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Revenue Cycle and Document Management
www.kohix.com
DBA of SV Meditrans, Inc.
Welcome To
Our Company Presentation
Our Profile
Kohix (Company of SV Meditrans, Inc.) provides comprehensive medical billing services helping
healthcare entities to reduce their cost and increase their revenues.
Our experience ensures we deliver all our services with high accuracy, high productivity within assured
turn around time. Our certified resources deliver with precision based on each client’s requirements.
Our customer delivery team is driven by quality to ensure consistency, continuous improvement and
customer satisfaction.
This makes us your dependable, committed partner in your process management
Wish you could have Multiple
hands to manage your
Practice
You could focus on
your patients health
Grow your practice
OR
Why Us?
Our Commitment
Revenue Cycle
Management
Coding
Data Entry
Appointment
Scheduling
Accounts
Receivable
Insurance
Verification
O
u
r
S
e
r
v
i
c
e
s
RCM
 Patient Registration
 Insurance Verification
 Medical Coding
 Data Entry Services
 Claim Submission
 A/R Follow-up
 Credit Balancing
 Bad Debt Collections
 Refund Processing
Analysis Process:
Once the Claims are analyzed; actions are initiated based on the following:
• Claims that has to be resubmitted with Medical Documents such as Medical records,
Referral, Authorization etc.
• Claims that need to be appealed for low payment, timely filing etc
• Segregation of Denials
• Issue of instructions to the Representatives for follow-up to get the status.
Quality process:
We maintain checks on the accounts that are given for calling.
Reports:
We provide various reports based on the analysis:
• Estimated A/R Payments
• Practice Analysis
• Collection Ratio Report
• Insurance Analysis
• A/R Aging Report
• Insurance Aging
Productivity: 50 Accounts / Day
Revenue Cycle Management
Coding
Quality process:
We audit on the entire process of coding. We also ensure that the CPT, HCPCS and ICD codes are based
on the AMA and CMS guidelines.
 Certified Coders
 Diagnosis Coding
 CPT Coding
 HCPCS Coding
 Drug Coding
 Specialty Specific
Reports:
We generate reports indicating the charts received from the client, the ICD and CPT codes, the patient name and DOS.
 Daily
 Weekly/Fortnightly
 Monthly
 Problem Log
(A problem log mentioning unclear files, charts or medical information is raised and is sent along with the
files to the client for clarification and instructions)
Coding
CPT and HCPCS codes
We code for surgery, lab and
other tests based on the
guidelines of AMA and CMS.
ICD codes
We do ICD coding related to
the CPT and HCPCS codes
based on AMA and CMS
guidelines.
Productivity: 125 charts per day
(based on the specialty), which includes both CPT and ICD codes.
Data Entry
Service:
Services we provide are:
 Demographic entry
 Charge entry
 EMR/HER Auditing
 Payment Posting
 Denials Capturing
Reports:
The reports submitted by us provide information on the transactions (Number of Patients and
Claims) processed by us. We generate three reports on the work delivered to the clients.
• Daily reports
• Weekly/Fortnightly reports
• Monthly reports
Any of the following will be calculated as a transaction:
• New Patient Demographic Entry
• Changes in existing Patient Demographics
• Entry of Charges (CPT’s and ICD’s for a claim)
Productivity: 5000 Transactions/ Month
Payment Posting Process
Service Offered
Demographic Entry
Charge entry
Charge details such as CPT codes,
ICD codes, modifiers and other
related information is entered
into the Billing Software.
Claim submission
Once the demographics and
charges are entered in to the
billing software, the claim is
submitted electronically through
the clearinghouse to the
insurance company
Modify demo
We check the patient
information, which is registered
in the billing software with the
current information and update
if required.
New demo
We register the patient in
billing software-entering details
such as Patient Demographics,
Insurance, Employment and
Guarantor details.
Benefits
Onshore/Offshore Capabilities
Increase Revenue and Decreased Expenses
Certified Coding resources from AAPC and AHIMA
Improved Cash flow
Customized Client Service
Easy Transition Methodology
Secured Data Facility
Paperless Operation
Assured Productivity and Service Levels
12 – 24 Hrs TAT
Offshore Process Work Flow
Specialties
Medical Billing Software
Contact Info
Address:
100 S. 8th Street
Richmond, TX 77469
Phone: (800) 713-7868
(832) 251-7332
Fax: (800) 579-0219
Email: info@kohix.com

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Billing care kohix

  • 1. Revenue Cycle and Document Management www.kohix.com DBA of SV Meditrans, Inc.
  • 2. Welcome To Our Company Presentation
  • 3. Our Profile Kohix (Company of SV Meditrans, Inc.) provides comprehensive medical billing services helping healthcare entities to reduce their cost and increase their revenues. Our experience ensures we deliver all our services with high accuracy, high productivity within assured turn around time. Our certified resources deliver with precision based on each client’s requirements. Our customer delivery team is driven by quality to ensure consistency, continuous improvement and customer satisfaction. This makes us your dependable, committed partner in your process management
  • 4. Wish you could have Multiple hands to manage your Practice You could focus on your patients health Grow your practice OR Why Us?
  • 7. RCM  Patient Registration  Insurance Verification  Medical Coding  Data Entry Services  Claim Submission  A/R Follow-up  Credit Balancing  Bad Debt Collections  Refund Processing
  • 8. Analysis Process: Once the Claims are analyzed; actions are initiated based on the following: • Claims that has to be resubmitted with Medical Documents such as Medical records, Referral, Authorization etc. • Claims that need to be appealed for low payment, timely filing etc • Segregation of Denials • Issue of instructions to the Representatives for follow-up to get the status. Quality process: We maintain checks on the accounts that are given for calling. Reports: We provide various reports based on the analysis: • Estimated A/R Payments • Practice Analysis • Collection Ratio Report • Insurance Analysis • A/R Aging Report • Insurance Aging Productivity: 50 Accounts / Day
  • 10. Coding Quality process: We audit on the entire process of coding. We also ensure that the CPT, HCPCS and ICD codes are based on the AMA and CMS guidelines.  Certified Coders  Diagnosis Coding  CPT Coding  HCPCS Coding  Drug Coding  Specialty Specific Reports: We generate reports indicating the charts received from the client, the ICD and CPT codes, the patient name and DOS.  Daily  Weekly/Fortnightly  Monthly  Problem Log (A problem log mentioning unclear files, charts or medical information is raised and is sent along with the files to the client for clarification and instructions)
  • 11. Coding CPT and HCPCS codes We code for surgery, lab and other tests based on the guidelines of AMA and CMS. ICD codes We do ICD coding related to the CPT and HCPCS codes based on AMA and CMS guidelines. Productivity: 125 charts per day (based on the specialty), which includes both CPT and ICD codes.
  • 12. Data Entry Service: Services we provide are:  Demographic entry  Charge entry  EMR/HER Auditing  Payment Posting  Denials Capturing Reports: The reports submitted by us provide information on the transactions (Number of Patients and Claims) processed by us. We generate three reports on the work delivered to the clients. • Daily reports • Weekly/Fortnightly reports • Monthly reports Any of the following will be calculated as a transaction: • New Patient Demographic Entry • Changes in existing Patient Demographics • Entry of Charges (CPT’s and ICD’s for a claim) Productivity: 5000 Transactions/ Month
  • 14. Service Offered Demographic Entry Charge entry Charge details such as CPT codes, ICD codes, modifiers and other related information is entered into the Billing Software. Claim submission Once the demographics and charges are entered in to the billing software, the claim is submitted electronically through the clearinghouse to the insurance company Modify demo We check the patient information, which is registered in the billing software with the current information and update if required. New demo We register the patient in billing software-entering details such as Patient Demographics, Insurance, Employment and Guarantor details.
  • 15. Benefits Onshore/Offshore Capabilities Increase Revenue and Decreased Expenses Certified Coding resources from AAPC and AHIMA Improved Cash flow Customized Client Service Easy Transition Methodology Secured Data Facility Paperless Operation Assured Productivity and Service Levels 12 – 24 Hrs TAT
  • 19. Contact Info Address: 100 S. 8th Street Richmond, TX 77469 Phone: (800) 713-7868 (832) 251-7332 Fax: (800) 579-0219 Email: info@kohix.com