Medical Services
We provide efficient medical practice management services.
> Patient Enrollment: We can help enroll patients who are under-insured or uninsured to get in programs such as PAPs and other foundations.
> Patient Demographics Entry & Verification in PMS / EMR: We will enter patient demographics into the system for new patients and verify that all the data entered is complete and accurate.
> Insurance Benefits / Eligibility Verification and Pre-Certification: Before the provider renders any service, we can verify the eligibility and benefits of the patient's insurance and recorded into patient's account.
> Patient Visit: Encounter Documents include patient superbill, patient charts, hospital cards, EOBs. All documents received from client are examined for their completeness.
> Coding: Diagnosis, Procedure Codes and Modifiers are assigned as per latest guidelines
> Claims Management: The claims will be generated and filed either electronic or paper as per payer standards. The acknowledgement on the receipt of the claims will be checked to prevent any loss of claims.
> ERA / EOB Processing and Payment Posting: Insurance payments are posted to patient accounts from the EOBs. All the payments received will be posted within 24 hrs.
> Denial Management: All denied claims are analyzed, corrected, and re-submitted within two working days on receipt of the EOBs.
> Account Receivables Management: The main focus of our Account Receivable department is to compare the expected collection to the actual collection received, understand the reason for the discrepancy and take measures to recover the difference.
> Reports: We provide Standardized Reports applicable to all practices. We can also provide customized reports on client's request.