Presentation on theme: "1 RCM SERVICES OVERVIEW A PRIMER ON F&A SERVICE USAGE."— Presentation transcript:
1 RCM SERVICES OVERVIEW A PRIMER ON F&A SERVICE USAGE
2 SERVICE ADVANTAGES Web Based Billing & Scheduling. Multi-platform support. Reduced days in receivables. Accelerated Account Receivable turnover. Reduced General & Administrative Expenses. Fixed claim processing & collections costs.
SCOPE OF SERVICE Patient Registration. Eligibility Check/Insurance Verification. Appointment Scheduling. Charge Entry. Payment Entry (Electronic/Paper). Claim Status Aging – Web/IVR. A/R Calling. 3
4 SERVICE- FEATURES Account Creation – Within 24 hours. Charge Entry – Within 24 hours. Claim Adjudication – Within 14 days. Payment Entry - Within 24 hours. Account Receivable Aging – Everyday. Patient Bill Generation – Daily. Insurance Bill Submission-Daily. A/R Calling – 5 days a week.
PLATFORMS Caretracker OptumInsight. Advanced MD MDSynergy Practice Fusion Lytec Practice Admin Centricity Medisoft 5
6 COMPETITIVE EDGE We find that one of our competitive edges is that we pride ourselves in understanding our client’s needs. We are able to overcome the language barrier, that most offshore companies struggle with. We have a strict hiring, training, and supervision program that we consistently adhere to. We are usually able to accommodate almost all requests and are very competent in doing whatever is needed to get the job done, and done correctly!
7 THE PROCESS Super bills and paper EOBs are collected daily thru FTP upload or e-fax or email. Demographics and charges will be keyed into Online/ offline software/platforms. EOB- Explanation of Benefits (or ERA) will be updated into billing software on a daily basis. We directly type into your system using VPN and/or we can offer you online platform.
8 OPTIONAL FEATURES Records Management and Storage (Electronic/Physical). Medical Coding Support. Medical Transcription Support. Medical Billing from Dictation. Collections via Collecting agency and/or Attorney.