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Revenue Cycle Management Services
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Infrastructure
- MBPS Internet leased line with assured 24/7 connectivity
- Network infrastructure and disaster recovery
- Structured cabling for all workstations
- Professional monitoring of network and servers
- Data back up with remote storage facility
- 100% power back-up using online UPS and generator with 24/7 assurance
- Secured FTP facility
Staff Expertise
- Customer focused
- Certified Coders – CPC, CPC-H
- Billing specialists experienced in diverse specialties
- Experienced AR Analysts and Denial Management Specialists
Transcription / Coding
- 24-hour turnaround
- Easy-to-use dictation system
- Completed transcriptions are stored on our secure website or auto-faxed to designated recipients
- DRG, CPT & ICD-9 coding
- Quality improvement processes
Billing
- Patient registration
- Insurance and eligibility verification
- Charge posting
- Electronic and paper claim filing
- Secondary carrier billing
- Payment posting and reconciliation
- Refunds Processing
- Accounts Receivable
- Insurance follow-up
- Patient follow-up
Denial Management
- Denied claims are examined, corrected, and resubmitted within 24 hours of receiving EOB.
- All denials which require additional documentation are sent on the same day that the EOB is posted.
- Specialists in working aged account receivables
- Experienced in correct appeal procedures
Accounting
- Bank reconciliations
- Reconciliations of subsidiary ledgers to general ledger
- Graphs to trend performance
- GAAP financial statements
- Review of accounts receivable and calculation of allowances
Quality Improvement Initiatives
- All processes are codified with appropriate metrics to evaluate performance
- All computer servers reside in Cincinnati – staff remotely accesses servers to perform work
- Auditing process reviews work done
- Redundant information systems
- HIPAA compliant
Managed Care Contracting
- Contract Negotiation
- Financial Analysis
- Continuing Contract Management
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