UNITED STATES OUTSOURCING COMPANY

DESCRIPTION
We are Healthcare Billing Services Company -- and we have extensive knowledge in the Billing & Revenue Cycle Management .

The following is a brief definition of each domain which forms a part of Our Billing process.

Demographics & Charge Entry
Brightz Billing provides you with services in the areas of patient account creation, charge entry and demographics entry. We can work off scanned images as well as data in electronic format.
We provide services like:
• Patient Registration
• Eligibility Verification
• Demographics and Charge Entry
• Claim Generation and Submission
• Expertise in multiple specialties, multiple hospital and management systems of physician.
- Surgical and non-surgical specialties like ER, Internal Medicine, Cardiology, Radiology, Anesthesia, etc.
- Medicare, Medicaid, Blue Cross Blue Shield, Federal Programs and Veterans, Managed Care, PPO and Indemnity Insurers

Coding of Procedures and Diagnosis
This is a process whereby the procedures and diagnosis given in the charge sheet are coded. The most common coding systems used for procedures and diagnosis are CPT-4 and ICD-9 respectively. Based on the doctor’s medical impressions and the indications in the super-bill we need to fix a proper code for the procedure and diagnosis. This is a complicated, lengthy and time-consuming process and involves lot of thinking and analysis. Since incorrect coding leads to breach of compliance.

Payment Posting
Once the claims reach the carriers and they complete processing, they issue a check and prepare an Explanation of Benefits (EOB). With the EOBs and the check copies and the deposit statement from the bank, the process of payment posting is done. Payments are not only received from the insurance carriers but also from patients which are also posted during this process.

Denial Processing
We have deployed a sophisticated Denial Processing solution at our Global delivery center. This solution captures all your claims, payments and denials. Our solution utilizes an integrated, multi-disciplinary approach to address your denial management issues and enables us to develop an effective denial management plan and a customized strategy for your organization.
We take steps to avoid denials are:

1 . Continuously update denials database
2 . Identify root causes of denials and address these denial trends
3 . Provide feedback to the Coding & Billing team
4 . Provide you with inputs to review managed care agreements to prevent denials
5 . Identify opportunities to collaborate with payers to avoid denied claims
6 . Consult with your key team members to collect substantiating information for filing appeals
7 . File Appeals with Payers

Account Receivables
This is the function that focuses on reducing the “Receivables” & thereby “Maximizing Collections” of the Provider.
Medical Accounts Receivable Follow-Up
Accelerate revenue cycles—improve cash flow, reduce receivables, increase collection ratios, and enhance customer relationships with timely Accounts Receivable Follow-Up Solutions from Brightz Billing.
Outstanding claims, delayed collections place added administrative strain on a hospital or physician's practice. On one hand, insurance companies often deny claims or refuse to pay them. On the other hand, federal regulations have become increasingly more stringent in the USA.
If your healthcare practice has healthcare accounts receivables, this means it has delivered a service but has yet to collect the money from the purchaser. Here's where Outsource to India

SKILLS
Our Key Focus are Pre-Verification
Ins Eligibilty - Checking
Claims Status follow-up
All Claims being given a Follow Up

TERMS
We can work on % basis as well on the Pay per employee

LOCATION United States - Murphy, TX EMPLOYEES 1-5 YEARS IN BUSINESS 1-3 years CONTACT INFORMATION Register or Login to view the outsourcing service provider contact information.