One Core Billing Solutions
Company Overview • A Growing provider of healthcare solutions with over 10 years in the business. • Focus on developing strategic partnerships and long-term relationships with our clients. • Principal office in New York with the outsourcing hub based in Colombo Sri Lanka. • Highly skilled and experienced project management professionals both in the US and offshore. • Our healthcare services cover all aspects of Revenue Cycle Management and are expertise in Business Intelligence which focus on providing methods to enhance your revenue.
Our Mission • One Core Billing Solutions is dedicated to provide our clients with the highest quality of medical billing services. Our mission is to decrease claim errors, turnaround time on payments, increase reimbursement of claims. One Core Billing Solutions is dedicated to fulfill all aspects of your billing, allowing you to focus on patient care. • One Core Billing Solution’s RCM process is strategically developed to continuously improve your KPIs within a short period of time. Our solutions will give you the confidence that no funds for the services you have provided are left uncollected.
Our Vision Our vision is to be a leader in the field of Healthcare Revenue Cycle Management. We will achieve this by : • Maximizing reimbursement for our clients with the highest levels of customer service through a highly motivated, skilled and enthusiastic workforce. • Understanding, meeting and exceeding our client’s needs and requirements. • Retaining the loyalties of our clients. • Holding ourselves accountable for all our actions • Utilizing proven and advanced technologies.
OUR SERVICES Coding & Review Charge Entry Eligibility Insurance Verification & Patient Precertification Denial Q uality Payment Posting A ssurance Denial Customer Service Analysis & Revenue Reports Patient Collection Analysis Reports AR Follow up & Denial Reconciliation Management Reports
Eligibility & Pre-Certification • One Core Billing solutions is dedicated to perform Eligibility and Pre certification verifications where there is no need to be concerned about the services being denied once performed. We provide you with 100% accurate verification services on Pre visits and notify you whether the services are authorized to be performed by the insurance and the patient’s contract within 24 - 48 hours TAT.
Credentialing Services • One Core Billing Solutions is dedicated to maintain accurate and up to date physician records at all times by adhering to guidelines determined by state regulations, private and government payers, and hospitals. We keep an eye on these guidelines on behalf of our clients to make sure that each and every profile is up to date. • Our goal is to decrease the pressure that is caused on the medical practice in preparing the credentialing applications for managed care plans, government agencies, other third party payers, hospital and related organizations which have become a time-consuming and a costly factor at present. • One Core Billing Solutions will take away the pressure factor away from you which will allow you to focus more on patient care.
Medical Billing & Coding • One Core Billing Solutions is more than capable of taking over your medical insurance billing process as we know how frustrating and tense it is to deal with various insurance companies and the jargon they throw at you. Our Billing, Coding & Quality Management team can provide you with the best solution where there will be no need for you to waste your precious time in getting your claim paid on time. • Outsource your insurance medical billing duties to“One Core Medical Solution” and we assure to take the stress factor away from you. We will take all the responsibilities that falls under the medical insurance billing function so that all what you have to focus is none other than your patients! What at are e the Advan antages tages you get by Outso sourc rcing? ing? • Highly reputed and experienced staff • 24 – 48 Hour turnaround • 99% Assured Coding accuracy • Improvement in revenue and cash flow within a short period of time • Immediate Set-up and go-live • ICD-10 ready – No training, No upgrades required
Payment Posting • Responsibility for all the complicated and critical processes involved in the process of AR management which includes filing of appeals, monitoring low reimbursement rates from insurances, updating insurance policy agreements, managing unapplied balances, refunds, and patient statements processing. • Payment posting will be made by the highly skilled professional staff with 100% accuracy within 24-48 hour turnaround which will result in detecting denials straight forward.
Denial Management • One Core Billing Solutions is especially dedicated in solving issues on unpaid claims. • We consist of a dedicated Denial Management team which will thoroughly focus on fixing Denials and Correspondences within 24-48 hours TAT so that we maximizing effectiveness at collecting unpaid claims ensuring that no time is lost on pursuing every reimbursement possibility. Therefore go ahead and attend to your patient’s requirements and let us do the needful to reimburse them from the insurance companies. Additional benefits you receive • Weekly reports with resolutions made on denials received from the insurances which will help you provide the services accordingly in future. • All Denied claims will be re worked within 24-48 hours and sent back to the relevant insurances for reimbursement with relevant resolutions. • Clear out the entire billing complications and receive 99% reimbursement rate at 30 days
AR Management • Cash flow is the ultimate key for any practice. We work closely with our clients on the services we’re providing to earn their trust and successfully achieve mutual goals together. Your Accounts receivable and the claims turnaround time has a significant impact on your medical practice. • By Outsourcing your process to One Core Medical Solutions we assure you a faster turnaround in AR. Our AR Management Services ensures your financial success is as important to your business as it is to ours.
AR Management What we offer • Outsourcing the work process to One Core Billing Solutions will help you submit your claims quicker with 99% accuracy, where you receive the payments from insurances in the shortest period of time. • One Core Billing Solutions holds responsibility for all the complicated and critical processes involved in the process of AR management which includes filing of appeals, monitoring low reimbursement rates from insurances, updating insurance policy agreements, managing unapplied balances, refunds, and patient statements processing. • Payment posting will be made by the highly skilled professional staff with 100% accuracy within 24-48 hour turnaround which will result in detecting denials straight forward. One Core Billing Solution provides a separate work force called the “Denial Management” where these claims will be re worked upfront to fix issues within 24 -48 hours turnaround for more reimbursement. • The One Core Billing Solutions Quality Assurance Management team is an added advantage you receive which assures in high reimbursement rate within a short period of time where it only focuses on maintaining 100% quality and accuracy at all times. • We also ensure that claims with a possibility to submit via electronically will be set up in order to receive ERA’s which wil l further save time and increase the reimbursement rate. • Our mission n is to increase ase cash flow within n the shortest t period of time in an effi fici cient nt and a secured manner. ner.
Business Intelligence & HIPAA • One Core Billing Solutions consists of a dedicated Business Intelligence department where we provide you with all types of financial reports that are essential for you to efficiently move on with your business. We provide you with daily, weekly or monthly reports according to your requirements. Let us know what you require and we provide you what you need. • As One Core Billing Solutions, we believe strongly in maintaining electronic data which can be easily reached by our providers while providing the highest level of reliability and confidentiality for our clients. We always make sure that we follow the rules and regulations of the Health Insurance Portability & Accountability Act of 1996 (HIPAA).
Our Rates • One Core Billing Solutions introduces a pricing model where only a specific percentage of the net billing or collections (completion basis) is charged from our clients where there are no other additional cost to consider. We only charge a fee when a bill or collection account is successfully paid. • One core billing solutions offers you the finest rates in this industry when compared with our competitor’s rates and we are dedicated to generate you the most excellent services and results which are superior to our competitors. In additio In ition, n, Our r dedica icated ted Sales es Consultat sultatio ion n team will ll help lp you customize tomize the finest est and efficien icient t packag age accord ording ing your ur medical cal pract ctice. ce. We assure you that we provide you; • Close to 100% Clean Claim Submission Rate. • 98% of Claims Paid within 60 days. • A Denial Management Team for Appeals, Tracking and Follow-up. • A Business Intelligence team that provides better ideas to improve your business. • An Eligibility and Pre-Certification team for all verifications.
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