More than half the hospitals and healthcare providers in the US have outsourced various components of revenue cycle management to step up quality of service and reduce cost of health care.
We offer a wide range of services to midsize hospitals and healthcare providers in revenue cycle management (from admission to post discharge of patients).
Our services include:
- Medical coding
- Billing
- Claims generation and
- Patient follow up
We deploy professional coders (most of them certified by American Association of Professional Coders) to update codes that are accurate and fully compliant. We track and provide feedback on all changes of codes and all code related denials.
We process charges and prepare bills promptly with a high level of accuracy and in conformity with applicable regulations.
We can work with any of the standard software that support healthcare providers including Medical Manager, Medic, Lytec, Misys, IDX, Medplexus, Healthpac and Medisoft.
We generate claims (for electronic transmission or direct update into Medicare Claim system); raise secondary bills automatically; archive document image for easy retrieval; manage contracts and denials; and provide financial analysis of billing and claims.
We post remittances, reconcile collections and provide timely alerts on shortfalls in payment. We work promptly on denials and preparation/submission of secondary claims. We follow up with patients for collection of partially paid and unpaid claims.
It is easy to start using us without any significant upfront investment. All you need to do is to acquire a firewall (if you do not have one) so that we can have a safe/protected access to your healthcare provider system from our delivery center. You need to provide us access to your system. We would take care of the rest.
We are happy to provide you:
- Dedicated professionals on a full time basis (starting from a fraction of a person to as many as you want) and charge you a “time based price” or
- Service on a “full responsibility” basis and charge you a “transaction based price” after understanding the complexity of the billing/claims in your healthcare business.