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Overview
 
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Health Care
 
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Inbound Services
 
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Outbound Services
 
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White Papers
 
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Core Competencies
 
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Industries
 
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Domain Expertise
 
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Service Channels
 
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Medical Transcription
 
History
Physical Reports
Clinic Notes

Office Notes

Operative Reports
Consultation Notes
Discharge Summaries Letters
Psychiatric evaluations
Laboratory Reports
X-Ray Reports
Pathology Reports
   
Capturing Demographics
 
Capturing Patient’s Name, Home Address, City, State, Zip Code, Social Security Number, Employer Details and Insurance Details (Primary, Secondary and Tertiary including Guarantor’s information. )
   
Charge Entry
 
Super Bills/Encounter Forms are used to capture data like Date of Service, Referring Physician, Rendering Physician, Place of Service, Type of Service, CPT Codes, ICD Codes, Modifiers, Authorization/Referral details and also Co-pay information.
   
Claims Transmission – Electronic/Paper
 
After the charges are captured these are transmitted to different payor’s electronically. Paper claims where required are printed remotely or shipped to our U.S. offices. High priority will be given to claims that encountered transmission issues/problems.
   

Quality

 

Quality Department verifies that demographics, charges and payments are entered correct.

Senior Quality executives verify date one more time.
New hires are trained on Medicare, Medicaid, Managed Care, 3 rd Party Liability, Worker’s Compensation, Preferred Provider Organizations (PPO) and Indemnity Insurers.
   

Cash Posting

 

EOB/Private checks or scanned credit card statements are used to capture data like Patient Account Number, Patient Name, Date of Service, Procedure Code, Billed amount, Allowed Amount, Adjustment (Contractual) Amount, Paid amount, Denial Reasons, Deductibles, Refunds, Offsets and Reconciliation of the differences.

   

Revenue Cycle Management

   
A/R Analysis
 
Denials / Rejected Claims are Analyzed and Re-billed
Claims follow-up with Insurance / Patients
Collection Agency Reporting
Reporting – Daily / Weekly / Monthly