Title: Medical billing company
1(No Transcript)
2COMPANY OVERVIEW
- A growing provider of healthcare, solutions
with over 14 years in business and serving over
2000 physicians spread over 33 states in the US. - Focus on developing strategic partnerships and
long-term relationships with our clients - Principal office in Atlanta, GA with
outsourcing centers in Dubai, Chennai and
Vellore - Highly skilled and experienced project
management professionals both in the US and
offshore - Our healthcare services include Transcription,
Revenue Cycle Management EMR - ISO 90012000 Certification
3AGENDA
Healthcare Services
Pillars of Operation
Corporate Overview
Differentiators
4Healthcare Services
- Transcription Services
- Medical Billing Services
- Medical Coding Compliance Audit
- Electronic Medical Records
5Transcription Services
Office visits
Consultation Reports
Operative reports
Clinical Notes
Psychiatric Notes
Discharge Notes
Progress Notes
History and Physical Reports
6Revenue Cycle Management
7Medical Billing Services
- On-line entry of patient details directly into
client software - 24 to 48 hour turn-around time for most files
- Separate Audit team for compliance and accuracy
- 95 accuracy guaranteed on the SLAs
Demographic Entry
- On-line entry of patient details directly into
client software - 24 to 48 hour turn-around time for most files
- Separate Audit team for compliance and accuracy
- 95 accuracy guaranteed on the SLAs
- CPT-4 and ICD-9 match performed before completing
charges - Electronic submission of bills to all carriers
accepting the same/Paper billing if necessary
Charge Entry
- Remote Coding for ICD 9 / ICD 10 / CPT 4 /
HCPCS II across all specialties - Coding team includes certified coders including
physicians and nurses - 24 to 48 hour turn-around time for both office
based and hospital based specialties
Coding
8Payment Posting and eligibility
Medical coding is the transformation of
narrative descriptions of diseases, injuries, An
healthcare procedures into numeric or
alphanumeric designations (that is code numbers).
- Identifying symptoms that must be evaluated and
to alert other healthcare
professionals to life-threatening allergies
- Reporting services performed for reimbursement
- Helping with administrative functions such as
staffing, scheduling,
and adding or decreasing healthcare services
- Comparing facilities and planning for new
services in underserved areas
9Medical Coding Services
- Following up aggressively with almost all
carriers for denied or outstanding claims - Following up aggressively with patients on self
pays Co-pays
Payment Posting
Eligibility Verification Pre-Certification
10A/R Follow Up
Following up aggressively with almost all
carriers for denied or outstanding
claims Following up aggressively with patients
on self pays Co-pays
11Electronic Medical Records
Attaching
Scanning of medical records
Searching of Records
Destroying
Indexing of records
12The Four Pillars Of Global Operation
13Human resources
Recruit the best, retain those recruited, bring
value to their career.
- Pre-Recruitment
- Recruitment
- Employee Engagement
Training program
- Medical Billing
- Client and error specific
- Role and Process Training
- Developmental programs
14Quality Our Main Concept
- Effectively maintaining the quality management
system - Benchmarking for continuous improvement
- Ongoing training and development
- Quality calibration sessions are held to
evaluate performance against SLA - Rigorous quality control (QC) through every
step of the workflow process - Granular tracking of error rates and production
efficiencies - QC to achieve an internal accuracy levels which
consistently exceed the set SLAs - Dynamic QC sampling rates based on an
historical view of accuracy fluctuations - Treating repeated errors as red flags,
identifying and effectively treating root causes
15Infrastructure Security and technology
Hardware
Software
Servers
- Production floor spread across 20,000 sq. ft.
area in Chennai location and over 10,000 sq.ft
area in the Vellore location - Closed circuit television monitoring of all
production floors plus 247 security guards
posted in the premises - Door to Door transportation for night shift
employees - Generator back-up for the full facility to
ensure uninterrupted power - Electronic Card access for production area to
prevent unauthorized access
16Differentiators
1
Deep expertise and experience in serving the
healthcare industry
2
Documented ability to deliver on time and
according to specifications
3
Passion for achieving the highest level of quality
4
Broad understanding of clients long and short
term goals
5
Focus on building partner relationships
6
Emphasis on ingenuity to achieve maximum cost
savings
17(No Transcript)