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Pricing of services is a very sensitive issue as it involves
comprehensive understanding of the scope of work.
However, some estimates can be made which depends
on:
1 . Full Service Package
2 . FTE Package
3 . Data Processing Package
4 . Account Receivable Package
Full Service Package -
5% to 7% of the collections
Full Service Health care claims
Processing - Demo Entry - Charges
Entry ->Payment/cash Posting - AR Follow up
- Patient /Insurance Calling.-
The pricing would be in the range of 5% to 7%
of the total collections of the practice per month.
How
we do & what
you get?
What
You Get?
We will take care of your entire Healthcare Claims
processing activities.
- We will dedicate a Phone number for your
Patients to call our office customer service
24/7.
- We will get you a Toll Free Fax number .
- Less than 36 hours TAT upon receiving super
bills.
- Save about 40-50% of your existing cost
or owning billing staff.
- Follow up with insurance carriers for all
submitted claims to ensure proper payment
of claims in a timely manner.
- Patient Insurance verification
to minimize claims rejection*.
- Weekly production report and monthly AR
aging report.
- Free patient billing and
invoicing for three times.
- 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?
- Super bills are collected from your office
daily thru FTP upload or PC Anywhere access.
- Patient Demographics and charges are keyed
into Online/ offline Medical
claims process software will be used to submit
claims electronically.
- EOB- Explanation of Benefits is updated
into billing software on
a daily basis.
- AR aging reports are carefully processed
and sent to your appraisal.
- Insurance calling are done on claims based
on the AR report.
FTE Package - $8 to $12 per
hour
We can
dedicate Healthcare Claims processing professionasl
on a FTE Model. Our Claims processing staff are
certified and experienced. They can perform tasks
like Patient Entry/Charge Entry/Payment Entry
based on the client requirements.
Our Professional Entry capabilities working at
the rate of 8Hrs/Per Day are:
• Demographic Entry
– 75 – 100 Face Sheets.
• Charge Entry –
100-150 Charge Sheets.
• EOB Posting - 250
– 300 Line Items.
The pricing would range from $ 8 to $
12 per hour depending on basic data processing
to calling. This is inclusive of Infrastructure
and communication cost.
How
we do & what
you get?
What You Get?
We will take care of your entire Healthcare Claims
processing activities.
- We will get you a Toll Free Fax number at
your office.
- Less than 36 hours TAT upon receiving super
bills.
- Save about 40-50% of your existing cost
or owning billing staff.
- Follow up with insurance carriers for all
claims after 14 days for the Electronically
submitted claims (Status Call).
- We will F/u with the Insurance
carrier for Pending claims and update you
the status
- Weekly production report and monthly AR
aging report
- Patient billing and invoicing
will be done.
- Cost of claims submission is not included.
How We Do?
- Super bills will be collected from your
office daily thru FTP upload or PC Anywhere
access.
- Patient Demographics and charges will be
keyed into Online/ offline
Medical claims process software
will be used to submit claims electronically.
- EOB- Explanation of Benefits will be updated
into billing software on
a daily basis.
- AR aging reports will be carefully processed
and sent to your appraisal.
- Insurance calling will be done on claims
based on the AR report.
Data Processing Package
This package is designed to help customers who
are keen to outsource Data processing
involved in Medical Billing.
a) Patient Demographic Entry, Charge Entry &
Payment/Cash posting Entry
$ 1.25 per Claim
entry.
b) Patient Demographic Entry & Charge Entry
- $ 0.75 per Claim entry.
c) Payment/Cash posting Entry $ 0.50
per Claim entry.
How
we do & what
you get?
What You Get?
We will take care of your Healthcare Claims processing
activities as required by client.
- Less than 36 hours TAT upon receiving super
bills.
- Save about 20-30% of your existing cost
or owning billing staff.
- Ensure Clean claim submission claims within
30 days from the date of service.
- Weekly production report.
How We Do?
- Super bills will be collected from your
office daily thru FTP upload
or PC Anywhere access.
- Patient Demographics and charges will be
keyed into Online/ offline
Medical claims process software
will be used to submit claims electronically.
- EOB- Explanation of Benefits will be updated
into billing software on
a daily basis.
- Does not include Clearing House charges
or charges incurred for sending paper claims.
- Paper claims submission charges would be
$0.50.
Account Receivable Package
This package is designed to help customers who
are keen to outsource Account Receivables processing
involved in the Medical Billing.
How
we do & what
you get?
What You Get?
We will take care of your Healthcare Claims processing
activities as required by client.
- Less than 36 hours TAT upon receiving super
bills.
- Save about 20-30% of your existing cost
or owning billing staff.
- Ensure Clean claim submission claims within
30 days from the date of service.
- Weekly production report.
How We Do?
- Super bills will be collected from your
office daily thru FTP upload
or PC Anywhere access.
- Patient Demographics and charges will be
keyed into Online/ offline
Medical claims process
software will be used to submit claims electronically.
- EOB- Explanation of Benefits will be updated
into billing software on
a daily basis.
- Does not include Clearing House charges
or charges incurred for sending paper claims.
- Paper claims submission charges would be
$0.50.
Calling Rates:
Per call- inclusive Pt calling --- $
0.75 per resolutions
300 Resolutions per week. Inclusive Pt calling
- Guaranteed
Or Calling @ $ 7.00 /hr.
Old AR Productivity:
| Old AR Pending
- |
31 - 60 days
2% |
| |
61 - 90 days 3% |
| |
91 > 4% |
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