We offers a wide range of software development services. We helps businesses who want their projects done well but need to outsource to accomplish that. Our skills and experience will help you finish your project on time and at a high quality.
organizations across the entire healthcare spectrum have leveraged our deep expertise and high-quality solutions to maximize revenue, reduce operating costs and navigate the changing healthcare landscape.
- Six Sigma Methodologies
- Productivity Improvement
- Business Intelligence Reporting
- Defect Prevention and Quality Assurance
- Process Re-engineering and Process Improvement
Our unique combination of deep industry expertise, robust operational capability, and client-focused service significantly improves the efficiency and profitability of healthcare organizations. Client satisfaction is the primary focus of the Medusind leadership and staff.
At Afiablee Solution, we can help you achieve greater profitability while at the same time freeing up your time to focus on patients.
We provide customized solutions to increase salvaged revenues and minimize operating costs and delinquencies, with a single centralized repository of documentation. We set up follow up services on outstanding claims, collections, track claim denial causes, and pending receivable balances. We have an extensive range of service models that allow our clients to choose the one that befits their budget and requirements.
The charges from the coded documents are entered into the particular patient account. If the patient is new and an account number does not exist as yet, then the patient account is created by entering all the demographic details from the patient registration form. Before transmitting the claims to the insurance payer through the clearing house, the entered charges are audited by the Quality Assurance (QA) team to ensure a ‘clean claim’ is submitted.
We review and analyze all types of records such as hospital & emergency discharge note, admission notification, transition care summary, lab results, hi-tech radiology results, consultation notes, insurance procedure authorization request, medication prior authorization, medical records from outside doctor, referral request from the patient to see a specialist which are fed into software and index with respective label and attach it to patient’s medical chart.
Once the charges are entered and audited, the claims are then filed with the payer electronically. We also have the capability to process paper claims. Usually at clearing houses, the claims go through some type of cursory filtering software to ensure that they are accurate and all information is contained within the document. Within 24 hours, a paper report is sent back with errors that have been caught. Once we have the report, the incorrect claims are rectified with the necessary information within 24 hours and the claims are resubmitted to the insurance company.
Our highly trained AAPC certified coders help to improve cash flow management and deliver up to 98% accuracy with their processes, while ensuring HIPAA and AHIMA compliance. We leverage a streamlined process that focuses on areas that are associated with high-risk MS-DRGs, RAC initiatives, high cost procedures, among others. Our entire medical coding services cover functions such as retrieving patient information, pre-coding, assigning medical codes, quality audits, customer feedback, and implement changes.
Our holistic medical billing process includes patient registration, insurance eligibility verification, medical coding, charge entry, auditing, claims transmission, clearing house rejections, payment posting, denial management, AR recovery, patient statement, and collections. Our services are compliant to regulations that are robust and customized to your requirements for faster and better reimbursement. We leverage the most advanced medical billing technologies such as Nextgen, MediTouch eClinical works to promote an improved cash flow.
Please feel welcome to contact our friendly reception staff with any general or medical enquiry. Our doctors will receive or return any urgent calls.
Rawat Plaza, Palam Ext. Sec-7, Dwarka, Near Ramphal Chowk, New Delhi, Delhi 110075