Full Service Package & FTE Package

Full Service Package

Pricing of services is very sensitive issue as it involves comprehensive understanding of scope of work. However, some estimates can be made which depends on:

Packages
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1. Full Service Package
2. FTE Package

Full Service Package :
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Full Service Health care claims Processing – Demo Entry —> Charges Entry ->Payment/cash Posting —>AR Follow up —> Patient /Insurance Calling .—
The pricing would be in the range of 5% to 7% of the total collections of the practice per month.


What You Get?

We will take care of your entire Healthcare Claims processing activities.

1. We will dedicate a Phone number for your Patients to call our office customer     service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super bills
4. Save about 40-50% of your existing cost or owning billing staff
5. Follow up with insurance carriers for all submitted claims to ensure proper     payment of claims in a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and other

Commercial Carriers MCR Blue cross excludes Medicaid and Trust Funds and Patient balance

* - If you signup online Appointment scheduling services with us what we do the eligibility of the Pt before the appointment and will notify your office the status.

How we do?

1. Super bills are collected from your office daily thru FTP upload or PC Anywhere access.
2. Patient Demographics and charges are keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
3. EOB- Explanation of Benefits is updated into billing software on a daily basis.
4. AR aging reports are carefully processed and sent to your appraisal.
5. Insurance calling are done on claims based on the AR report.


FTE Package :
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We can dedicate Healthcare Claims processing professional on a FTE Model. Our Claims processing staff are certified and experienced. He can perform task like Patient Entry/Charge Entry/Payment Entry based on the client requirement.
Our Professional Entry capabilities working at the rate of 8Hrs/Per Day

Demographic Entry – 75 – 100 Face Sheets.
Charge Entry – 100-150 Charge Sheets.
EOB Posting - 250 – 300 Line Items.

The pricing would range from $ 8 to $ 12 per hour depending on basic data processing to calling. This is inclusive of Infrastructure and communication cost.

What You Get?

We will take care of your entire Healthcare Claims processing activities.
1. We will get you a Toll Free Fax number at your office.
2. Less than 36 hours TAT upon receiving super bills
3. Save about 40-50% of your existing cost or owning billing staff
4. Follow up with insurance carriers for all claims after 14 days for the     Electronically submitted claims (Status Call)
5. We will Follow up with the Insurance carrier for Pending claims and update     you the status
6. Weekly production report and monthly AR aging report
7. Patient billing and invoicing will be done
8. Cost of claims submission is not included.

How we do?

1. Super bills will be collected from your office daily thru FTP upload or PC     Anywhere access.
2. Patient Demographics and charges will be keyed into Online/ offline Medical     claims process software will be used to submit claims electronically.
3. EOB- Explanation of Benefits will be updated into billing software on a daily     basis.
4. AR aging reports will be carefully processed and sent to your appraisal.
5. Insurance calling will be done on claims based on the AR report.

>
Full Service Package
 
>
What You Get?
>
How We Do?
>
FTE Package
 
>
What You Get?
>
How We Do?
>
Data Processing Package
 
>
What You Get?
>
How We Do?
>
Account Receivable Package
 
>
What You Get?
>
How We Do?
>
FAQ's

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FULL SERVICE FAQs :


What is the Pricing for Full Service Package?

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The pricing would be in the range of 5% to 7% of the total collections.

What are all the Scopes which involved in the Full Service Package?
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Demo Entry, Charges Entry, Payment/cash Posting, AR Follow up, Patient Calling & Insurance Calling.

What is the Pricing for FTE Package?
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The pricing would range from $8 to $12 per hour depending on basic data processing to calling. This is inclusive of Infrastructure and communication cost.

What is your TAT?
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Less than 36 hours.


What is your Daily target for the Face Sheet, Super bills and the EOB posting?
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• Demographic Entry :
75 – 100
Face Sheets.
• Charge Entry :
100 - 150
Charge Sheets.
• EOB Posting :
250 –300
Line Items.


How do I pay you for your services?
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Bills are generated once in a month and produced to you. Payments are accepted in US by Check, Wire Transfer or Credit Card. All financial transactions processing are done in US and in US dollars.


What support I can get?
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We have dedicated customer support to all of our existing clients who will handle all the queries by phone, email or fax from our offices in US and from between 8:00 am to 5:00 pm United States timings. Single point of contact will help you and us to take decisions fast.

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