Billed Right Medical BillingProcess Flow

Collaborative Outsourcing For A Changing World!

ACCESSSING SOFTWARE AT US

PATIENT DEMOGRAPHICS ENTRY

CHARGE ENTRY

REPORTS TO CLIENT

QUALITY AUDIT

MIS / GENERATION OF REPORTS

ACTION ON DENIALS / REJECTIONS

PROCESS - MEDICAL BILLING

TRANSMISSION OF CLAIMS THRU CLEARINGHOUSES

Paid Claims for cash application

Unpaid ClaimsFor corrective action

CASH APPLICATION AR ANALYSIS / CALLING

CASH TALLYING

QUALITY AUDIT

Quality Audit for Patient Demographics and Charges before sending batch wise update to client

After Quality Audit, files to be given to Supervisor / Manager for sending Batch Update to client.

If any incorrect details found, Charges Team to be informed of the same and correction done

Date of Service, Procedure Code, Diagnosis Code, Modifier, Units, Value, Place of Service, Type of Service, Referral, Prior Authorization, On bill comments, Location, etc to be checked in Charges File

Patient #, Name, Address, SSN, DOB, Home Ph, Work Ph, Guarantor, Subscriber details, Employer, etc to be checked in Patient Demographic File

INSURANCE FOLLOW UP

DENIAL REASONS

TREATMENT ELIGIBILITY

INSURANCE FOLLOW UP

CARRIER FEE SCHEDULE

CLAIM STATUS

COVERAGE INFORMATION

PAYMENT DETAILS

CONTRACT INFORMATION

PROVIDER INFORMATION

PATIENT FOLLOW UP

TREATMENT

INFORMATIO

N

PAYMENT

INFORMATION

COVERAGE

INFORMATION

PERSONAL

INFORMATIO

N

PATIENT

Month-end Financial Reports

Doctor Financial

Service Analysis Reports

Audit Recap

Patient Financial

Aged AR

MONTH END REPORTS

•Client operations team•Billed Right service delivery head

•Client functional managers•Billed Right transition team

•Client functional managers•Billed Right analysis team

•Client functional managers•Billed Right Functional specialists

Responsibility

Ongoing engagement

2-3 weeks1 weeks1 weeksTimeline

OnshoreOnshoreOnshoreOnshoreLocation

•Operations accepts service responsibility•Quality plan put into effect •SLA acceptance

•Adapt process plan•Emulate client process•Confirm performance requirements•Customer acceptance

•Gather documentation•Identify solution and costing•Confirm and validate with client•Prepare process implementation plan

•Understand client business needs •Identify outsource opportunities•Assess requirements•Review environment•Confirm viability

Key Activities

Ongoing Operations

Transition Management

AnalysisPre-Analysis

Billed Right – GO Forward Road Map

Billed Right has the cutting edge expertise and technology in making Medical Coding a simple process through its Pocket PC solutions which is in its infancy stage.

Billed Right has in its Agenda solutions like In-house Clearinghouse, Direct Transmission of claims to various Commercial Carriers, Direct Deposit of Checks from various commercial and other carriers etc.

Submit most of the claims / patient statements electronically thereby reducing the reimbursement Turn Around Time.

Create a Sync (EFT) between the Practice Management software / Bank Account of the Client / Insurance Company which will greatly reduce the Turn Around Time of reimbursement and reduce paper work to a greater extent.

DIFFERENTIATOR KEYS

T H A N K Y O U

Looking forward for a long term association with you.

Billed RightURL : www.billedright.com