Healthcare Outsourced Services
The Total Solution Package

• Medical/Dental Coding Solution Suite
• Charge Entry Solution Suite
• Cash Post Solution Suite
• A/R Follow-up Solution Suite

Our end-to-end RCM Solution Suite offers you the following features and benefits:

1. Electronically Scanned Documents:
Documents are scanned in your offices and are seamlessly and securely accessed by our  center using the Talcomp Value Platform VPNs

2. Verify and Validate accompanied documents:
Documents are split into batches and reviewed for completeness, quality and readability.

3. Accurate Coding:
Diagnosis, Procedure Codes and modifiers are assigned as per your descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code).

4. We use the following industry coding standards:
Diagnosis Codes (ICD-9: International Classification of Disease)
Procedure Codes (CPT-4: Current Procedural Terminology)
Coding for Inpatient Services (ICD-9)
Drug Codes (NDC: National Drug Codes)
Dental Procedure Codes (CDT: Current Dental Terminology)
Other Procedure Codes (HCPCS: Healthcare Procedure Coding System)

5. Diligent Auditing:
Six Sigma oriented Quality Control department audits the coded charge sheets.

6. Process Patient Demographics Information:
Our team members process, verify and validate demographic information of patient.

7. Claim Submission:
Claims to be submitted to the payer electronically using a clearinghouse.

8. Denied Claims Processing:
Denied claims are processed, analyzed, corrected, updated and prepared for re-submission.

9. Extensive AR Analysis:
Experienced AR Analysts run insurance reports and identify claims over 30 days.

10. EOB Processing and Payment Posting:
Insurance payments are posted to the patient accounts from EOBs into the billing agencies' existing software package.

11. Reporting:
Regular reporting enables billing agency to closely monitor performance and provide feedback to improve the process.

Key Benefits

You focus your time on the clinical aspects of your work and not on hiring, training, and motivating ineffective staff.
Our billing experts assist your staff in charge-entry, payment posting and other manual chores while your billing staffs focus on negotiating payments with payers and on improving patient collections.