Medical Billing and Claims Management is the process of submission of bills to the Insurance Company for services rendered by a Medical Practitioner on a patient and ensuring the collection of revenues without any revenue loss.
In this connection, Cardus has been offering various services that will not only increase the administrative efficiency of the Practice, but will add value to their patient satisfaction. The services offered are listed below:
- Coding Patient Demographic and Charge Entry Claims Transmission – Paper & Electronic Cash Posting
- Claims Follow up – Insurance & Patients Processing of Unpaid claims – Insurance & Patient Reports Generation and updates to Physicians / Hospital
The manpower is trained in each of the above activities and has hands-on experience with US based clients, Insurance companies and patients.
Cardus realizes that about 20-25% of the revenue is lost or never recovered by the Hospitals / Clinical Practices as a result of unclaimed bills, no follow up and wrong coding. This is a hard, yet widely acknowledged fact in the Health Care Industry. In such a scenario, it is imperative that appropriate steps are taken to curb this kind of unwanted damage to the revenues. Cardus has set up a unique process flow that prevents this kind of revenue loss to the practices.
Some important features of the process at Cardus are listed below:
Coding: Experienced professionals to handle and verify the CPT, ICD-9 and modifier coding to ensure proper billing
Patient Assistance: Closely work with your patients and assist them with their payment schedules and friendly reminders on delayed payments
Database: Build a personal database of all your patients and their billing cycles and update regularly
Follow up: Follow up with the insurance agencies to help the practice realize the money faster
Verification: Claim status verification within 24 hours of submission of claims and take appropriate steps to re-submit if required
Reporting: Send you fortnightly / monthly reports on the realizations and disparities in billing etc
Security: Keep all the patient related information confidential in line with HIPAA regulations
Advantage: Maximize the administrative efficacies of the practice while minimizing the expenses
Personal service: A designated Account Executive for each Client to render personalized service
Cardus guarantees that all our clients will maximize their revenue & administrative efficiency while minimizing the time loss by using our medical billing services.