Our Company
We provide all services that billing industry has to offer and stand ahead of the current methodologies with quality and efficiency to have our customers see a profitable growth in their business.
What do we offer?
Patient Eligibility & Benefits Verification
It is the first step to secure the revenue. We verify the eligibility & benefits prior to the appointments and provide a crystal picture of the patients benefits under their plan provisions. This helps the office staff to conclude the status of the processing criteria of the insurance prior to rendering the services.
Our team runs the insurance benefits for scheduled or walk-in/real-time appointments and update the practice/provider staff about the status. This information is updated on EHR, and it facilitates the providers related to the detailed analysis of patient’s coverage to determine any possible exclusions in plans and ensure the seamless reimbursement for the services.
Prior-Authorization
To assist you save time and receive the highest reimbursements, we acquire patient information to obtain prior authorization for inpatient and outpatient treatments. Our team notifies the providers about the need of prior authorization before services are rendered, based on the exclusion in patient’s plan provisions. Hence, we coordinate with the payers and make consistent follow-ups until the authorization gets approved.
The office staff is then made aware of the status, and it helps to focus more on patient care instead of regular billing related activities.
Medical billing and coding
Medical coding and billing are the most crucial part of RCM, if done with accuracy. This is the turning point where most of the healthcare practices leave money on the table, even if that is collectable from the payer sources. We offers the front-line services with a leading edge to providers of all specialties and help them grow their business while concentrating towards patient’s care only.
We drive our processes scrupulously and bill the services to the insurance with 100% preciseness. All of the services rendered to patients and reported are billed within 24 hours to the payer sources and it helps to grab the reimbursement seamlessly. Hence, our customers always see the rapidly growing figures in their bank account(s).
Accounts Receivable Recovery
We assist providers in recovering the revenue that has been stuck in unpaid claims. Our team runs the data analysis of those past due claims, resolve the denials, and make consistent follow-ups with the payers related to the outstanding payments those have not processed during the adjudication cycle.
In case of denials, our team coordinates with the payer sources and fix those denials with vast domain knowledge and we smartly carry out the process of denials management to increase efficiency and reduce the time. We closely examine the status of claims until those are completely resolved/paid, in the course of regular adjudication cycle of insurance companies.
Patient Call Center
We have well trained staff that communicates with the patients and help them understand their bills/statements, insurance related inquiries or other healthcare related concerns. This helps the providers reduce the extra communication at their end, while our dedicated team takes care of the entire communication with clients & patients.
We always consider the revenue of the customers as our top priority in a compliant way. We develop a proactive approach that truly helps the customers to establish a well-known and reliable relation with their patients.
By availing our free call center services, our regular billing customers focus more on their practice and our team officials various expertise communicate with the insurances and patients related to the accounts receivables.
Patient Account Management
All outbound calls, emails, and postal reminders to get payments from patients are handled by us. Instead of wasting time on follow-ups, it allows service providers a greater chance to focus more on their work.
Our team obtains the data on regular basis from the billing systems, EHRs, PMS (practice management systems/software) related to the outstanding balances of patients. We hereby communicate with the patients via all channels and request for the payments. Our systems comply with advanced methodologies and we release both paper and electronic statements that help the customers reduce the cost and increase the cash flow. We release the statements electronically, paper mails, secure e-mails, texts and provide brief statistics to the patients about their account balances and request the payments.
It really helps our customers to avoid adjusting/writing off the charges and instead collect the payments from patients in the feasible manner.
Credentialing & Contracting Services
We provides top-notch enrolment and credentialing services that assist healthcare professionals in establishing a renowned network of insurance carriers. Through a streamlined credentialing procedure, we can assist you in attaining efficient billing operations and increasing earnings, whether you are an experienced healthcare professional or a new practitioner.
We offer discounted packages to our billing customers and even provide the standalone services to the potential prospects. We acquire maximum data from the providers for their enrollment procedure and coordinate with the health plans to credential providers. Our credentialing experts file the applications with extensive knowledge that may suffice the required standards and keep on knocking the doors of insurance carries about the status/updates. We continuously follow this procedure until the payer sources approve the enrolment and update the provider on their directory that helps the patients identify the service providers and that helps to increase both patient and cash flow.
Reporting/Quality Analysis
Healthcare revenue cycle management is more complex than any other industry, which creates several chances for mistakes and billing inefficiencies. For healthcare firms to reduce these inefficiencies, financial bleedings and comprehend the financial health of their revenue cycle, a comprehensive reporting and analytics solution is really necessary. We provide quality measuring and financial analysis reports and dashboards. Our customers attain an opportunity to evaluate the quality analysis and then plan out various steps to maximize the revenue and cash flow.
Quarterly Financial Review
We bet you would notice a remarkable difference in your financial figures within 90 days of availing our RCM services. Our services are entirely supported by modern and digital platforms, and we aim a solid organization that runs operations on factual, realistic grounds those are designed solely to ensure quality services. We firmly believe in this approach that provides a platform to our customers where they have visibility of all the billing terminologies and factors to increase the efficiency and growth of the business.
We conduct the financial performance analysis once every quarter for our customers regardless of their total revenue/earnings.
Data Enty & Accessioning for Laboratories
By assisting our customers beyond RCM services, we aim to establish new standards with performance regulations in the healthcare sector. One of those methodologies that reduces the stress on the healthcare provider is accessioning lab testing/Data Entry. Our amazing & efficient staff fulfils this work perfectly by following a simplified procedure.
FTE Models
We offer full time eloquence of devoted experts having vast knowledge about medical billing and coding to any specified tasks to help our customers increase the working efficiency that is cost effective and compliant in all aspects. Our FTE team takes on the responsibilities and accomplishes the tasks with quality assurance and our existing customers are live examples for the competitive model of services we offer.
Referrals and Discounts
We always provide opportunities for our customers to acquire financial freedom outside of their major domain and avail quality services with discounts. We have various packages of referrals that help our customers get a certain percentage of discounts on their billing invoices and it goes on for every customer they refer to us for regular billing or standalone services we offer.