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HEALTHCARE
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Medical Billing
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Payment Posting & Denial Analysis: We have trained professionals
to do the posting and analyze for the denials and take corrective measures, which
improves your Cash Flow.
A/R Follow Up: We have trained callers to reduce AR Days,
to increase your collection ratio and to improve your cash flow through regular
follow-up with the insurance carrier and patients.
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Our Process
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1.
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Super bills will be collected from your office daily, through FTP upload or PC anywhere
Access.
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2.
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Patient Demographics and charges will be keyed in through the online or offline
route. Medical claims process software will be used to submit claims electronically.
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3.
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EOB (Explanation of Benefits) will be updated into billing software on a daily basis.
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4.
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AR aging reports will be carefully processed and sent for your appraisal.
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5.
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Insurance calling will be done for claims based on the AR report.
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6.
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Reports on the work done will be sent on daily, weekly and monthly basis.
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Step 1 : Collecting / checking / scanning of the 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 will be updated to individual claims on a daily
basis, based on daily document source – Check copies and Explanation of Benefits.
Step 4 : Unpaid / Denied / Rejected claims will be analyzed, accounted and
acted upon by the AR crew, which will also call various Insurance Companies for
follow-up.
Step 5 :Through our Office / Client, we will route the submission of secondary
and tertiary claims, claims with attachments, patient bills and other documents
to the Insurance companies.
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