Revenue Cycle Management
- Insurance eligibility verification
- Patient Demographics details entered into the PMS
- Retrieve Medical Records for Coding
- Coded documents are then sent for Charge Entry
- Electronic / Paper claim submission to Insurance payers and track Rejections
- Payment Posting and reconciliation of the claim
- AR follow-up and Denial management
- Customized reports sent to client periodically
Provider Services
- Eligibility verification
- Coding diagnosis and procedure
- Entering patient info coded diagnosis and procedure
- Submission to Insurance payers and track rejections
- Payment Posting, denial capture and appeals
- Insurance, patient AR follow-up and Denial management
- Medical Transcription
Coding Services
- Optimizing revenue by reducing compliance risk
- Improving cash flow by accurate claims submission
- Compliance audit performed by AAPC certified coders
- Appropriate HCC value linked to related MRA Diagnosis code
- We follow Top level Six Sigma QMS which makes an essential part in project execution
- Complete an ample review of ICD-10 work flow, strategies, action plans and initiatives.
Payer Services
- Claims Data Entry
- Member Enrollment Services
- Provider Data Maintenance
- Claims Adjudication Services
- Pricing
- Appeal Processing
Document Management
- Documents by a document management system are regulated
- Linking Records to Business Process
- Capture a variety of file
- Distribution & Security
- Metadata
- Periodically review the storage capacity
