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Services

Our team is well aware of the different insurance rules and regulations that are specific to most of the States in the US. We are well versed in 35+ software’s and more than 60+ specialities. Our team process the charges and balances the payments accurately and effectively. Two way auditing system ensures that we provide top notch standard work to our clients.

We send daily reports, weekly reports and monthly reports. All account managers possess excellent communication skills to coordinate with the clients over the emails and phones. Analytical approach coupled with eliminating the issue on the real time scenario are the great strength which makes us stand out from the crowd.

Our Services

Denial Management

Our denial management team has 10+ years of experience.Our experience denial management team takes resolutions on claims, appeal the claims, refilling the claims are the strong key to get reimbursed.All the notes are documented properly and delivered on time according to the given specification.Done 12 to 24 hours before the patient visit to ensure reimbursement and reduce denialsBroad understanding of client’s long and short term goals.

Payer And Provider Credentialing

We have experts who have hands on experience in enrolling the provider with major federal and commercial insurance. We keep ourselves updated by CMS and AMA on any changes in the fee schedule that requires to be modified in our billing. We make effective enrollment state wise through various pay and effective channels. Thus, reducing major chunks of claims denials and improving billing process.

Medical Coding Services

ICD 9 & ICD 10 Coding : Our coding team consists of certified medical coders from AAPC adhering to CMS coding Standards. All our coders undergo a series of educational training which helps to improve their professional skills and expertise that directly beneficial to our clients.Our Coding team has a strong knowledge in both inpatient and outpatient segments.

Medical Billing Services

Medical Billing Services Appointment Scheduling – Eligibility Verification – Demographics Entry – Charge Entry – Payment Posting – Denial Posting We always provide 99% accuracy and 12-15 hrs of “Turn-around time” (TAT) of each and every transaction that is delivered to our clients. Our data team has the ability to work on scanned images as well as electronically submitted charge claims.

Revenue Cycle Management

Eligibility verification and pre certification is done both on-line and telephonically. 1. Denial Management 2. A/R Follow –up Our Revenue cycle management is a extensive approach that oversees, manages and controls right from patient encounter to reimbursement. RCM includes administration functions, checking medical eligibility, benefits verification, registration and revenue collections.

A/R Follow up

Our team are well trained to work offline using spreadsheets, reports or directly generating reports from the client’s software. Our Account receivables team are experts in handling the various insurance categories/plans like HMO, PPO, Commercials, workers compensation, Medicare, Medicaid and Following up aggressively for denied or outstanding claims.Our team strives to decrease the AR days and to improve the revenue.

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