Our value proposition for physicians is that of accelerated cash flows for your practices based on leveraging our domain expertise and use of billing software relevant to your practice, dedicated account management team and superior delivery processes. This will help you to achieve your financial goals.
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YOUR PAIN AREAS are as follows
• Not worth keeping Billing clerk in house for the low volume of claims processing work
• Your in-house billing assistants move to other jobs often and leave you in lurch?
• Rising cost for Administration and processing services
• Lack of trained and qualified resources?
• Single office assistant takes care of all the work?
• Low dollar value claims are not followed-Time Crunch!
• Expert resource with best process
• Faster TAT
• Significant cost savings
• 99% Accuracy
• Increased Cash flow
• Billing worries taken care – More time for core business i.e patient care..
• Low dollar value claims are also followed for your profit.
• Pre verification before submitting the claim – avoids denial.
OUR SOLUTION
• Better Process
• Faster TAT
• Reduction in Cost by 30-40 %
• 99% Accuracy
• Increased Cash flow - Denial Management and AR Follow-up
• An office manager at your place handles the entire process with our staffs.
What You Get?
We will take care of your entire Healthcare Claims processing activities.
1. We will dedicate a Phone number for your Patients to call our office customer service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super bills
4. Save about 40-50% of your existing cost or owning billing staff
5. Follow up with insurance carriers for all submitted claims to ensure proper payment of claims in a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and other Commercial Carriers MCR Blue cross excludes Medicaid and Trust Funds and Patient balance
* If you signup online Appointment scheduling services with us what we do the eligibility of the Pt before the appointment and will notify your office the status.
How We Do:
1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
4. AR aging reports will be carefully processed and sent to your appraisal.
5. Insurance calling will be done on claims based on the AR report.
6. Reports on the work done will be sent on daily, weekly and monthly basis.=
Step 1:Collecting / checking / scanning of 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’s will be updated to individual claims on daily basis based on daily document source – Check copies and Explanation of Benefits.
Step 4:
Unpaid / Denied / Rejected claims will be Analyzed, Accounted and Act upon by the AR crew which will also call various Insurance Companies for follow-up.
Step 5:
Through our Office / Client we will route submission of secondary and tertiary claims, claims with attachments, patient bills and other documents to the Insurance companies
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