29/10/2022
TRANSCRIPTION PROCEDURE
QUALITY CHECK
CLAIM MANAGEMENT, PROCESSING AND ADJUDICATION
FPAYER SERVICES
Doctors dictations are captured using Dictaphone or Toll Free Dial in the Server. These dictations are further transformed to electronic format and are stored on our secured web server. Once we receive the dictation in any of the above-mentioned format, we then transcribe the dictations to document files. We than send the transcribed reports in the specified TAT. We have expertise in Chart Notes, Operative & Procedure Notes, Discharge & Admission Summaries, Letters, Clinic Notes, Progress Notes, EEG/EMG Reports, and Consultation Reports etc. of various specialties like Internal Medicine, Neurology, Radiology, Cardiology, pulmonalogy, Rheumatology, Psychiatry, Neurosurgery, Ophthalmology, Cardiovascular & Thoracic Surgery, Urology, Orthopedics, gynaecology, Pediatrics, Radiology, Pathology, and Physical Rehabilitation etc
Our quality checking level includes of Quality Controllers and Editors. To ensure utmost quality work we have three levels of quality checking which includes: Medical Spell-checks Drugs Punctuation as per AAMT guidelines Overall Report Formatting Blanks & Flags left in report
Paper claims are collected & segregated separately into States & providers group by the mailroom solutions team. The claims are then scanned & assigned to the claims processing team who adjudicate the claim for payments or denials. We provide solutions for claims re-pricing & adjudication which includes members eligibility verification, provider contract verification required for claims processing, verification of codes to spot bundling issues & duplicate claims. We also audit claims to ensure adherence towards compliance. MEMBER ENROLLMENT AND ELIGIBILITY SERVICES We enroll new members, provide customer service where we do financial counseling to help members choose the right plan, we also provide services for screening & conversion of members from Medicare & Medicaid to Managed Care Plans. CONTACT CENTER SUPPORT FOR PROVIDER/INSURANCE INBOUND/OUTBOUND SUPPORT We provide contact center support for the providers, insurance companies and the patients Senior Medical Transcriptionists / Direct Uploader with 5 - 6 yrs of relevant experience.Must have proficiency in Medical Terminology with accuracy of 98.5 % and above. Must be CPC, CPC-H or CCS certified .Demonstrate proficiency in at least one outpatient coding type with 95%-99% accuracy. 3 - 5 years of outpatient experience required.
We have expanded our horizons to cater to create customer value and empower innovation for health insurance intermediary services, claims management systems and customer service for an array of insurance types. Some of our distinctive payer solutions comprise of the following: CLAIM MANAGEMENT, PROCESSING AND ADJUDICATION Paper claims are collected & segregated separately into States & providers group by the mailroom solutions team. The claims are then scanned & assigned to the claims processing team who adjudicate the claim for payments or denials. We provide solutions for claims re-pricing & adjudication which includes members eligibility verification, provider contract verification required for claims processing, verification of codes to spot bundling issues & duplicate claims. We also audit claims to ensure adherence towards compliance. ENROLLMENT AND ELIGIBILITY SERVICES We enroll new members, provide customer service where we do financial counseling to help members choose the right plan, we also provide services for screening & conversion of members from Medicare & Medicaid to Managed Care Plans. Contact center support for provider/insurance Inbound/outbound Support. We provide contact center support for the providers, insurance companies and the patients.
