RCM Service
RCM
Medical Coding
Medical coding is the conversion of Diagnoses and Procedures into the payable alphanumeric codes. Correct coding will result in fast claim processing which in turn results in increased cash flow by decreasing the time and money spent on the resubmission of a claim. We strictly follow CMS Coding Guidelines for speed processing of the claims.
Specialities Covered:
We Covers the following major specialities:-
Valuation and Management Coding
Chiropractic
Physical Therapy/Occupational Therapy
Family Practice
Emergency
Neurology
Endocrinology
Cardiology
Haematology
Gastrology
Nephrology
Hepatology
Orthopedics
Radiology
Pathology
Anesthesia
OB/GYN
Tools for Coding:-
AMA's Current Procedural Terminology CPT
Ingenix's International Classification of Disease - ICD 10 CM
Ingenix's HCPCS
ASA and RVG guides
MS - DRG, IR - DRG
Feedback and Training:-
Regular feedback to our clients to keep them up-to-date on the changes in the Healthcare industry which can impact their revenues.
Training if required, for the current changes in the Healthcare standards.
Medical Billing
Payment Posting & Denial Analysis:
We have trained professionals in Medical Billing Terms to do the posting analysis for the denials and take corrective measures and medical Billing Processes which improve your Cash Flow.
We have trained callers to reduce AR Days, increase their collection ratio and improve their cash flow through regular follow-up with the insurance carrier and patients.
Step 1: Initial Evaluation
This stage includes the proof and examination of the cases recorded on the A/R report. Medical Billing in Las Vegas surveys the medical policies and recognizes which claims should be balanced off.
Step 2: Analysis and Prioritizing
This step is for the claims or cases that are recognized as uncollectible or for applications where the carrier has not paid its contracted rate with the healthcare provider.
Step 3: Collection
The claims at this stage are on the documentation to reach the bearer and are re-recorded to confirm all the fundamental charging data, for example, claims to handle address and adaptation to other medical charging rules. We look after the persistent bills that are produced according to the customer rules and after that catch up with the patients for payments.
Our Process
We check/scan the required documents or superbills that will be collected from your office daily, through FTP upload or PC anywhere Access.
All Patient Demographics, Insurance Information, Superbills, EOB copies, and charges will be keyed through the online or offline route. Medical claims process software will be used to submit claims electronically. The expected TAT of this process is 36 Hrs.
EOB (Explanation of Benefits) will be updated into billing software and payment information will be updated to individual claims on a daily basis, based on daily document sources. Check copies and Explanation of Benefits
AR ageing reports will be carefully processed and sent for your appraisal. All Unpaid / Denied / Rejected claims will be analyzed, accounted and acted upon by the AR crew, which will also call various Insurance Companies for follow-up
Insurance calling will be done for claims based on the AR report. Through our Office / Client, we will route the submission of secondary and tertiary claims, claims with attachments, patient bills and other documents to the Insurance companies.
Reports on the work done will be sent on a daily, weekly and monthly basis.
Medical Transcription
Our Electronic Patient Records System.
Our Electronic Health Records in the USA is a personalized, user-friendly, and HIPAA-compliant web-based patient record maintenance solution, which provides personalized and secured access to patient health records and transcriptions.
Excellent Customer Support: You can reach our support any time by calling 744 859 4444 or by emailing at hr@crewcorecs.com
Scalable Solution: Our experienced staff maintains excellent quality in spite of any volume surges during peak load times.
Other services such as Medical Billing & Coding, EMR support etc File retrieval module allowing practices to search for transcribed documents Audio and document files online Retention and Backup Service FTP File Synchronization Service Easy integration with existing in-house system Secured access to our EMR system via login ID and Password authentication We support for all modes of dictation - Toll-Free Telephone Dictation, handheld, PDA, or other digital recorders, In House System, Safety Net, and PC Dictation Service Multiple delivery options such as secure web interface, email, fax, or FTP etc. They can also be sent to a hospital's/clinic's in-house document management system via HL7 or XML coding.
Dictating on Computer: There are some shareware and some paid software available in the market whereby you can dictate on your PC. The voice quality is inconsistent, as one has to be careful about the distance of the mouth from the mic. Too far may make the volume very low and too close would make the voice blurred. The option is low on convenience but also has insignificant upfront and running costs.
Our Transcription & Quality Assurance Process
We ensure excellent quality and high productivity.
First Level: The transcriptionist transcribes and checks for any errors
Second Level: Quality assurance personnel checks for any errors and produces an exportable product.
Third Level: The QC manager randomly checks about 25 % of the files. Also, medical and language specialists are available at all times to sort out problems at all levels.
Formats and Permissions
The files of real-time dictation differ in size, depending upon the manufacturer. The widely recognized document of the recorders produces have one of the formats WAV, WMA, or MP3. Some dictation machines record in the DSS and DS2 format. The DSS and DS2 records are the sound taking into account more portability. Our clients can rewind or quickly forward to any point inside the transcription document to audit or alter. We provide access capacity of advanced sound permits embedding sound anytime without overwriting the accompanying content.