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Revenue Cycle Management

Talisman Solutions specializes in providing wide range of back office services including Revenue Cycle Management (Medical Coding, Medical Billing, AR etc) to Hospitals and practices. We leverage people, processes and technology to provide the best possible solutions to our clients. Our goal is to help them maximize reimbursement and reduce expenses.


VALUE PROPOSITION


Increased Profitability:

Our clients see tremendous increase in their profitability by using our services because of increased cash flow, improved collection rates, reduced days in accounts receivable, and decreased rate denied claims.

Cost savings:

Our clients save big by not having to incur employee related costs such as recruiting, training, benefits, payroll taxes, workmen compensation etc. In addition there are some indirect savings such as increased productivity, reduced call volume, record storage etc.

Excellent Track Record:

We have been in business for years and always got excellent reviews from our clients. Please check our better business bureau record at http://www.bbbonline.org/cks.asp?id=1070724102020.

Focus back on core business:

Streamlining front office operations allows staff of our clients to focus on the patient's needs instead of getting distracted with mundane billing & insurance processing.

Easy to start:

We have made it really easy for you to switch from your existing setup to us. We don’t charge any setup or startup fee. You can even try us for free for one week.

Flexible & Customizable:

We work very closely with our clients and provide customized solutions that suit their needs. Clients can choose to use for total revenue cycle management or a part of it. We also offer flexible charging options – per percentage on collections, man-hour, or claim.

Experienced and Efficient:

We understand the complexities of the American Healthcare system and believe that our clients can best be served by teaming up with a knowledgeable supplier like us, who can appropriately manage all aspects of the engagement, and share the know-how. With years of experience we have mastered various aspects of business. We have our eye on your income more so than an employee since our income is directly tied to performance and results. We have experienced resources to excel with any specialty.

Scalable Solution:

Because of our size we have the ability to scale our operations. Our processes, workflow techniques, and resource capacity allows us to quickly expand and accommodate our clients needs without sacrificing quality, accuracy, and turnaround service level commitments.

HIPAA Compliance:

Talisman Solutions has taken painstaking measures to protect personal health information. Our internal procedures for privacy and security meet and exceed all HIPAA requirements related to Electronic Transmission of Patient Information. We have various security mechanisms such as use secured email, data encryption, login/password access, advanced firewall protection, enforced employee confidentiality agreements etc to ensure compliance.

Excellent Customer Support:

You can reach our support any time by calling 1-(888)-617-9894 or by emailing at support@talismansolutions.com.

 

SERVICE DETAILS


Front End Services:

Appointment scheduling and confirmations

Talisman team takes the incoming requests for appointments, schedules the appointments and confirms the time of visit with the patients. The team handles the queries and gives specific instructions, if any, to the patient for the particular visit.

Insurance Verification

The insurance of the patient is verified whether he is covered under the specific plan and the patient notified of the same.

Preauthorization

Preauthorization is a critical part of the reimbursement process and one that cannot be overlooked. Most procedures or surgeries require preauthorization from the insurance. We at Talisman Solutions verify that this is done by the physician who will perform the procedure.



Back End Process:

Medical Coding

Talisman Solutions offers high quality coding services to healthcare providers. Our team is comprised of experienced Certified Professional Coders (CPCs) accredited by the American Academy of Professional Coders (AAPC). They have proficiency in the following code sets and usage guidelines; CPT-4, HCPCS, ICD-9-CM. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations.

Charge Posting

Our Medical Billing Charge Entry Service gets your Claims and Demographics entered in your billing system rapidly and accurately. Through the creative combination of advanced technology and qualified and experienced billing professionals, can get the claims sent to payers faster, with less errors. A completely seamless solution that minimizes data-entry while utilizing your guidelines and billing software. All charges are accomplished within the agreed turn around time with the client, which is generally 24 hours.

Payment Posting

Payment posting service gets all your payments posted accurately and usually within 1 business day through the creative combination of advanced technology with qualified and experienced billing professionals. During payment posting, overpayments are immediately identified and necessary refund requests are generated for obtaining approvals. Also underpayments/denials are informed to the analysts.

Account Receivables

Our Accounts Receivable Follow-up Service gets you Paid More, Faster, and for a Lower Cost. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims. Services include:

  • Payer/Insurance Follow-up
  • Self-pay Follow-up
  • Receivable Analysis
  • Denials Management

Delivery Reports

We believe that the most important part of billing and collection in an outsourced model is reports. Being able to see what has been billed, how much is not yet billed, what collections has been done, A/R, A/R aging, Procedure code analysis, Insurance analysis, payment analysis, cash collected and so on.

  • Daily reports

    Daily reports would include a daily call status, daily billing status and collection reports. This report can be customized according to your needs. During this time we will also provide reports on what is necessary to run the daily operations.

  • Weekly Reports

    Weekly reports would include a daily and weekly call status, daily and weekly billing status and collection reports. This report can be customized according to your needs. During this time we will also provide reports on what is necessary to run the weekly operations. A bi-weekly telephone meeting can be conducted to evaluate progress.

  • Month End Reports

    Monthly reports would include a set of financial reports, procedure code usage reports and aged summary reports. These would allow us to asses the momentum that has been achieved this month and/or see where there is a pattern of non payment. In this way we could once again tackle any bulk pending issues.
 

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