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Revenue Cycle Management

We offer a full service program covering all aspects of the complete coding and billing process, from patient data entry to posting payments to enhance your current process. We understand that needs may differ from business to business. The end result must always be the same. SSS is dedicated to provide world-class quality in the services and is committed to apply systematic, versatile, and logical approach towards the entire Revenue Cycle Management (RCM) of its clients. Being a premier organization in healthcare outsourcing, SSS guarantees you quality services along with a good return on investment with our revenue cycle management solutions.

SSS ADVANTAGE:

  • Save almost 60% on your operating costs
  • 24x7 services and support ensuring quick turnaround time
  • Experienced personnel will handle your revenue cycle management
  • Continual follow-up of your bills and records for better revenue collection
  • HIPAA compliant proven processes for high-performance revenue cycles
  • State-of-the-art software and technologies for high-productive functioning
  • Risk-free outsourcing ensured by stringent information security

SSS Revenue Cycle Management Workflow:

  • STEP 1: Pre-admission and pre-registration processes including insurance verification.
  • STEP 2: Patient admission/registration and patient stay management.
  • STEP 3: Clinical documentation.
  • STEP 4: Charge capture.
  • STEP 5: Medical coding, patient health information entry, and management.
  • STEP 6: Medical billing.
  • STEP 7: Claims review, approval, and denial along with insurance company relations management.
  • STEP 8: Patient accounts management.
  • STEP 9: Constant follow-up for outstanding payments/accounts receivable.
  • STEP 10: Review of reasons for non-payment and corrective measures adopted for better revenue realization.

Medical Coding

We provide 24 to 48 hours turnaround time to complete the source documents. We achieve over 99.5% accuracy in professional coding review using expert consultants and by use of latest and updated references and other online tools. Our precise coding methodology gives you access, produces consistency, and eliminates the risk of all possible errors. Clients receive regular feedback on coding changes, and periodic reports such as utilization reviews, and coding-related denial analysis.

Medical Billing

Our team consists of billing professionals who care tremendously about their work and its accuracy. We enjoy a high employee retention rate and are able to maintain highly experienced staff. We also have quality procedures in place to verify the highest level of accuracy, consistency and reliability that you should expect from a top performing billing service. We provide our clients with experienced and dynamic professionals combined with sophisticated high tech infrastructure to overcome the hurdles thereby achieving it’s objective of full reimbursement from the insurance companies. This reduces billing costs & rejected claims rate by about 99.99%.

A/R Management

Diligent and aggressive follow-up is important for quicker reimbursement. Our accounts receivables specialists follow-up with insurance companies over the phone or internet to resolve the issues of denied or unpaid claims. Denials or partial payments are analyzed, appropriately corrected, and the claims are re-submitted to the insurance company.

Revenue Cycle Management

SSS is capable of effectively and efficiently managing every stage of the medical billing process to ensure that each claim is paid for to the maximum at the earliest. We assure you increased revenue, reduced operational expenditure, and a better cash flow. You no longer have to worry about submitting claims on time. We will process your claims on daily basis to maximize your returns on time.

 

Sixth Sense Services
Dwarka Subcity
New Delhi, INDIA
Phone: 00-91-9891-766-750
Email:- info@sssbpo.com

Head Office
B-372, 2nd Floor, Meera Bagh
Outer Ring Road, Paschim Vihar
New Delhi 110063, INDIA
Phone: 00-91-11-6516-4700

 
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