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Medical billing company

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Global Healthcare Resource is one of the best and pioneer Medical Billling Company. That provides medical billing, physician billing, outsource hospital and medical billing. Browse through us online for more details. – PowerPoint PPT presentation

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Title: Medical billing company


1
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2
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 90012000 Certification

3
AGENDA
Healthcare Services
Pillars of Operation
Corporate Overview
Differentiators
4
Healthcare Services
  • Transcription Services
  • Medical Billing Services
  • Medical Coding Compliance Audit
  • Electronic Medical Records

5
Transcription Services
Office visits
Consultation Reports
Operative reports
Clinical Notes
Psychiatric Notes
Discharge Notes
Progress Notes
History and Physical Reports
6
Revenue Cycle Management
7
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 SLAs

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 SLAs
  • 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
8
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

9
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
10
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
11
Electronic Medical Records
Attaching
Scanning of medical records
Searching of Records
Destroying
Indexing of records
12
The Four Pillars Of Global Operation
13
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

14
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 SLAs
  • Dynamic QC sampling rates based on an
    historical view of accuracy fluctuations
  • Treating repeated errors as red flags,
    identifying and effectively treating root causes

15
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 247 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

16
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
17
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