For the cash flow to be consistent, submission of claims on daily basis and timely follow up on submitted claims is mandatory. Though, it has been an open secret many physician offices/billing companies are not paying required attention on this area allowing interruptions in cash flow. Our professional crew is well-versed with each and every insurance carrier’s specific billing/coding guidelines. We will make sure that the claims are generated and submitted on a daily basis after thorough audit for the completeness and accuracy. As we strongly believe that delay in BALANCE BILLING is a major cause for inconsistent cash flow. We will work on secondary/tertiary claims and patient statements on a daily basis

Effective management of rejection and denials is key to successful revenue cycle. Our cross-functional denial management taskforce uses prospective and retrospective methods to manage the rejections and denials. Prospective method prevents rejections/denials where as retrospective helps in addressing the rejected/denied claims. As a result the denial rate will be reduced and the cash flow will be maximized.

We strongly believe that every claim is payable with right level of attention. Timely follow-up of submitted claims is the critical factor for proper reimbursement. We will pay the required level of attention on each claim irrespective of the claim amount. Our professional AR team is well versed with all major insurance carriers filing/appeal processes and specific rules. We start follow-up of accounts 21 days after claim submission. We target at the following AR ratios

We put maximum effort to automate the business process, which means using electronic method for almost all your business transactions like submission of claims, verification of insurance benefits, referrals, pre-certification, claim status, receiving the remits, posting of insurance payments, and secondary claims submission. Automation…..

Quality is ensured through implementation of rigorous two-tiered audit/review process. Each agent reviews 100% work at the time of keying in the data to enter correct information. The daily transactions are then audited by the team lead to double check the accuracy. Periodic Production audits are conducted to evaluate and benchmark the performance outcomes against industry best practices. We are proud to comply with HIPAA, AAPC, and AAHAM standards and guidelines to provide quality services.

We strongly believe that regular communication and prompt client support are the key factors to move the billing process seamlessly. We’re on call 24/7 to answer all your questions. You can simply email/fax your questions or call the professional client support team dedicated for your account. On a daily basis we will keep you posted on the status of your billing. We will also conduct periodic client feed-back surveys on our client support and communication to make sure we are up to the client’s expectations.

No matter how small your business or how big our client base is, every client will get the required attention. Our staff per account ratio is well above the industry standards. Each account will be allotted with a five-member cross-functional professional team consisting of one certified coder, one certified billing specialist, two A/R specialists, and an account supervisor. We do not entertain crossover in staff from one account to another. This allows the team to gain better control on the process and produce best results.