Medical Billing

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Transcript of Medical Billing

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HEALTH CARE OUTSOURCINGSERVICES

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Technomine – An Introduction Founded in 2008, Technomine is one of the leading ISO 9001:2008 certified

Outsourcing Company, serving clients for USA, UK and other European and Middle East Countries. We help our clients in staying focused on their core business while we take care of the entire non-core activities of their organization. Our commitment towards quality and consistent performance has helped us create value for our clients and become an integral part of their business process. 

Technomine is a ONE STOP SOLUTION for outsourcing business. We primarily service the Health care domain for Medical Billing/Coding, Revenue Cycle Management, Claims & A/R Management.

Technomine also renders services for Permanent and Temporary placements of Doctors, Nurses and other Health Care Professionals.

Accounting and Finance process outsourcing, Recruitment for varied industries inclusive of construction, Energy, Contracting, Engineering & Manufacturing and IT. We also provide state of art IT based enterprise solutions to our clients.

With almost a decade of experience and excellence in services, we have successfully emerged a trusted partner to our clients. 

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Health Care DomainTechnomine is committed to provide professional and State of Art Medical Billing & Coding and Revenue Management Services to Hospitals, Clinics and other healthcare providers to navigate and succeed in an increasingly complex reimbursement environment.

Since inception, Technomine has grown as a company with an integrated portfolio of leading information technology, process, and domain expertise solutions to address the wide array of threats to the financial health of medical practioners, clinics, hospitals, and other essential providers.

Our approach to Medical Billing/Coding ,Revenue Cycle Management, and Reimbursement is comprehensive, practical and innovative.

We leverage people, processes, information technology, and services to maximize the financial and operational performance, and ultimately the clinical performance, of our clients.

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We ensure you assistance in your odds……..

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To Help You be YOURSELF……..

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Our Services

Medical Billing ServicesMedical Coding ServicesMedical Claims ServicesRevenue Cycle ManagementDenials & A/R Management

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Business ModelBusiness Model

Value Chain

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Medical Billing Services

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Medical Billing Services - Process

Technomine

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Complete Medical Billing Cycle Management

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Accounts Receivable Management

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Client Details

Documentation

Invoicing/Posting

Process Gap

Followup Lags

Resolutions/Aging

Challenges

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Claim Lifecycle - Overview

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Service Approach AR Denial Management

Integrated AR Management

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Accounts Receivable Redefined

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Managed Revenue Cycle

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Streamline your Operations and WorkflowCash flow increaseSave on the high cost of equipment and software as rapidly changing technology translates into extra expensesReduce staff size and employees expensesEliminate sick pay, vacation pay, insurance benefits, workers compensation, etc.Eliminate training costsReduce call volumeFocus on patient care instead of billingNo cash-flow interruptions due to staff turnoverReduce costsEliminate “non-medical” business office spaceReduce record storage spaceReceive detailed reportsEliminate provider/patient payment discussion

What Difference We Create…..

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Human Resources

Quality Management , AuditsAnd Reporting

Infrastructure &Technology

Excellence, Training,Process andRegulatory Compliance

Management Experts

Our Synergy

Process Optimization and Business Intelligence

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Our integrated back office solution provider Team consists of :A management and operations team with billing and coding expertise Practice Management SoftwareStrong Audit and Control processes enforced by customized softwareExperienced and Certified CodersAdherence to Compliance and Regulations (HIPAA and Others)Insurance verification and pre-certification“Smart” payment posting techniques Aggressive denial managementUp to date and valid CPT, ICD, and HCPCS codes ensuring proper reimbursement This nullify the reason for delayed and denied Payments 24/7 Client Support

Human Resource

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INFRASTRUCTURE

Technomine has a very well developed infrastructure. We leave no stone unturned and below are some salient features of our infrastructure which reflects our commitment to provide a seamless quality of service and provide a healthy working environment for our employees.•6000 sq. ft. of operational area•Certified as a zone 4 earthquake resistant office•Fire alarm and safety across the entire office•24 X 7 power supply with back up UPS and generators•100 Mbps intelligent network powered by Nortel Switch•Fiber optic based leased line for high speed internet connection•Recreation facilities•Separate dining area for the employees

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SECURITY AND QUALITY

Technomine is an ISO 9001:2008 certified company. We implement the latest and the best practice followed in the industry to provide a high quality of service and protect the interests of our clients.•Secure VPN protected by Sonic WALL TZ 210 firewall•Digital ID card for all employees to access the office premises•Restriction on the usage of personal devices (i.e. cell phones, PDAs, Tablets etc.) in the building•Restricted access of employees to servers•Separate area for visitors•Limited access of the internet to prevent unauthorized usage•Centrally managed anti-virus for data protection and theft•Passwords and access control across the organization•SSL protection of servers•File encryption to prevent data theft•Non Disclosure Agreement signed by every employee•Destruction or returning of all data (digital or physical) to the client upon request

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Technomine Quality Monitoring Services

Technomine offers a complete end to end solution to help you develop the contact center and its quality monitoring service model for your organization

Quality Assurance is a must for measuring efficiency and effectiveness of business processes. We at Technomine assist companies in identifying opportunities and deriving actions to improve their processes, sales conversion and customer satisfaction.

We also provide intelligent data with the help of our Contact Center Quality Monitoring program that produces insight which will drive business improvements.

An effective quality assurance model and plan help us deliver better sales results, improve customer experience and also ensure all regulatory and compliance requirements defined by the clients are met consistently.

360 Degree Quality monitoring Services for Contact Centers and Captives (Quality monitoring of Inbound/Outbound interaction)

Voice Web Interaction

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Transactional Monitoring & Teams compliance to GDS/CRM, sales, and service policies

Customer Service Improvisation

Customer Experience Survey scrub

Customized Agent level Coaching and Feedbacks

Market intelligence based on chats, calls and emails from customers

Process compliance audits

Sales Verification & Sentiment Analysis

TQMS online platform for quality monitoring and data analytics to ensure Real time Reports

Socially Enabled Center

Technomine Quality Monitoring Services

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QC •Interactions will be monitored by QCs•Direct feedback of each interaction will be sent to particular agent

QA •Weekly interactions will be checked and analyzed by QA for the agents and team •Weekly/monthly generalized feedback will be sent to clients for the teams and agents

ATA •Sample Interactions checked by QCs and QAs will be checked by ATAs to maintain QC’s Quality •All the analytical reports and disputes will be rechecked by ATAs and then only sent to Quality Leaders

Quality Leaders •All the reports and analytics will be finally checked by Quality Leaders •Then Quality Leaders will send those reports, QBR and analytics to the end Clients

Multi Layer QMS Integration

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Quality Assurance and Six Sigma• Create possible

solutions and selection of solution: Designing of the quality parameter, scorecard , SOPs, and policies

• Develop and pilot plans: Training agents according to that SOPs and policies so that they follow it properly

• Collection of data: Check and gather data from the outcome of implementation, whether it is helping clients to improve their customer satisfaction level

• Evaluate and Review: Take the outcomes from the data and implement the positive one and work on the negative one in next planning

Plan Do

CheckAct

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1 Deep expertise and experience in serving the healthcare industry

Passion for achieving the highest level of quality

Broad understanding of clients’ long and short term goals

Focus on building partner relationships

Emphasis on ingenuity to achieve maximum cost savings

Documented ability to deliver on time and according to specifications

Differentiator

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Our Global Memberships

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LET’S PARTNER……………………..