Posts Tagged ‘Work’
Hospitals: What are they and how do they work?
Wednesday, July 14th, 2010Work Processed and Submitted in a Medical Billing Service
Sunday, June 27th, 2010The discussion with your client on how they want to handle the process will be after you have completed your work. For smaller clients you may actually print the bills, mall them, collect the payments and make the deposits. Although the most common means of payment process is lock box. Small clients may not want the expense of this service. For these clients you should create a spreadsheet in excel or in real time so they can post their payments when they come in mail. You may have clients who will prefer you do only the billing for them and they handle receiving and posting the payments. If you have a client who prefers you manually process their payments then increase your fees since this will take more time and cause you to spend less time on another client’s project.
The most common way for larger clients is for the medical biller to send bills and have payments sent to a lock box for processing. When payments are sent to a lock box for processing a special post office box number is set up through the post office. The lock box processing agency, which is a designated bank, enters payments into a special processing system. At midnight the information is transmitted by tape or some other electronic means to clients’ system where the payments are applied to the patient’s accounts. A reconciliation form and a copy of the checks are sent to the client so they can correct any errors that may occur or apply any payments that may be rejected by the system.
Having many clients’ means having different needs and requirements. As a freelance biller, you are better able to accommodate your clients. Large billing agencies depend on existing systems and usually do not have adequate personnel to handle special needs. These agencies tend to handle large clients such as hospitals, laboratories, and walk in facilities. They usually do not handle individual health care providers such as respiratory therapists, physical therapists, speech therapists, and the like.
High quality Medical Billing work in India at very low cost for US based providers
Monday, May 10th, 2010At Geloof Solutions, we guarantee that we can increase your cash and insurance reimbursements. We are a group of experienced Medical billing professionals working together to maximize your reimbursement and reduce your unpaid claims. You cannot compare our medical billing expertise to in house billing. The majority of our time is spent tracking and following up on unpaid claims. This is the number one issue in making sure you collect what is due you. As we all know insurance companies are purposely holding back your payments, delaying your payments or denying them for no good reason. We takes this as a personal challenge and we aggressively follow up in a methodical way to get you your money. We file all primary claims electronically and most secondary claims are now going electronically to ensure that clean claims are going out.
Why Geloof
How We Work
We believe that the whole process revolves around having efficient staff who understands that the most important thing about billing and collections is information. Proper information gathering is the most important step. This process requires not only a lot of accurate collection of information as well as proper data entry and follow up. The process starts at the front desk. We have given a brief explanation below on how our process works. Please contact us at info@geloofs.com or visit our website www.geloofs.com if you have any further questions.
Geloof Solutions provides a host of Healthcare Outsourcing Solutions across the Physician, Dental and Hospital space:-
Medical Coding
Charge / Demographics Entry
Cash Posting
Revenue Cycle ManagementWe offer cost-effective, end-to-end Billing Support Services to third-party medical billing companies. Our Solution Suite consists of:
Medical Coding Solution Suite
Charge Entry Solution Suite
Cash Post Solution Suite
Our end-to-end RCM Solution Suite offers you the following features and benefits:
1. Electronically Scanned Documents:Documents are scanned in your offices and are seamlessly and securely accessed by our offshore center using fully secured VPN connections.
2. Verify and Validate accompanied documents:Documents are split into batches and reviewed for completeness, quality and readability.
3. Accurate Coding:Diagnosis, Procedure Codes and modifiers are assigned as per your descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require AMA code).
4. We use the following industry coding standards:
5. Diligent Auditing:Six Sigma oriented Quality Control department audits the coded charge sheets.
6. Process Patient Demographics Information: Our team members process, verify and validate demographic information of patient.
7. Claim Submission: Claims to be submitted to the payer electronically using a clearinghouse.
8. Denied Claims Processing:Denied claims are processed, analyzed, corrected, updated and prepared for re-submission.
9. Extensive AR Analysis: Experienced AR Analysts run insurance reports and identify claims over 30 days.
10. EOB Processing and Payment Posting: Insurance payments are posted to the patient accounts from EOBs into the billing agencies’ existing software package.
11. Reporting: Regular reporting enables billing agency to closely monitor performance and provide feedback to improve the process.
Charge / Demographics Entry
Our Medical Billing Charge Entry Service gets you Claims and Demographics entered in your billing system rapidly and accurately. Through the creative combination of advanced technology and qualified and experienced billing professionals, can get the claims sent to payers faster, with less errors and at lower costs. A completely seamless solution that minimizes data-entry while utilizing your guidelines and billing software.
Some of the key highlights from our Charge Entry Solution Suite:
Key Benefits
Easily handle new clients without adding staff or new infrastructure.
Cash Posting
Our Cash Post Solution Suite Service gets all your payments posted accurately and usually within 1 business day. Through the creative combination of advanced technology with qualified and experienced billing professionals, Octagon can get all your payments posted in your billing system accurately and at lower cost. Some of the key highlights from our Cash Post Solution Suite:
A/R Follow-up
Our Accounts Receivable Follow-up Service gets you paid more, faster, and for a lower Cost. Through the creative combination of advanced technology and qualified and experienced billing professionals, Octagon can improve your cash-flow and reduce your days in A/R.
Some of the key highlights from our A/R Follow-Up Solution Suite:
No Win No Fee Compensation. How Does That Work?
Saturday, August 25th, 2007Although compensation claims have been the object of many if not all courts of law from the early 1950s, in our more recent times people now look for what are called no win no fee compensation claims. These claims are actually conditional fee agreements settled with contract between the claimant and the lawyer or solicitor he chooses to represent him for his claim. They have been in place since 1995 when they were restricted to a handful of cases. After a couple of years they were extended to the entire range of legal cases and have been a legal practice ever since.
The “no win no fee” term, as the name clearly states it, stands for the fact that the attorney you want as legal advisor will not ask you money for his actions. Whether your claim is successful or not, you will not be obliged to pay for any legal fees. The entire sum of what you should pay will be paid by the other party that is at fault for your injury. This situation is actually the best solution for cases where the victim, being in the impossibility to pay for the legal fees decides not to claim for compensation. With this new agreement everybody has the chance to fulfill their civil right and obligation and to stand up for their rights without having to think twice about whether they can afford that or not.
Accident compensation is not very hard to get. But it’s not as simple as many might think, either. In order to get compensated for being the victim in an accident a good lawyer and a charge-free contract does not guarantee success. In order for your claim to have a chance of winning your facts must be right and well accounted for. You must have medical records to certify your injuries and their seriousness; you must have complete and detailed police records with statements from witnesses and possibly, even photos from the accident site, if it is the case of a car accident.
The evidences must clearly state you being forced off work and unable to perform daily tasks which obviously have a negative impact on your financial status. All expenses from the accident onwards will also determine the value of your compensation – medical bills, hospital fees, repairing, etc. On the other side, even if you have all these elements neatly compiled in a file your case is not 100% foolproof. If by any chance you are found somehow responsible for that accident then your entire case may worth nothing at all.
No fault of your own is definitely a must when making a compensation claim. Sadly enough people just don’t seem to learn anything from previous experience of their predecessors. Investigating different cases of accident compensation you would think that people really realize the big picture, unfortunately, they don’t even begin to understand the commitment and the implications such a case requires. No win no fee compensation should not be treated lightly, although, at a first glance, it resembles to a child’s play.



