| Medical Billing |
| 1 INTRODUCTION |
| Binary Spectrum provides innovative end to end medical billing solutions which are aimed at improving the revenues of physician practices and hospital based physicians.The following are the highlights of our billing solutions: |
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Thorough understanding of the billing and coding domain |
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Focus of quality in delivery and fast turnaround time |
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Adaptability to Client software and billing process |
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Prompt medical billing and cost - saving on the Clients' staffing operating expenditures. |
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Affordable and realistic pricing |
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| 2 SERVICE OFFERING |
| Medical Billing Service Offerings |
| The following are our medical billing service offerings: |
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Patient Demographics and Charge entry |
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Claims Submission |
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Cash Posting/payment entry |
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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 for Capitated Full Risk groups. |
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| Coding Service Offerings |
| The following are our coding service offerings: |
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In-depth understanding of the CPT and ICD9 codes. |
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Certified Coders having experience on various specialties |
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Applying Modifiers specific to payers. |
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Optimizing levels of coding. |
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2 stage audit and Error Resolution. |
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Using of E&M coder. |
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Enhancing coding based on review of transcription/soap note. |
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| 3 SKILLS AND CERTIFICATIONS |
| Binary Spectrum has expertise working on a variety of billing software applications including Medic, Medics II, Medisoft, Lytec, Sequelmed, Vision, Sourceone Med and IDX to name a few. Binary's team is fully competent and trained in regulations pertaining to Medicare, Medicaid, Third Party Liability, Workers Compensation, Preferred Provider Organizations, and Indemnity Insurers. The team has full understanding of CPT, HCPCS, ICD-9 coding level I, II and III and able to submit clean insurance claim for reimbursement by insurers. |
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| Billing/ Coding Professionals include Certified and Experienced Professional Coders who are experienced in various specialties |
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Radiology |
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Anesthesia |
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ER {Emergency Care} |
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ASC {Ambulatory surgical center} |
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Podiatry Physiotherapy |
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General Medicine |
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Paediatrics |
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| At a corporate level, we have the following certifications |
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Microsoft Gold Partner |
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Sun Partner Advantage |
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| 4 INFRASTRUCTURE |
| Binary's comprehensive and integrated infrastructure includes: |
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Built in IT redundancies for uninterrupted operation |
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Independent internet Leased Circuits from multiple ISPs installed for data access and redundancy |
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Networked capacity of over 200 seats. |
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200% power back up |
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24/7 secured state-of-art access control systems |
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Fire alarm and prevention system |
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Dedicated training infrastructure |
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| 5 TRAINING |
| In any skill development process, Practice makes perfect. At Binary we believe in the value of practice as a means of reducing human error- in claims processing, and in applying the relevant billing rules on each account. We have a variety of training programs catering to various kinds of roles such as Demographic entry, Coding, Charge entry, Transmission, Cash posting, Denial Analysis, AR Calling, Project transition, Project management and Team management. |
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| 6 QUALITY |
| To use a clinched phrase that nevertheless describes our approach, at Binary, Quality is the No.1 priority. For every client, an Accounts manual is created and updated regularly. The manual contains policies, procedures and the billing rules for that particular client. Every employee working in that account is trained and periodically evaluated on his or her knowledge of the billing manual. 100% audits are done on every single employee at defined frequencies. Only personnel who give consistent quality are retained in the system. The respective team also audits each employee’s daily output, through a combination of self-audits, peer audits and Team Leaders. We have a separate Quality team, which delivers clean claims. Customer feedback is taken seriously with senior management involved in reviews with the team to sensitize them on the seriousness. Wherever possible the feedback is identified to the person / process and rectification done so that the errors are not repeated. Personnel are put through regular refresher training courses whose content is tailored based on the feedback on the individual. |
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| 7 HIPPAA COMPLIANCE DATA SECURITY AND MAINTAINENCE |
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A} All scanned files are stored for a period of 3 months in system. Later the files are deleted. In case of hard copies they are shredded. |
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B} No records can be taken out from the office. No CD's, cameras, pen drives are allowed inside the office. |
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C} Employee's are made to sign a confidentiality agreement. |
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D} One person is employed as a HIPPAA compliance officer who is in charge of the compliance. |
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| 8 ABOUT US |
| Based out of Bangalore India, Binary Spectrum focuses on providing technology solutions that leverage both strategic and tactical expertise to meet various business requirements for the HealthCare sector. Our primary strengths are our people, processes and our domain/ technology expertise. Our organizational capabilities are powered by our process linked competencies. Our state of the art billing and coding services have helped our clients increase their revenues and reduce bottom lines. We have experienced billing and coding resources like Dr. Vasanthi, who has been doing coding for the past 7 years and heads our billing and coding competence, has worked on various medium and large accounts. She is one among the few coders with dual certification of CPC and CPC-H in India. She is also a trainer and she has trained more than 100 coders in India of which 50 have taken the certification exam and cleared it. |
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