This document summarizes the medical billing services provided by Khushi HMS. They offer a full range of revenue cycle management services including appointment scheduling, eligibility verification, coding, claims submission, payment posting, accounts receivable management, and specialty billing. Their goal is to optimize clients' revenue cycle through leveraging technology and processes to increase profitability while ensuring compliance with HIPAA standards.

2.  We are one of the fastest growing medical billing companies in India. We offer medical
billing services to all physicians across all specialties and is designed to increase profitability
and cash flow while improving office efficiency.
 We optimize our client’s revenue cycle by leveraging our people, processes and technology
to reduce operating and capital costs, recover revenue and increase productivity.
 Our in-depth Healthcare industry knowledge and experience enables us to provide
innovative, end-to-end solutions to successfully resolve our clients’ challenges while
enhancing their overall business operations.
About UsAbout Us

3. Medical Billing ServicesMedical Billing Services
1)Appointment Scheduling for Medical Providers 2) Eligibility Verification
3) Coding 4)Charge Entry
5)Electronic & Paper Claims Transmission 6) Payment Posting
7)AR Analysis & Follow-up 8)Denial Analysis
9)Credentialing

4. Charge Entry Process
Demographic Entry
• Ability to work on scanned images as well as Electronically Submitted Demographic Sheets.
• Ability to accurately process insurance Information (selecting appropriate insurance details.
• Our people access the information via the Server (or directly from Software Screen as the case
may be) and enter information directly into the client software
Charge Entry
• We process charges for all specialties with good appropriate state and specialty rules.
• We have the ability to put in place Effective Charge Control Measures including Hash-Total
Matching or Software based Batch Control
• We perform internal Quality Assurance

5. Coding
• Our Coders are all experienced AAPC Certified Professional Coders.
• They have proficiency in CPT, HCPCS, and ICD. Our coders work in accordance with updated
standards and methodologies.
• In addition to that, Payment Automation Network provides training session and monitor
program for all coders.
• Transparency in our coding methodology gives you access, produces consistency, and
eliminates the risk of errors.

6. Payment Posting
• Daily Deposits are balanced accurately & tallied to every penny.
• Status reports are available online 24/7.
• Denials are analyzed & forwarded to denial specialists who works on
immediately & takes corrective action to resolve in claim payment.
• All secondary claims which are not crossed over electronically are printed
and submitted with a copy of Primary EOB.

7. Revenue Cycle Management
• Our aim is to improve your cash flow by reducing days in A/R and improving profitability, by
increasing collections ratio.
• Our methodology revolves around identifying category / payer combinations and work on
resolving the mix that results in best collections efforts.
• Ability to correctly process insurance Information depending upon HMOs, PPOs, IPAs is our
strength.
Accounts Receivable & Insurance Collection
Patient Follow –up & Collections
Aged AR & Retro Audit Follow- up
• Our skilled staff is trained to identify patient accounts that require follow-up and take the
necessary action to collect outstanding balances.
•Knowledge of Fair Debt Collection ACT
•Monthly Statements are sent.
•Our experienced team of professionals can assist you with follow-up on all unpaid and
partially paid claims.
•We define, analysis and then chart a workflow for Collections of old Accounts Receivables
and under paid claims based on the providers contract.

8. Some of the Specialties we have experience with
Specialties we handle:
• Cardiology
• Cardio Thoracic Surgery
• Chiropractic
• Emergency Medicine
• Family Practice
• Ambulatory Surgical Centers
• Internal Medicine
• Neurology
• Oncology
• Orthopedic
• Physical Therapy
• Pediatrics
• Podiatry
• Pain Management
• Radiology
• OBGYN

9. How it works
Super bills
are faxed to
our secure
fax server
Claims are
then Audited
and ready for
dispatch
Once received by
the Insurance
Company they
are then
processed
They are then
Transmitted
Electronically
These are then
coded & keyed
into the System
The Provider /
Billing Office
receives an EOB
on the outcome of
the claim

10. HIPAA & Confidentiality
Khushi HMS are fully compliant with all HIPAA Medical Billing Outsourcing standards.
We are constantly monitoring this legislation to determine appropriate adjustments
needed to maintain compliance.
Do You Know What it takes to be HIPAA Compliant?
• HIPAA Compliant Software
• Data backup and Storage (Offsite Facility)
• Data Disposal
• Redundancy of Physical Environment
• Disaster Recovery (fire, flood, hurricane)
• Facility and Software Security
• T rained, Authorized and Knowledgeable employees and maintenance personnel

11. THANK YOU
Visit us on :
w.w.w.Khushihms.com
w.w.w.Khusikspl.com