Healthcare Solution
We are a dynamic software solution company that offers end-to-end customized web solutions to customers. Apart from caring for the health, several administrative aspects also form a significant part of the work. Thus, our medical-based services comprise the following.
Provider Credentialing
Since medical credentialing is a time-consuming and tedious process, we are here to help you make the system more transparent by doing the following.
- Gathering all data and documents from the physicians for their applications.
- Storing data centrally for easy access.
- Keeping all details of top payers where the practice sends claims and starts contracts with the payers.
- Conducting an audit and enforcing the payer-specific formats
- Checking the application status for timely payer follow-up
- Communicating to the physician the enrollment number of the payer.
- Providing timely updates of the documents for credentialing
Patient Appointment Scheduling
Effective patient scheduling of an appointment is one of the most vital elements in providing quality healthcare. It results in happy patients, revenue increase, and a properly managed office schedule.
Hence, we offer patient scheduling and appointment management services by executing the below steps.
- Planning the appointments through the practitioner's online portal with a pre-registration process.
- Collecting patient details for authorization and eligibility
- Fixing an appointment based on the physician's availability.
- Messaging system helps direct conversations between patients and physicians.
- Fixing an appointment and informing patients to seek their confirmation.
- Sending reminders for appointments to the patients and the practitioners to reduce the waiting time.
Patient Eligibility Verification
We see to it that once the patient papers are correctly verified, the physician submits clear claims. We help reduce claim resubmission and rejections due to demography or eligibility issues.
The eligibility and verification services we offer are as follows.
- Maintaining incoming details through the correct patient scheduling system, fax, FTP files, and emails.
- Looking into the details of member Id, Group Id, Coverage details like its period, co-insurance, and any associated benefits.
- Connecting with the payer through phone or web.
- Identifying and resolving the problems related to missing or incorrect data.
- Using RPA tools to upgrade eligibility verification processes.
Medical Coding
Medical coding involves translation. And it is our job to analyze what is written. There is a connected code for every injury or medical procedure. So, we help with the following 3 types of coding.
- The international classification of diseases: It is used to elaborate on the patient's illness or death. It is often updated, followed by a numeral. These codes are later given clinical modifications that help to know more about the number of illnesses, injuries, and reasons for death to provide detailed documentation.
- Current procedural terminology: It is used to note down the medical procedures that the patient receives during their visit. They are categorized into further codes like numeric codes that help connect medical fields like surgery, radiology, and anesthesia. The second is an alphanumeric code to know the performance measurement and the test results. The last one is linked to a promising medical technology.
- Healthcare common procedure coding: It is identical to the CPT codes. It is for noting the medical services, procedures, and equipment not mentioned in the CPT coding.
Pre-Authorization & Referral Management
When your primary physician or provider asks you to get checked by some specialist, get expert advice and care for a health condition, it is called a 'Referral.' Authorization is when the payer authorizes to cover the prescribed services before rendering them. Here's how we help with pre-authorization.
- Quick determination of pre-authorization requirements
- Preparing the detailed paperwork to be submitted.
- Taking regular follow-ups on pre-authorization requests.
- Getting immediate information on any related issues on the request
Demographic, Charge Entry & Submission
The demographic entry of a patient includes their full details like Name, Age, Insurance ID number, location, and information on previous ailments or ongoing medications. So, we offer the following services related to patient demographics.
- Once the details of patients are checked, our professionals put the information of the patients into the medical billing system.
- Since this information is vital for the claim to get settled, we make sure that all details like the family doctor’s name, date of birth, gender, emergency contact number, blood type, and insurance provider number are entered correctly.
- Our team provides multi-specialty charge entry based on the client requirements along with follow-up on unpaid or denied claims and helps file secondary insurance.
Accounts Receivable Follow-Up
At Sasvat Infotech, we have been serving healthcare for a long time. Some of our services related to accounts and follow-ups are as follows.
- Our team follows up on all pending claims
- Checks on claims if denied.
- Get the receivables balance.
- Payments that are due are tracked.
- Denied claims are refiled.
- It will help increase the revenue.
Denials & Appeals Management
Sasvat Infotech’s denial management team has a team of professionals who performs the following tasks.
- Investigate the reason for all denied claims.
- Prepare denial reports and analyze the latest trends to prevent future denials.
- Prepare amended claims, denials, and appeals management for the payers.
- Focus on resolving the pending issue.
- Resubmit the application to the insurance company if a claim is denied.
- File appeals when required.
Payment Posting
Incorrect payment posting makes it difficult to identify the non-payment issues. For clients to tally their claim payments from the payers and patients, the details are put on the medical billing system once payments against the claims are received. Here’s how we can help you in the same.
- Manual payment posting where no payment record goes unnoticed.
- Electronic payment posting.
- 99% accuracy is guaranteed.
- Financial reports and easy revenue cycle within 24 hours
- Your in-house staff has time to concentrate on more vital issues.
- Prompt transfers and improper payments of the patients are reviewed.
Patient Statements & Balance Billing
We offer easy billing solutions for providers who want to increase patient collections. Our services include the following.
- Customize payments to help with the collections.
- Customer expectations are met to improve payments.
- Lower customer calls
- Advanced billing technology helps reduce costs and improve efficiency.
- Digital communications and statements.
Advanced Analytics & Reporting
We offer analytics and reporting as a niche service for healthcare institutions.
Hence, here’s why you should choose us as your advanced analytics support.
- Dedicated center for Analytics.
- Strong tech partnerships with several analytics software providers
- Provide pre-built templates to reduce the time for preparing new reports.
- Reduction in time required for processing and analysis.
- Notifications of reports for providers and payers
- Reduced funding delays with quick and thorough data access