HEALTH CARE SERVICES

> Insurance Claim Processing       
> Medical Billing

Insurance Claim Processing

> HCFA/UB 92, Inpatient/Outpatient
> Dental
> EPSDT/LTC (Long Term Care)
> Medical Services/Ambulance
> Claims collection process, through dedicated PO Boxes
> Document Preparation process comprising of Claims sorting in terms of claim types and types of their attachments followed by batching
> Download, decryption & cropping of confidential claim information Encryption of claim images and secured upload on the offshore FTP site
> Ensure data caliber and authenticity by validating against client supplied ICD-09 (diagnosis codes), CPT04 (procedure codes), member unique ID and provider data comparison of these two distinct electronic records
> Formatting data including HIPAA 837 format

Insurance Claim Adjudication and Analysis

Medical Billing

Process

• Coding
• Charges Entry
• Cash Posting
• EOB Analysis
  > Denials
  > Payment
• AR follow up

Account Receivable Services Includes

• Accounts Receivable analysis.
• Regular Insurance Follow Up.
• Specialty Analysis.
• Denial Management.
• Constant Reporting
  

Specialities

• FAMILY PRACTICE
• CARDIOLOGY
• ANESTHESIOLOGY
• PAIN MANAGEMENT
• DERMATOLOGY
• PEDIATRICS
• INTERNAL MEDICINE
• INFECTIOUS DISEASE
• OPHTHALMOLOGY
• RADIOLOGY
• OB/GYN
• GI
• NEUROLOGY
• PODIATRY

Flowchart

Teleradiology