| In today’s environment, health care providers are challenged to leverage technology and retain talent to achieve optimal performance in their business offices. In most cases, providers are not able to achieve their goals of reducing operating costs, increasing cash flow and improving patient and physician satisfaction because they don’t have access to the resources required to successfully complete the task. The complexity of the current health care environment due to increasing regulatory requirements, decreased physician compensation, HIPAA and the increase in managed care makes it nearly impossible for health care providers to achieve desired results on their own. That is why many physician practices are partnering with focused partners with extensive expertise in revenue cycle management to help them realize their goals. Below is the list of services that we provide to Physicians: |
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 Appointment scheduling and confirmations |
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| Meditech team takes the incoming requests for appointments, schedules the appointments and confirms the time of visit with the patients. The team handles the queries and gives specific instructions, if any, to the patient for the particular visit. |
| Insurance Verification |
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| The insurance of the patient is verified whether he is covered under the specific plan and thepatient notified of the same. |
| Preauthorization |
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| Preauthorization is a critical part of the reimbursement process and one that cannot be overlooked. Most procedures or surgeries require preauthorization from the insurance. We at Meditech verify that this is done by the physician who will perform the procedure. |
| Medical Coding |
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| Meditech offers high quality coding services to healthcare providers. They have proficiency in the following code sets and usage guidelines; CPT-4, HCPCS, ICD-9-CM. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies and federal organizations. |
| Charge Posting |
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| Our Medical Billing Charge Entry Service gets your Claims and Demographics entered in your billing system rapidly and accurately. Through the creative combination of advanced technology and qualified and experienced billing professionals, can get the claims sent to payers faster, with less errors. A completely seamless solution that minimizes data-entry while utilizing your guidelines and billing software. All charges are accomplished within the agreed turn around time with the client, which is generally 24 hours. |
| Payment Posting |
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| Payment posting service gets all your payments posted accurately and usually within 1 business day through the creative combination of advanced technology with qualified and experienced billing professionals. During payment posting, overpayments are immediately identified and necessary refund requests are generated for obtaining approvals. Also underpayments/denials are informed to the analysts. |
| Account Receivables |
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| Our Accounts Receivable Follow-up Service gets you Paid More, Faster, and for a Lower Cost. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims. Services include: |
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Payer/Insurance Follow-up. |
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Self-pay Follow-up. |
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Receivable Analysis. |
| 4. |
Denials Management |
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| Delivery Reports |
| We believe that the most important part of billing and collection in an outsourced model is reports. Being able to see what has been billed, how much is not yet billed, what collections has been done, A/R, A/R aging, Procedure code analysis, Insurance analysis, payment analysis, cash collected and so on. |
| Daily reports |
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| Daily reports would include a daily call status, daily billing status and collection reports. This report can be customized according to your needs. During this time we will also provide reports on what is necessary to run the daily operations. |
| Weekly Reports |
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| Weekly reports would include a daily and weekly call status, daily and weekly billing status and collection reports. This report can be customized according to your needs. During this time we will also provide reports on what is necessary to run the weekly operations. A bi-weekly telephone meeting can be conducted to evaluate progress. |
| Month End Reports |
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| Monthly reports would include a set of financial reports, procedure code usage reports and aged summary reports. These would allow us to asses the momentum that has been achieved this month and/or see where there is a pattern of non payment. In this way we could once again tackle any bulk pending issues. |
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