Our value proposition for physicians is that to accelerate the
cash flows for your practices. Based on leveraging, our domain
expertise will use the billing software relevant to your practice.
This will help you to achieve your financial goals.
Your
Pain…
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• Not worth keeping Billing clerk
in house for the low volume of claims processing work
• Your in-house billing assistants
move to other jobs often and leave you in lurch?
• Rising cost for Administration and
processing services
• Lack of trained and qualified resources?
• Single office assistant takes care
of all the work?
• Low dollar value claims are not
followed-Time Crunch!
Our Solution:
• Expert resource with best process
• Faster TAT
• Significant cost savings
• 99% Accuracy
• Increased Cash flow
• Billing worries taken care –
More time for core business i.e patient care..
• Low dollar value claims are also
followed for your profit.
• Pre verification before submitting
the claim – avoids denial.
Our
Solution
....................................................................................................................
• Better Process
• Faster TAT
• Reduction in Cost by 30-40 %
• 99% Accuracy
• Increased Cash flow - Denial Management and AR
Follow-up
• An office manager at your place handles the entire
process with our staffs.
What
You Get?
....................................................................................................................
We will take care of your entire Healthcare Claims processing
activities.
1. We will dedicate a Phone number for your Patients to call our
office customer service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super
bills
4. Save about 40-50% of your existing cost or
owning billing staff
5. Follow up with insurance carriers for all submitted claims
to ensure proper payment of claims in a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and
other Commercial Carriers MCR Blue cross excludes Medicaid and
Trust Funds and Patient balance
* If you signup
online Appointment scheduling services with us what we do the
eligibility of the Pt before the appointment and will notify your
office the status.
How
We Do:
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1. Super bills will be collected from your office daily thru FTP
upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed into Online/
offline Medical claims process software will be used to submit
claims electronically.
3. EOB- Explanation of Benefits will be updated into billing software
on a daily basis.
4. AR aging reports will be carefully processed and sent to your
appraisal.
5. Insurance calling will be done on claims based on the AR report.
6. Reports on the work done will be sent on daily, weekly and
monthly basis.
Step 1:
Collecting / checking / scanning of required documents to Our
Office
Step 2:
Required data i.e. Patient Demographics, Insurance Information,
Super bill, Check copies and EOB copies. Charge Entry will be
updated in our software. Expected TAT of this process is 36 Hrs.
Step 3:
Payment information’s will be updated to individual claims
on daily basis based on daily document source – Check copies
and Explanation of Benefits.
Step 4:
Unpaid / Denied / Rejected claims will be Analyzed, Accounted
and Act upon by the AR crew which will also call various Insurance
Companies for follow-up.
Step 5:
Through our Office / Client we will route submission of secondary
and tertiary claims, claims with attachments, patient bills and
other documents to the Insurance companies
click
to view the process map
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