Our way to provide you with Solution.
Our teams are efficient and perform step by step to ensure you are delivered with maximum revenue. Our work starts when the patient calls provider’s office for an appointment and the front office staff captures the patient’s demographics and the insurance information.
This is how we do it
Pre-Visit Activities
Keep Track of Provider’s Schedule
Perform Prior Eligibility
Determine plan Coverage
Obtain Prior Authorization/Referrals
Calculate Patient’s Responsibility in advance (co-pay, Co-ins, Deductible)
Set Alerts for front office and provider regarding Billing Issues
Post-Visit Activities
Claim Scrubbing (Validating ICD, CPT, Modifiers & LCD)
Applying Plan Specific Rules
Attaching Required Documentation with Claims
Best Turn Around Time
Aggressive Follow-ups
Additional Activities
Reporting
Efficient Support (dedicated email group – Support over phone
Ad-hoc reporting upon request
EDI Enrollments
Credentialing
Regular QA Audits
We take pride in doing each task at our back office.
Back office Outsourcing
Our back-office teams work with the front-office staff/team in a real-time environment using
telephone/chat/email tools. This combination of front and back office services teams allows an organization
to reduce cost and improve productivity.