Medical Billing & Claims

Our end-to-end Revenue Cycle Management Solution offers our clients the following features and benefits:

1. Electronically Scanned Documents:
   Documents are scanned in client offices and are seamlessly and securely accessed by our offshore center using VPN tunnels.
2. Verify and Validate accompanied documents:
   Documents are split into batches and reviewed for completeness, quality and readability.
3. Accurate Coding:
   Diagnosis, Procedure Codes and modifiers are assigned as per your descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code).
4. We use the following industry coding standards:
   • Diagnosis Codes (ICD-9: International Classification of Disease)
   • Procedure Codes (CPT-4: Current Procedural Terminology)
   • Coding for Inpatient Services (ICD-9)
   • Drug Codes (NDC: National Drug Codes)
5. Diligent Auditing:
   Our Quality Control department audits the coded charge sheets.
6. Process Patient Demographics Information:
   Our team members process, verify and validate demographic information of patient.
7. Claim Submission:
   Claims to be submitted to the payer electronically using a clearinghouse
8. Denied Claims Processing:
   Denied claims are processed, analyzed,corrected, updated and prepared for re-submission.
9. EOB (Explanation of Benefit) Processing and Payment Posting:
   Insurance payments are posted to the patient accounts from EOBs into the billing agencies' existing software package.
10. Reporting:
    Regular reporting enables billing agency to closely monitor performance and provide feedback to improve the process.