Document Management
         Revenue Cycle Management
         Accounting

Vision 10-10-10
Milestone to achieve
by 10-10-2010
Services

Revenue Cycle Management Services

  • Medical Coding
  • Medical Billing
  • Accounts Receivable Management
 MEDICAL CODING
 

Medical Coding is crucial and Pradot® ensures accurate and HIPAA compliant coding services in accordance with NCCI (National Correct Coding Initiatives) and LMRP (Local Medical Review Policies) with a turn around time of 24-48 Hours.

The team is headed by AAPC (American Academy of Professional Coders) Certified Coders with strong clinical backgrounds who are proficient with ICD 9CM, CPT and HCPCS codes. These coders are proficient with ER (Emergency Room), Surgical Pathology, Cardiology, Anesthesia, Radiology and Rehabilitation coding (first to start Rehabilitation coding in India).

Our team also schedules regular conference calls with clients and provides detailed weekly and monthly operational reports. This helps us maximize timely reimbursement.

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 MEDICAL BILLING
 

At Pradot®, Medical Billing refers to the process of preparation and submission of Healthcare Claims on behalf of the Healthcare Provider to the respective insurance companies for reimbursement. Our team contains dedicated billing professionals whose main objective is prompt reimbursement of the patient’s money. Our team’s extensive knowledge of billing and reimbursement provides the ability to turn the patients claim into a paycheck! Pradot® also gives its clients the convenience of having experienced, certified claims handlers process and follow up on their patient’s claims. This process involves:

Data capture: Data entry of patient demographics.
Charge entry: Data capture of charge tickets.
Payment posting: Posting of EOB to the respective patient accounts.

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 ACCOUNTS RECEIVABLE MANAGEMENT
 

A successful healthcare practice depends as much upon quality care as it does on effective financial management. The long delay between the time you perform a medical service and the time you are ultimately paid, coupled with a bureaucratic and very cumbersome third-party billing structure has resulted in diminishing your business cash flow.

After Pradot® receives accounts from the clients, they are analyzed carefully, taking into consideration the timely filing limits, payer wise breakups (Federal, Commercial, self pay), coding issues, billing errors, etc. These are then assigned to specialized account executives for follow up to collect the maximum. By using Accounts Receivables, the healthcare provider receives immediate cash for billings to third parties as well.

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