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MEDICAL PRACTICE MANAGEMENT AND SOLUTIONS SPECIALISTS SERVICES:

 1.  MEDICAL TRANSCRIPTION SERVICE (MTS)
2.  MEDICAL BILLING SERVICE (MBS)
3.  PRE-CERTIFICATION/PRE-AUTHORIZATION SERVICE
4.  DENIED CLAIMS MANAGEMENT (DCM) SERVICE

Medical Transcription Service (MTS)
Service Description:
  1. We transcribe all types of dictations from all medical practices from consultation notes to operative reports in accordance with AAMT (American Association for Medical Transcription) standards and formats or in accordance with customized format prescribed by provider;
  2. We submit transcribed reports within twelve hours or at preferred TAT (Turn Around Time);
  3. Our reports follow the highest health norms and client determined report acceptance standard.
Key Features:
  • Flexible pricing system gives clients the best value at the lowest possible cost;
  • Utilizes various modes of dictation through phone, desktop, or mobile dictating machines depending on the preference of providers;
  • User friendly and easy to follow instructions in uploading dictations and in downloading and reproducing transcribed reports;
  • HIPAA compliant document management system allowing for secure storage and systematic retrival of files when needed.

Medical Billing Service (MBS)
Service Description:
  1. We provide full cycle medical billing service from electronic claims preparation to automated medical coding, to electronic submission and follow ups;
  2. We can customize billing service depending on the needs of the provider;
  3. We can serve single practice, group practice, clinics, and hospitals.
Key Features:
  • We give each claim the highest attention because we get paid only on the basis of paid insurance claims;
  • We use the latest medical billing software as well as the most updated medical coding references;
  • Each client provider is assigned a dedicated staff who does continuous research, thus maintaining the highest level of customer service.
  • We prepare the most updated and comprehensive reports showing the provider collection performance and cash flow projections.
Pre-Certification/Pre-Authorization Service
Service Description
  1. We obtain pre-certification or pre-authorization from insurance companies for medical procedures planned for patients;
  2. We handle all telephone follow ups and manage the submission of clinical documents making sure that each medical procedure is adequately described and properly authorized;
  3. We submit detailed and comprehensive report on each of the cases we handle.
Key Features:
  • We use HIPAA compliant document management system allowing for smooth transmission and retrieval of medical reports and status reports;
  • All transactions with insurance agents are fully documented for real-timeand future reference in case of claims denial;
  • Real-time contact with the provider's office is maintained to assure prompt and updated service in case changes are made in medical procedures.
Denied Claims Management (DCM) Service:
Service Description:
  1. We focus this service on insurance claims previously denied by insurance companies;
  2. We carefully analyze reasons for denial and determine the most appropriate course of action to improve chances of payment;
  3. We manage the flow of communications and we provide proper documentation to satisfy requirements of insurance companies.
Key Features:
  • We get paid only on the basis of paid claims thus we give attention to each denied claim as if our life depends on it;
  • We use an electronic document management system to avoid mix ups in documentation and follow ups;
  • We provide updated reports on status of denied claims and determine appropriate line of action;
  • We update the provider or his staff on the reasons for denial thus minimizing the incidence of future denials.