| We are familiar
with the challenges that you face as a hospital:
legacy systems, inability to work low dollar balances,
self pay accounts not sufficiently worked, aged
AR, shortage of qualified and skilled personnel
etc. Billing Paradise will help
you address all of these challenges very effectively.
Our solutions are designed to improve your cash
flows, reduce your operating costs and lower your
bad debt write offs, while maintaining positive
patient and community relations.
Your
Pain…
• Not worth keeping
Billing clerk in house for the
low volume of claims processing work
• Low collections
and Huge AR Backlogs?
• Your in-house billing
assistants moved to other job and left you in
lurch?
• Rising costs for
processing services
• Difficult to keep
up with ever changing claims processing
procedures?
• Lack of trained
and qualified resources?
• Distractions from
pursuing your core business objectives
• Ever increasing
need for IT capital expenditures
• Customer dissatisfaction
• Lack of follow ups
with the insurance (Credentials,
payments etc..)
• Low dollar value
claims are not followed – Time Crunch!
• Payment delay for
the visiting physicians.
• Delay in obtaining
Authorization number.
Our
Solution
• Expert resource
with best process
• Better Process
• Faster TAT
• Significant cost
savings up to 30-40 %
• 99% Accuracy
• Increased Cash flow
- Denial Management and AR Follow-up.
• Experienced staffs
with regards to the insurance
policies will follow the claims
and for credentials.
• Team allotment for
the specialty vice follow ups.
• An office
manager at your place manages the entire process
with our staffs.
What
You Get?
We will take care of your entire Healthcare Claims
processing activities.
1. We will dedicate a Phone number for your Patients
to call our office customer service
24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super
bills
4. Save about 40-50% of your existing cost or
owning billing staff
5. Follow up with insurance carriers for all submitted
claims to ensure proper payment of claims in a
timely manner
6. Patient Insurance verification
to minimize claims rejection*
7. Weekly production report and monthly AR aging
report
8. Free patient billing and invoicing
for three times
9. 90 Day payment guarantee for all Primary claims
of MCR and other Commercial Carriers MCR Blue
cross excludes Medicaid
and Trust Funds and Patient balance
*
If you signup online Appointment
scheduling services with us what
we do the eligibility of the Pt before
the appointment and will notify your office
the status.
How
We Do:
1. Super bills will be collected from your office
daily thru FTP upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed
into Online/ offline Medical
claims process software
and claims will be submitted electronically.
3. EOB- Explanation of Benefits will be updated
into billing software
on a daily basis.
4. AR aging reports will be carefully processed
and sent to your appraisal.
5. Insurance calling will be
done on claims based on the AR report.
6. Reports on the work done will be sent on daily,
weekly and monthly basis.
Step 1: Collecting
/ Checking / Scanning of required documents to
Our Office
Step 2: Required
data i.e. Patient Demographics, Insurance
Information, Super bill, Check copies and EOB
copies. Charge Entry will be updated in our software.
Expected TAT of this process
is 36 Hrs.
Step 3: Payment
information’s will be updated to individual
claims account on daily basis based on daily document
source – Check copies and Explanation of
Benefits.
Step 4: Unpaid /
Denied / Rejected claims will be Analyzed, Accounted
and Act upon by the AR crew which will also call
various Insurance Companies for follow-up.
Step 5: Through
our Office / Client we will route
submission of secondary and tertiary claims,
claims with attachments, patient
bills and other documents to
the Insurance companies
click
to view the process map...
Related Tags
|
