This document summarizes the healthcare solutions and services offered by the company, including medical billing, coding, revenue cycle management, accounts receivables management, and denial management. They provide these offshore services to reduce clients' costs and improve efficiency while maintaining HIPAA compliance, certified staff, and a track record of excellent customer satisfaction. Key services include eligibility verification, medical coding and charge entry, payment posting, transcription, and accounts receivable follow-up.

2.  We offer wide range of Health care solutions
including medical billing, coding services
 Institutional Solutions for clients aimed at
reducing the costs & improving efficiency
 Trained and certified Medical billing and coding
staff with real time access
 Proven track record of Excellent customer
satisfaction

3. We are committed to provide world class Offshore
Healthcare practice management solutions to our clients
through continuous process improvements.
 Increase Revenue to our clients
 Billing
 Charge entry
 Payment posting
 Medical coding
 Services in Revenue cycle management
 Accounts receivables management
Denial management

4.  50 % Cost reduction in operational expenses
 Framework in place to comply with HIPAA guidelines.
 Confidentiality agreement signed by all the employees
working with (PHI)
 Excellent domain expertise with experience in various
PMS like Lytec, Medisoft, IDX, Nextgen, Health nautical
 Certifications from AAPC & AAHAM
 Continuous Training & Development programs
 Methods to resolve the Denials efficiently
 Proven track record

5. Eligibility & benefit verification
• Patient’s eligibility is verified online through various insurance websites & by
calling the insurance companies before the patient walks in for a visit
• This would ensure submission of clean claims to respective insurance
companies and lower rejections from the clearing house
• Analysis team would work on rejections if any from the insurance with a turn
around time of 24 hrs after the receiving the report
Cont’d…

6. • Dictated files will be received in voice recognition
files format
• Downloaded files will be transcribed accurately,
utilizing correct punctuation, grammar and spelling,
and edits for inconsistencies
• Follows up on physicians' missing and/or late
dictation, returns printed or electronic report in a
timely fashion
• Perform quality assurance check

7. • Patient documents / files / reports that are electronically scanned
at our client's office are seamlessly and securely accessed by our
offshore center using our value platform VPNs connections
• Our teams verify and validate the documents, split them into
batches and review them for completeness, quality and readability
• Diagnosis, Procedure Codes and modifiers are assigned as per
client descriptions and guidelines. Modification of certain codes
may be made as per carrier requirement (e.g. certain insurance
carriers require ASA code)
• Our diligent auditors and quality control team audit the coded
charge sheets and process it further for charge entry and cash
posting

8. • Super bills including the insurance cards will be
scanned & uploaded on to our secure FTP server by
the clients
• Files downloaded from the FTP server will be
checked and the charges are entered in to the clients
software
• Quality team would perform a through check on the
charges posted
• Turn around time would be 24 hrs for charge entry

9. •Scanned copies of EOB’s are uploaded on to our
secure FTP server by the clients
• Files downloaded from the FTP server will be
checked and the payments / Rejections are posted
in to the clients software
• Quality team would perform a through check on
the charges posted
• Turn around time would be 24 hrs for posting the
payments

10. • AR follow-up services are offered from Zero – 180+
days AR
• Priority to increase the collections & reduce the
Ageing by effective AR follow up
• High dollar accounts would be worked on priority
basis
• Regular follow up with insurance for claim status
• Re –billing of claims to respective insurances if they
are not on file
• Denied claims will be appealed regularly before the
appeal filing limit expires & followed up until they are
paid

11. We are willing to offer 15 days free trial
period to assess our services
We look forward to work with you
Once you decide to associate with us we
will enter in to an MOU
Thank you