MEDICAL CODING Quality process: We audit on the entire process of coding. We also ensure that the CPT, HCPCS and ICD codes are based on the AMA and CMS guidelines. Reports: We generate reports indicating the charts received from the client, the ICD and CPT codes, the patient name and DOS. Reports are generated:  Daily Weekly/Fortnightly Monthly Problem Log- A problem log mentioning unclear files, charts or medical information is raised and is sent along with the files to the client for clarification and instructions. Productivity: 125 charts per day (based on the specialty), which includes both CPT and ICD codes. Contact us for pricing and more information.

DEMOGRAPHIC & CHARGE ENTRY Service: Services we provide are: Demographic entry Charge entry Claim submission Reports: The reports submitted by us provide information on the transactions (Number of Patients and Claims) processed by us. We generate three reports on the work delivered to the clients.  Daily reports Weekly/Fortnightly reports Monthly report Productivity:  5000 Transactions/ Month Any of the following will be calculated as a transaction: a)     New Patient Demographic Entry b)     Changes in existing Patient Demographics c)      Entry of Charges (CPT’s and ICD’s for a claim) Contact us for pricing and more information.

CASH POSTING Quality process: We audit on the entire process of cash posting. We check the fields such as check number, co-insurance transfer and adjustment. We also check on the denials and re-submission of claims. Reports: The reports submitted by us provide information on the transaction (no. of line item) received and submitted by us. We generate three reports on the work delivered to the clients. Daily reports Weekly/Fortnightly reports Monthly reports Productivity: 250 line items posting (payment or denials) per day. Contact us for pricing and more information.

ACCOUNTS RECEIVABLE Services provided: Receivable Analysis Denials Management Reporting Practice Analysis Classification of Service: Insurance Aging Report Analysis We run Insurance aging report on a daily basis and analyze the claims. The analysis is done to identify: Un-paid Claims Low Paid Claims Denied Claims Rejected Claims Claims not on file Analysis Process; Once the Claims are analyzed; actions are initiated based on the following: Claims that has to be resubmitted with Medical Documents such as Medical records, Referral, Authorization etc. Claims that need to be appealed for low payment, timely filing etc Segregation of Denials  Issue of instructions to the Representatives for follow-up to get the status. Quality process: We maintain checks on the accounts that are given for calling. Reports: We provide various reports based on the analysis: Estimated A/R Payments Practice Analysis Collection Ratio Report  Insurance Analysis A/R Aging Report Insurance Aging Productivity per Month: 50 Accounts / Day, Contact us for pricing and more information.

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