Billed Right Medical Billing Process Flow Collaborative Outsourcing For A Changing World!
PROCESS - MEDICAL BILLING ACCESSSING SOFTWARE AT US PATIENT DEMOGRAPHICS ENTRY CHARGE ENTRY QUALITY AUDIT Paid Claims Unpaid Claims for cash For corrective TRANSMISSION OF CLAIMS THRU CLEARINGHOUSES application action CASH APPLICATION AR ANALYSIS / CALLING CASH TALLYING ACTION ON DENIALS / REJECTIONS MIS / GENERATION OF REPORTS REPORTS TO CLIENT
QUALITY AUDIT Quality Audit for Patient Demographics and Charges before sending batch wise update to client Patient #, Name, Address, SSN, DOB, Home Ph, Work Ph, Guarantor, Subscriber details, Employer, etc to be checked in Patient Demographic File Date of Service, Procedure Code, Diagnosis Code, Modifier, Units, Value, Place of Service, Type of Service, Referral, Prior Authorization, On bill comments, Location, etc to be checked in Charges File If any incorrect details found, Charges Team to be informed of the same and correction done After Quality Audit, files to be given to Supervisor / Manager for sending Batch Update to client.
INSURANCE FOLLOW UP COVERAGE INFORMATION CONTRACT TREATMENT INFORMATION ELIGIBILITY CARRIER FEE INSURANCE CLAIM SCHEDULE FOLLOW UP STATUS PROVIDER PAYMENT INFORMATION DETAILS DENIAL REASONS
PATIENT FOLLOW UP T C N N I O N E O V F M I O E T T R A R A A M M E G R A R E O T T I F O N N I PATIENT L P I N A N A O N F Y I O O T M R S A E R M M N E A R T P O T I F O N N I
MONTH END REPORTS Audit Recap Doctor Patient Financial Financial Month-end Financial Reports Service Analysis Aged AR Reports
Billed Right – GO Forward Road Map Pre-Analysis Analysis Transition Ongoing Management Operations Key Activities • Understand client • Gather documentation • Adapt process plan • Operations accepts business needs • Identify solution and • Emulate client process service • Identify outsource costing • Confirm performance responsibility opportunities • Confirm and validate requirements • Quality plan put • Assess requirements with client • Customer acceptance into effect • Review environment • Prepare process • SLA acceptance • Confirm viability implementation plan Location Onshore Onshore Onshore Onshore Timeline 1 weeks 1 weeks 2-3 weeks Ongoing engagement Responsibility • Client functional • Client functional • Client functional • Client operations managers managers managers team • Billed Right Functional • Billed Right analysis • Billed Right transition • Billed Right service specialists team team delivery head
DIFFERENTIATOR KEYS Billed Right has the cutting edge expertise and technology in making Medical Coding a simple process through its Pocket PC solutions which is in its infancy stage. Billed Right has in its Agenda solutions like In-house Clearinghouse, Direct Transmission of claims to various Commercial Carriers, Direct Deposit of Checks from various commercial and other carriers etc. Submit most of the claims / patient statements electronically thereby reducing the reimbursement Turn Around Time. Create a Sync (EFT) between the Practice Management software / Bank Account of the Client / Insurance Company which will greatly reduce the Turn Around Time of reimbursement and reduce paper work to a greater extent.
Looking forward for a long term association with you. T H A N K Y O U Billed Right URL : www.billedright.com
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