Revenue Cycle Management

Coding+

» CD-9 and ICD-10 (International Classification of Diseases) – code assignment, validation, and training (For Gulf, European and American market).

» CPT (Current Procedural Terminology) –code assignment, validation, and training ( For Gulf, European and American market).

» DRG (Diagnosis-Related Group) – DRG assignment, validation, and training (For Gulf, European and American market).

Medical & Insurance Review+

» Generating PAYABLE NEAT claims.

» Guaranteed reduction in rejection.

» Statistical analyzation of physician trends and errors and developing action plan.

» Statistical analyzation of rejections and rejection trends and developing action plan.

» Identify progressive training needs and plan of action.

» Developing regular provider feedback to enhance smooth process flow.

Resubmission+

» Through analysis on non or partial payment against submitted claims.

» Generating payable NEAT claims for resubmission.

» Analyzing the quality of submitted claims.

» Progressive training and feedback.

Reconcilation+

» Performing claims audit by analyzing reason/s for rejection.

» Verification, validation and assessment of claims eligibility for re-consideration post resubmission.

» Communicating with payers on findings, justification and other relevant required documents.

» Negotiating on rejected claims for re-consideration post resubmission.

» Supporting the ultimate objective of achieving and maintaining the lowest rejection rate.

» Signing off for account closure as per agreed contractual terms (quarterly, semi-annually and annually).