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Medical billing company PowerPoint Presentation
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Medical billing company

Medical billing company

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Medical billing company

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  1. COMPANY OVERVIEW • A growing provider of healthcare, solutions with over 14 years in business and serving over 2000 physicians spread over 33 states in the US. • Focus on developing strategic partnerships and long-term relationships with our clients • Principal office in Atlanta, GA with outsourcing centers in Dubai, Chennai and Vellore • Highly skilled and experienced project management professionals both in the US and offshore • Our healthcare services include Transcription, Revenue Cycle Management & EMR • ISO 9001:2000 Certification

  2. AGENDA Healthcare Services Pillars of Operation Corporate Overview Differentiators

  3. Healthcare Services • Transcription Services • Medical Billing Services • Medical Coding & Compliance Audit • Electronic Medical Records

  4. Transcription Services Office visits Consultation Reports Operative reports Clinical Notes Psychiatric Notes Discharge Notes Progress Notes History and Physical Reports

  5. Revenue Cycle Management

  6. Medical Billing Services • On-line entry of patient details directly into client software • 24 to 48 hour turn-around time for most files • Separate Audit team for compliance and accuracy • 95% accuracy guaranteed on the SLA’s Demographic Entry • On-line entry of patient details directly into client software • 24 to 48 hour turn-around time for most files • Separate Audit team for compliance and accuracy • 95% accuracy guaranteed on the SLA’s • CPT-4 and ICD-9 match performed before completing charges • Electronic submission of bills to all carriers accepting the same/Paper billing if necessary Charge Entry • Remote Coding for ICD – 9 / ICD – 10 / CPT – 4 / HCPCS II across all specialties • Coding team includes certified coders including physicians and nurses • 24 to 48 hour turn-around time for both office based and hospital based specialties Coding

  7. Payment Posting and eligibility Medical coding is the transformation of narrative descriptions of diseases, injuries, An healthcare procedures into numeric or alphanumeric designations (that is code numbers). • Identifying symptoms that must be evaluated and to alert other healthcare professionals to life-threatening allergies • Reporting services performed for reimbursement • Helping with administrative functions such as staffing, scheduling, and adding or decreasing healthcare services • Comparing facilities and planning for new services in underserved areas

  8. Medical Coding Services • Following up aggressively with almost all carriers for denied or outstanding claims • Following up aggressively with patients on self pays & Co-pays Payment Posting Eligibility Verification & Pre-Certification

  9. A/R Follow Up Following up aggressively with almost all carriers for denied or outstanding claims Following up aggressively with patients on self pays & Co-pays

  10. Electronic Medical Records Attaching Scanning of medical records Searching of Records Destroying Indexing of records

  11. The Four Pillars Of Global Operation Tanning • Human • Resources Infrastructure &Technology Quality Management

  12. Human resources “Recruit the best, retain those recruited, bring value to their career”. • Pre-Recruitment • Recruitment • Employee Engagement Training program • Medical Billing • Client and error specific • Role and Process Training • Developmental programs

  13. Quality – Our Main Concept • Effectively maintaining the quality management system • Benchmarking for continuous improvement • Ongoing training and development • Quality calibration sessions are held to evaluate performance against SLA • Rigorous quality control (QC) through every step of the workflow process • Granular tracking of error rates and production efficiencies • QC to achieve an internal accuracy levels which consistently exceed the set SLA’s • Dynamic QC sampling rates based on an historical view of accuracy fluctuations • Treating repeated errors as “red flags,” & identifying and effectively treating root causes

  14. Infrastructure Security and technology Hardware Software Servers • Production floor spread across 20,000 sq. ft. area in Chennai location and over 10,000 sq.ft area in the Vellore location • Closed circuit television monitoring of all production floors plus 24*7 security guards posted in the premises • Door to Door transportation for night shift employees • Generator back-up for the full facility to ensure uninterrupted power • Electronic Card access for production area to prevent unauthorized access

  15. Differentiators 1 Deep expertise and experience in serving the healthcare industry 2 Documented ability to deliver on time and according to specifications 3 Passion for achieving the highest level of quality 4 Broad understanding of clients’ long and short term goals 5 Focus on building partner relationships 6 Emphasis on ingenuity to achieve maximum cost savings

  16. Contact us Thank you ! Dubai Office India Office US Office India Healthcare Solutions subsidiary of GHR 70 Ritherdon Road Vepery Chennai, India 400007 Phone: +91-44-45558333 Global Healthcare Resource, Inc.805 Peachtree St #421 Atlanta, GA 30308 602 Concord Office Tower Marktoum Road Dubai, UAE Ph: + 9714-3523579