WHAT WE DO

Growing regulatory requirements and government initiatives to boost the adoption of RCM solutions. Coding for increasing patient volumes, and the need to manage unstructured data.

INITIAL PROCESS

(PATIENT ACCESS SERVICE)

  1. Schedule / Registration
  2. Insurance verification
  3. RFA, Authorization Tracking.
  • Daily schedule screening
  • Eligibility & insurance verification
  • Demographic updating & new entry
  • Complete PT. HIPPA compliance
  • Outstanding balance collection
  • Authorization tracking

MIDDLE PROCESS (CHARGING AND CODING SERVICES)

  1. MEDICAL CODING & CHARGE ENTRY
  2. CLAIM SUBMISSION & TRACKING
  3. PRIMARY A / R (30 – 60 DAY FOLLOW UP)
  • Medical coding
  • Charge entry & claim creation
  • Claim attachments
  • Claim clearance & clearing house ttracking.

BUSINESS OFFICE SERVICES

(ACCOUNT RECEIVABLE MANAGEMENT )

  1. REJECTION & DENIAL MANAGEMENT
  2. PAYMENT POSTING & PATIENT BILLING
  3. APPEAL PROCESSING & ACCOUNT RESOLUTION
  • A R follow up
  • Payment posting
  • Patient billing
  • Appeal processing