We are familiar with the challenges that you face as a hospital:
legacy systems, inability to work low dollar balances, self pay
accounts not sufficiently worked, aged AR, shortage of qualified
and skilled personnel etc. iSource will help you address all of
these challenges very effectively. Our solutions are designed
to improve your cash flows, reduce your operating costs and lower
your bad debt write offs, while maintaining positive patient and
community relations.
Your
Pain…
....................................................................................................................
• Not worth keeping Billing clerk
in house for the low volume of claims processing work
• Low collections and Huge AR Backlogs?
• Your in-house billing assistants
moved to other job and left you in lurch?
• Rising costs for processing services
• Difficult to keep up with ever changing
claims processing procedures?
• Lack of trained and qualified resources?
• Distractions from pursuing your
core business objectives
• Ever increasing need for IT capital
expenditures
• Customer dissatisfaction
• Lack of follow ups with the insurance
(Credentials, payments etc..)
• Low dollar value claims are not
followed – Time Crunch!
• Payment delay for the visiting physicians.
• Delay in obtaining Authorization
number.
Our
Solution
....................................................................................................................
• Expert resource with best process
• Better Process
• Faster TAT
• Significant cost savings up to 30-40
%
• 99% Accuracy
• Increased Cash flow - Denial Management
and AR Follow-up.
• Experienced staffs with regards
to the insurance policies will follow the claims and for credentials.
• Team allotment for the specialty
vice follow ups.
• An office manager at your place
manages 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 and claims will be submitted
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
account 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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