“ The chart below illustrates how we can help you increase your revenue, clear backlogs, reduce AR days, reduce administrative and training costs and thereby improve your profits”

Challenge Encountered	Impact on the Business	Our Solutions

Scheduling and Patient Registration

Inaccurate or incomplete         demographic and / or insurance         information        No verification of financial          information

Increase in rework        Poor outcomes        Loss of Point Of Service (PoS)          collections

100% accuracy. Complete information        Insurance and eligibility verification        Proper prior-authorization taken        Prompt PoS Collections        Increased identification of Medicaid eligible        Electronic verification

Medical Coding

Lack of experienced staff        Up coding and down coding        Not up to date with the latest          guidelines        High labor cost and high turn-over          draining your resources

Compliance risk        Revenue loss

Large number of CPCs (Certified Professional          Coders)        Accurate determination of diagnosis, procedure,and          modifiers        Maintain confidentiality and professionalism in all          interactions        Track coding issues by provider and perform          necessary training to improve coding        Up to date with CCI (Correct Coding Initiative) and          medical necessity issues        Prepare professional and technical coding audits          for each provider.These audits will include          benchmarking against industry standards

Charge Entry

Un posted Charges        Duplicate Charges        Charges for wrong / unlisted          services        Inefficient use of charge entry          systems

Revenue loss from late charges        Duplicate charges increase AR        High collections projection        Rework to confirm unlisted services

Ensure all rendered services are captured          accurately and efficiently        Regular audits / Post coding review        Review CDM for potential compliance issues for          billing and coding        Review CDM for correctness of the Revenue Codes          and CPT Codes for the services listed        Review of current payor contracts

Payment Posting

Lack of reconciliation        Lack of auditing

High AR balance        Loss of time in follow up

Electronic posting        Regular audits

Insurance Follow-up

Lack of proper follow up        Lack of proper approach to ATB          analysis        Regular changes in Managed          care contracts        Ever changing re-imbursement          pattern

Low revenue        High bad debt        Increase in aging of AR        Underpayments        Loss of possible revenue

Electronic posting        Improved workflow process and increased          productivity using ‘AR Tracker’ tool        Find global trends        Appeal claims        Reduce aged AR· Encourage electronic billing and          resolve timely filing        Target payor specific denials

Self Pay Follow-up

Incorrect data collected in the front          end        Non-identification of Non covered          services        Irate patients        Tracing patients        Low patient contacts

High bad debts        Poor customer service

Patient accounts representatives with extensive          experience        Effective handling of all stalls and objections        Trained and courteous patient accounts          representatives        Customized letters and follow up process        HIPAA compliant        Use of Predictive Dialer for voice based services

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