Dedicated to providing your practice with the latest re-imbursement strategies.
Our first priority higher re-imbursement in timely manner.
Highly experienced and motivated skills in healthcare industry to take your practice to the next level.
Complete Practice Management services & solutions to maximize your re-imbursement.
Providing services with fast, efficient & reliable service to our clients and their patients while maximizing our client's income level.
WHY US? We able you to;
Focus on quality patient care.
Focus on strategy to acquire new patients
Focus on policy and compliance
Focus on superior patient relations
Expedite and enhance revenue generation
Enhance productive office hours
Improve claim accuracy
Reduce office expenses
WHAT WE DO? Our team provide differentiated services spanning the entire spectrum of the revenue cycle, including:
Insurance Eligibility Verification
Medical Billing/Charge Capturing
Self Pay Follow-up
HOW WE DO? We have a unique process to ensure your outsourcing success. Regardless of where you are, depending on your needs we can cater to your requirements. We analyze the situation to understand your needs.
We conduct a comprehensive study of the processes involved and give our input on the components of your business.
We establish a pilot project. We will clearly define parameters of quality, productivity, turn around time, and cost efficiency. Pilot program is carried out over a 30 day period, but this could vary depending on the service you are seeking.
We have a specialized team who would work with you and the execution team to make sure that standards and efficiency do not drop. The objective of this stage is to consistently meet expectations.
We ensure that you not only have a comfortable outsourcing experience, but never lose control over the entire process.
APPOINTMENT SCHEDULING We have Few options for your practice to Make Your Patients Next Appointment Scheduling Stress Free.
We help our customers schedule their appointment according to the mutual convenience of Physician and Patient.
We assist our customers in migrating to electronic scheduling for effective scheduling.
This helps us to manage Physicians’ as well as Patient’s time effectively
We know the value of Physicians’ as well as Patient’s Time
PATIENT ENROLLEMENT Capturing patient’s demographic information accurately to.
Submit Clean Claims to various insurance carriers
Reduce delays in claim submission [we maintain a turnaround time of 5 days for claim submission]
95-98% accuracy ratio.
Rigorous controls in the data capture process helps to ensure 100% accuracy for critical information following HIPAA Law.
ELIGIBILITY VERIFICATION We verify the Insurance Eligibility and Coverage to.
Get paid better due to reduce denials due to terminated coverage
Improve Customer Relations
Strong Management skills
Thus, we can minimize denials and improve collections.
PRE-CERTIFICATION/PRE-AUTHORIZATION We coordinate with insurance carriers to get pre-authorisation or pre-certification identity details to manage receivables better and collect dues on time from insurance carriers
Receive timely Pre-Auth / Pre-Cert ID details from Insurance carriers
Get paid on time
Minimizing risk related to Patient Identification
This helps to manage the receivables better and collect dues on time from insurance carriers
OUTPATIENT BILLING SERVICES CYCLE
OUR SPECIALITIES Our specialties are in the field of:
Our Medical Coding Team ensures correct Procedure & Diagnosis Codes that are identified from CPT and ICD-9CM manuals on the principle of “Code as per the documented information”.
Selection of appropriate codes helps our clients to get paid accurately for services delivered.
It also avoids the possibilities of under-coding or over-coding of reports which may further lead to loss of revenues.
Training at regular intervals helps our Coders improve their skills, which in turn benefits our customer.
MEDICAL BILLING/CHARGE CAPTURING
We capture the charges accurately through a team of experienced professionals.
We help our customers to submit clean claims.
We reduce the lead time of claim submission.
We reduce claim denials due to incorrect details.
We maintain a turnaround time of 24/48 hrs for capturing charges.
CLAIM GENERATION & SUBMISSION
We process electronic & paper claims.
We have powerful experience on EMR+PM & PMS based technologies
We generate claims within permissible filing limits
We reduce delays in claim submission.
We maintain a 5-day turnaround time for claim submission.
PAYMENT POSTING We post payments received in all forms i.e. EOBs, EFTs received from carriers, banks, credit cards and cash payments received from patients. This helps our customers to:
Post payments timely to calculate revenue realization
Help resolve payment-related queries
We maintain turnaround time of 48/96 hrs for posting payments in various forms
We conduct Payment Reviews periodically.
Track payment patterns
Check discrepancies in payments
Correct DSO Values
Facilitate payment realization at the procedural level
This analysis helps our customers introduce corrective measures to improve revenue realization by reducing payment denials.
AR ANALYSIS & FOLLOW-UP SERVICES Our Services in Account Receivable include: