Patient Billing Solution – with clinical system
integration |
| The Task |
| To develop a comprehensive billing application that ensures efficient charge creation and timely payments for our clients with integration to clinical systems. |
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| The Challenges |
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Use of Charting for creation of claims |
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Timely and accurate charge entry |
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Support various claim submission and processing mechanisms |
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Integration with Insurance companies using EDI messages |
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Implementation and conformance to applicable standards including HIPAA, standard procedures CPT and illness nomenclature ICD. |
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| The Solution |
| Binary Spectrum developed an integrated billing solution that comprises of the following: |
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Patient Demographics and Charge capture |
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Claims generation and Submission |
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Cash Posting / payment entry |
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Complete Collections, EOB Follow up and Denial Analysis |
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Receivables Management |
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Ageing Analysis |
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Service Fund Management |
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| Binary Spectrum's billing solution provides seamless integration features for charge creation based on the data provided in the clinical charting functions to avoid duplicate and error prone data entry. |
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| The transmission of claims could be done either through electronic means i.e. ECT or paper based preprinted forms. |
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| The application supports EDI messages like 837 - P/I (professional / institutional) Electronic Claim files and 835 – Healthcare electronic Remittance advice request form. |
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| The solution is integrated with clearing houses and provides features to manage validations and rebilling. |
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| The Result |
| The application has delivered adaptability to client software and billing process with prompt medical billing services, thereby saving on client's staffing and operational expenditures. |
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