Healthcare

Medical Billing

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.

Our Process
  • Super bills will be collected from your office daily, through FTP upload or PC anywhere Access.
  • 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.
  • EOB (Explanation of Benefits) will be updated into billing software on a daily basis.
  • AR aging reports will be carefully processed and sent for your appraisal.
  • Insurance calling will be done for claims based on the AR report.
  • Reports on the work done will be sent on daily, weekly and monthly basis.

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.