RCM (Revenue Cycle Management)
Revenue cycle management is the financial process used by healthcare system. To track revenue from patients from their initial appointment or encounter with the healthcare system to their final payment of balance is a normal part of healthcare administration.
Medical Claims Processing
We process the medical claims using advanced software which enable us to do it in very little time and that too without any error. Moreover we are a HIPAA compliant agency so your patient data is absolutely safe with us. In spite of every possible effort, if any claim is denied, then the responsibility of claim re-adjudication is on us.
AR management
We are provides non voice AR services. We help to track your unpaid claims, manage patients collectibles, generate AR reports and track electronic and paper claims efficiently.
Payment Posting Services
Payment posting marks the end to end billing cycle where the patient records are entered into the billing software.
Insurance claims processing
We help our clients with claims setup, verification, document imaging, claimsadjtification and account settlement.
Teleradiology
Teleradiology refers to usage of electronic means to transfer of the scanner-acquired data of a patient to radiologists’ end, ready in the form of prepared scan report. This can now be sent back in the form of Dx-USG-CT- MR-NM- PETetc.
It helps in faster and cost effective diagnosis, even in remote locations.
However due to risks of leakage of patient information, HIPAA compliance must be ensured.
PACS (Picture Archiving and Communication System)
Medical Billing and Medical Coding
Medical Coding is a very important task in the Claim reimbursement process as any error in the medical coding process may result in denial or rejection of claims. We have a dedicated medical coding team who are expert in doing HCPCS and CPT coding. The coding is done in a very efficient manner based on the patient information supplied by you.
Ambulance Billing
Ambulance billing is the process of recovering the cost of treatment incurred by the health clinics while transporting the patients to hospitals or health clinics by ambulance. Ambulance billing is different from medical billing in the sense that treatment of patients in ambulance is based on the apparent condition of the patient and not on the basis of actual diagnosis. Hence there is a risk of fraudulent billing. Hence ambulance billing is a very crucial process and must be done by experts.
DME Billing (durable medical equipment)
DME mean Durable Medical Equipment. DME is used for patients with specific and specialized conditions. DME billing is different from other traditional medical billing and requires proper knowledge of HCPCS Level II codes. Use of DME for patient’s treatment requires proper medical prescription from medical practitioner.
Hospital Billing
Hospital billing is the process of claiming the bills for the services rendered for indoor (IPD) and outdoor (OPD) treatments provided to patients. The difference between medical billing process and hospital billing is that like medical billing, hospital billing does not require medical coding.
Urgent care Billing
Urgent care mainly means treatment any ailment which needs urgent and immediate treatment within 12 hours. Urgent care billing is similar to normal medical billing but with the only difference that the certain codes are used only for urgent care billing and not for regular medical billing. Due to urgency, normally there is very limited time to confirm insurance. Thus, this needs to be done very cautiously as it may result in claim denial.Physican Billing.
Medical Billing Charge Entry
Medical billing charge entry is one of the most important steps in the medical billing and coding process; as it decides the finalizes the amount of reimbursement a healthcare organization would receive from the insurance company.
Physician Billing:
Physician Billing (also called Professional Billing) is the billing for the services performed by the physicians or medical professionals on IPD or OPD patients
Healthcare Claims Adjustments:
When a medical professional renders his service for treating patients, he expects reimbursement of the fees payable to him for rendering such services. When the insurer denies the claim, the professional does not receive the amount and requires claims adjustment. Slight error in claim filing may result in claim rejection. Hence proper knowledge and expertise is necessary for filing medical claims and proper follow up with the insurers is necessary for claim re-adjudication in case of claim rejection.
Healthcare Data Entry:
It is the process of entering patient details in to the billing software like patient’s demography, details of disease, diagnosis done, name of the insurer, name of the consulting doctor, date of admission, period of treatment, medications given date of discharge. This process is very important because wrong data entry may result in wrong medical billing and coding and ultimately in claim denial.
Electronic Medical Record:
EMR is the digital or electronic storage of the medical records of patients. It contains all details of a patient including his demography, x-ray reports, MRI scans etc. This eliminates the requirement of keeping bulk paper records and makes the medical records easily accessible to doctors even after expiry of a long period of time.
EMR data entry services:
It involves entering all details medical records of patients as mentioned above into the hospital portal.