carriers accepting the same/Paper billing if necessary CodingCoding  Remote Coding for CPT-4 and ICD-9 across all specialties  Coding team includes certified coders  24 to 48 hour turn-around time for both office based and hospital based specialties A/R ManagementA/R Management  Following up aggressively with almost all carriers for denied or outstanding claims  Following up aggressively with patients on self pays & Co-pays  System automatically generates outstanding reports for follow up Payment PostingPayment Posting  On-line entry of checks as per Explanation of Benefits received from the carriers  24 to 48 hour turn-around time for most files  100% accuracy guaranteed on the SLA’s  Working on Denial management and forwarding the same to the follow up team Eligibility Verification & Pre-Certification Eligibility Verification & Pre-Certification  Done both on-line and telephonically  Done 24 to 48 hours before patient visit to ensure reimbursement & reduce denials Value Added ServicesValue Added Services  Migration from Manual to Electronic Billing  Cleanup of OLD AR  Hospital Billing Support  Enrollment and Credentialing  Mailing  EMR Implementation Support
  10. 10. Confidential Value added services Credentialing Services  Compile initial provider information file  Compile information required for CAQH  Initiate enrollment and data entry on CAQH  Complete of applications as required by credentialing entities  Resolve requests for additional information  Coordinate communication with payer during approval process  Follow-up with payers to expedite the application process.  Completion, submission, and follow up on all payer applications OLD Receivables Follow-up  We provides you with a customized solution to collect every possible dollar out of your old AR (> 90 days) Practice Management Consultancy  Financial & Operational Analysis & Improvement:  Performance Assessment & Benchmarking  Performance Improvement  Revenue Enhancement  Payer Reimbursement & Contracting  Turnaround Plan & Management  Medical Practice Management:  Operations  Overhead Control  Revenue Cycle & Business Office
  11. 11. Confidential Quality Standards @ Seyyone Software Solutions Multi-checks Improvement Training Performance evaluation Quality control workflow Dynamic QC sampling Root cause treatment Development Automation Cause analysis  Effectively maintaining the quality management system  Benchmarking for continuous improvement  Ongoing training and development  Quality calibration sessions are held to evaluate performance against SLA  Rigorous quality control (QC) through every step of the workflow process  Granular tracking of error rates and production efficiencies  QC to achieve an internal accuracy levels which consistently exceed the set SLA’s  Dynamic QC sampling rates based on an historical view of accuracy fluctuations  Treating repeated errors as “red flags,” and identifying and effectively treating root causes
  12. 12. HIPPA compliance  We comply with HIPAA, trained in regulations related to Medicare, Medicaid, managed care, third party liability, workers compensation, Preferred Provider organizations and indemnity insurers and will follow latest HIPAA updates.  We will also maintain written policies and procedures by documenting compliance of HIPAA rules and making these available to all personnel. We will also implement chain of trust agreements with partners with whom the practice exchanges healthcare information.  Our security standards for health information will include training to all practice staff members about privacy and security procedures.  Our quality process involves auditing all entries to ensure 100% quality compliance. Confidential
  13. 13. Confidential Seyyone Software SolutionsSeyyone Software Solutions 3rd Floor, Stock Exchange Building3rd Floor, Stock Exchange Building 686, Trichy Road, Coimbatore - 641005686, Trichy Road, Coimbatore - 641005 Tamil Nadu, IndiaTamil Nadu, India Phone : 214-432-6657/ Fax: 888-789-5585Phone : 214-432-6657/ Fax: 888-789-5585  Email :  Web     :