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Demographic Entry

Patient demographics are generally the first bit of information gathered from the patient and contain everything from the patient's date of birth to which insurance carriers they participate with.

Billing

The standard accounting definition of billing describes it as the process of generating invoices for customers on a recurring or one-time basis, depending on the type of pricing plan that a customer has chosen.

Denials Management

The purpose of a Denial Management Process is to investigate every unpaid claim, uncover a trend by one or several insurance carriers, and appeal the rejection appropriately as per the appeals process in the provider contract.

Account Receivable

The key role of an employee who works as an Accounts Receivable is to ensure their company receives payments for goods and services, and records these transactions accordingly. An Accounts Receivable job description will include securing revenue by verifying and posting receipts, and resolving any discrepancies

Medical Coding

Medical coders are the individuals responsible for translating physicians' reports into useful medical codes. These professionals work behind the scenes in a variety of settings, ensuring all pertinent information is coded appropriately to ensure consistency and accuracy.

Charge Capture

Charge reconciliation is an important process within a healthcare organization's revenue cycle. To ensure consistent, timely and accurate charge capture and resolution of pending charges, each department must have staff responsible for completing charge reconciliation daily..

Eligibility Verification

Eligibility verification is the process of checking a patient's active coverage with the insurance company and verifying the authenticity of his or her claims

Our Skills

Working With Knowlege Passion,Heart and Soul We have worked with some pathology chains and hospitals around the globe and their appreciation is our main strenght.

Revenue cycle

  • Start with a hook or attention getting sentence. Briefly summarize the texts • State your claim. Make sure you are restating the prompt. Include a topic sentence that restates your claim and your reason
  • Claim submission: Submitting claims of billable fees to insurance companies..
  • The claim management process consists of the following steps: site inspection – assess the damage & document the claim. ... inspect policy wording to see which aspects of your loss are covered by your policy and which one's might be excluded. Advice on damage limitation and emergency works
  • The Accounts Receivable (AR) processes in AFIS cover the billing of customers for goods or services rendered, processing collection activities, and recording the receipt of money owed. The focus of this course is the management of Receivables owed to the State.
  • An insurance claim is a formal request to an insurance company asking for a payment based on the terms of the insurance policy. ... The claims process is the defining moment in a non-life insurance customer relationship.

Healthcare Services

Demographic Entry:- Demographics can help know what certain groups need attention and the most help. It also helps providers personalize interactions and conversations with patients.

Billing:-Medical billing is a payment practice exclusively within the United States health system. The process involves a healthcare provider submitting, following up on, and appealing claims with health insurance companies in order to receive payment for services rendered; such as testing, treatments, and procedures

Denials Management:-The claims rejection management process provides an understanding of the claim's issues and an opportunity to correct the problems. Denied Claims represent lost revenue or delayed revenue (if the claim gets paid after appeals).

Account Receivable:-Accounts Receivable (AR) is the money owed to Providers or medical billing companies for the medical care rendered to patients. The generated invoices are sent out to insurance companies or patients for payment

Charge Capture:-Charge capture is critical for success for every healthcare organization that seeks reimbursement for their services from insurance companies. If the services are captured on the reimbursement form, then the clinician or facility simply won't get paid for those services, which results in lost revenue.

Eligibility Verification:-Eligibility verification processes help healthcare providers submit clean claims. It avoids claim re-submission, reduces demographic or eligibility-related rejections and denials, increases upfront collections; leading to improved patient satisfaction and improving medical billing