| 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.
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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.
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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.
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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.
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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.
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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.
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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.
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Denials Management |
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| Delivery Reports
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| 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.
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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.
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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.
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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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