As a doctor and practice owner you try and accomplish two goals every day. First, you work hard to ensure you offer the highest quality medical services. Next, you do your best to make sure the practice and services, as a business, runs as smoothly and profitably as possible. You went to school for the first goal. If you’re like most doctors, for the second goal, it’s a constant battle to find the good people and vendors who won’t also eat away all your profits. That’s why there’s our group. We can virtually eliminate the need for your backend staff or allow you to focus them on other tasks like marketing. No other company offers so much for so little.
> Greatly reduce your manpower costs which, in turn, reduce the cost of business operations by up to 40%.
> A seasoned team of qualified and certified experts dedicated to your business and practice.
> Onsite support whenever, wherever and however you need it.
> 90% of insurance payments are collected and remotely deposited in your bank account within 2 weeks of receipt!
> 12 to 14 hours turnaround time with 98.5% accuracy of your dictations!
> 30% lower cost than our competition!
For practices that want to make an immediate jump into a new era of productivity and profitability, we proudly introduce our Program that offers all our services in a turnkey fashion at a tremendous volume discount.
Revenue Cycle Management
Our exclusive approach to RCM addresses every detail of this complex arena. Experience counts and our proven performance allow your practice to navigate past the hurdles of RCM with ease.
Being an experienced organization in healthcare services, our group with its revenue management solutions, assures you quality services along with a good return on investment. We help you to manage the entire revenue cycle right from a patient’s admission to the hospital, treatment and discharge to post discharge claims and accounts settling and more.
Our experienced and dedicated staff focuses their time to keep a track of your billing, collecting full payment on all submitted claims, increasing payment on denied and underpaid claims, capturing revenue from un-submitted claims and following up on small dollar secondary claims.
Following are some of the benefits of choosing our global as your partner for healthcare revenue cycle management:
- We assure you almost 60% savings on your operating costs
- Provide 24/7 services and support & ensure quick turnaround time for large & small accounts
- We have skilled & experienced personnel will handle your RCM
- We ensure continual follow up of your bills and records for better revenue collection
- We improve efficiency and productivity of your RCMS
- We are 100% HIPAA compliant
Coding Service
Our team of highly trained coders will enhance the accuracy of claims while ensuring compliance to insurance and regulatory standards.
Our Offshore Medical Coding’s intensive, strategic coding lays the foundation for obtaining our client’s maximum reimbursement, while ensuring full compliance.
By availing our cost effective outsourced medical coding services we assure you cleaner claims, fewer denials and enhanced revenue.
We have certified medical coders who provide your organization with the highest level of quality medical coding services available All our coding team members receive extensive training as they also act as audit and compliance advisors to our billing teams and possess the ability to discuss coding and billing issues with our clients towards resolving problems of reimbursement.
Our Medical Coding Services benefits are:
- Reduced A/R days
- Avoidance of Costly Back Billing
- Cleaner Claims and Hardly any denials
- 24Hrs Turn around time
- 98% or better accuracy
- Certified coding specialists
- 100% HIPAA compliance
Eligibility and Verification
We provide 100% result for eligibility verification & Benefits and authorization, precertification requirement. Our expert team provides result within 24 hours with 100% quality.
If proper eligibility and benefit verification is not done then some problems are created; such as : delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment.
There are few steps which need to be followed for eligibility and benefits verification:
- Need to check and verify the patient’s insurance eligibility and benefits prior to the treatment.
- To check with the insurance company if how the payments of the patient needs to be paid – prior or post the treatment.
- To check with the insurance company if authorization & precertification requirement, this will help to get payment on claims easily.
- To inform the patient of their payment responsibilities at the time of appointment scheduling. By doing this it generally helps the patients to decide on the course of treatment and the client to avoid last minute cancellations.
Benefits of this service:
- Improve A/R cycles and reduce A/R days
- Increase cash collections by reducing write-offs and denials
Charge Entry and claims generation
We provide 24-hour turnaround for large and small accounts across multiple specialties.
Our Group is a leading Charge Capture and Claims Generation and Transmission specialist offering services to a sufficient range of healthcare providers across the world. Our team includes highly trained individuals with extensive experience across multiple specialties to deliver a very efficient solution.
Our services include:
- Completion of HCFA form for each patient visit
- Automated Claim Generation
- Automated Electronic Submission
- Removal of Errors and Delays
- Integration with Clearing houses
- Second Copy Claim Detection
Payment Posting
We analyze and post payments into the Hospital Information Management System or dedicated software.
Our group payment Posting accelerate the flow of money into the proper accounts, improves data accuracy and save your valuable time.
Our services include:
- Patient registration
- Insurance Eligibility Verification
- Charge entry
- Payment posting
- Denial posting
- Reconciliation
- Returned mail
- Refunds
- Provider data updates
Our Group helps our clients to realize the benefits of same day cash posting, typically at a lower cost.
EOB Follow-Up & Denial Analysis
Our experienced representatives analyze explanations of benefits and claims. Then they take the actions needed to recover the amount due.
Hospitals/Providers across the country lose multiple millions of dollars every year due to mismanagement of the billing process. The reasons range from inaccurate charging, such as undercharging for a service or procedure, to sending out claims that are for various reasons deemed inaccurate by the insurance carrier and therefore denied. Whether the solution involves instituting new procedures, improving staff training, or implementing new software systems, the benefits should be obvious. Accurate charge capture and claims denial management processes mean not only improving cash flow, but also protecting revenue that the provider is entitled to – and that all adds up to a healthier bottom line.
Denials are not unique to any organization. Denials are an epidemic in healthcare, and the need to rein in the cost and effect denials have on the organization and develop better management practices is critical to the financial success. We at Follow three systematic step-by-step approach of managing denials:
- Look at mistakes and understand how and why they existed.
- Find the source of denials and measure their impact.
- Implement successful changes to decrease future denials.
The result:
- Improved cash Flow
- Hardly any compliance concerns
- Increased billing efficiency
A/R Payer and Self-Pay Follow-Up
That ever-growing A/R account can kill cash flow and in turn kill opportunity for growth. Our group can greatly reduce the number of days you have to wait for payment, improve your collections ratio and make sure every process is followed up on along the way. We Reduce AR days.
Our Group model for A/R follow-up incorporate our successful A/R follow-up techniques to ensure maximizes cash return to our client.
Our group can assist you to improve your profitability, increase the collection ratio by reducing accounts receivable days. This leads to drive your business growth by effectively managing your cash and revenue flow.
Our analysis team, calling team and resolutions teams work collaboratively to decrease the AR days.
Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims.
We provide standard monthly reports that include:
- Charges, payments and adjustments.
- Dollars in A/R.
- Aging A/R.
- Payment punctuality by payer.