GoTelecare: Stand Out Support as a Complete Medical Billing Company

Our Service Highlights
? Up to 97% collection rate in accounts receivable
? Instant reduction of billing cost by 70%
? FREE medical billing software, EMR & setup
? Real-time eligibility checks & fast authorization
? 100% HIPAA-HITECH compliance
? Claim status analysis using Rapid Automation Technology®
? Turnaround time less than 48 hours max.
? Low service fees with no hidden cost
? Zero lockup service contract that can be cancelled anytime
? Excellent references from reputed clients across the US
? Real-time audits and custom reporting
The important tasks that we conduct:
? Inpatient/Outpatient Hospital Coding
? Physician Coding
? Patient entry demographics & insurance information
? Fee Schedule / Charge Entry
? Scrubbing all entries for correctness and completeness with appropriate billing edits.
Correction of identified errors
? Submission of claims to payers, e.g. EDI or paper
? Creation and mailing of patient statements
? Posting of payments received from patient and payer
? Reconciliation of charges, payments received and adjustments made
? Denial Management, e.g. understanding denials and making corrections
? Resubmission of claims
? AR calls as follow-up on outstanding issues
? Closure of a claim once the balance is zero
We perform task specific functions in:
? Order entry based on the Rx received from the Physician
? Patient demographics & insurance entry
? Provider information entry
? Product code entry
? Rx & Dx entry (with appropriate timeframe)
? If necessary, a telemedicine consultation can be completed to obtain a Rx to expedite the order entry process
? Eligibility verification and authorization requirement inquiry
? Collection of documents required by payer for auth approval, e.g. face-to-face consultation notes, and obtaining authorization from Payer
? Determination that Payer criteria is met before delivery of equipment, e.g. some products have time/frequency/ annual cost limitations f (if criteria is not met, the Patient is contacted and informed of the financial responsibility)
? Generation of delivery ticket (based on which delivery is made to the patient)
? Creation of claim after receipt of confirmation of delivery
? Submission of EDI / paper claim to payers
? Cash posting
? Rejection & Denial Management
? A/R follow-up
Let us share with you how we plan to work as your ultimate operational extension. GoTelecare sets the trend with a complete plan of action as a complete medical billing company.