Services Offered:
Coding (CPT, ICD-9, and HCPCS)
Patient Demographics Entry
Charge Entry – All specialties
Payment Posting (Manual and Electronic)
Payment Reconciliation
Denials/rejections analysis, re-billing
Accounts Receivable Follow-up
Systemic A/R projects, re-billing
Collection Agency Reporting
Refunds
a. Hospital Coding
Our Medical Coders are certified by the AAPC (American Association of Professional Coders) and have hands on experience.
Our trained coders guarantee 98-100% accuracy and full compliance
DRG coding across different specialties
Transparency in our coding methodology gives you access, produces consistency, and eliminates the risk of errors. Clients receive regular feedback on coding changes and coding-related denial analysis.
b. Demographic entry
Ability to work on scanned images as well as Electronically Submitted Demographic Sheets.
Ability to accurately process insurance Information (selecting appropriate insurance details.
Our people access the information via the Server (or directly from Software Screen as the case may be) and enter information directly into the client software
c. Charge Entry
We process charges for all specialties with good appropriate state and specialty rules.
We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control
We perform internal Quality Assurance at different Levels to provide the high quality output.
We provide 24-48 hour turn-around time across multiple hospital-based and office-based specialties.
d. Payment posting
Daily Deposits balanced accurately
Low Pay, No Pay reports sent to client on daily basis
Denials are worked immediately and secondary claim reports are sent on daily basis.
e. AR Follow-ups
We aim is to improve the client’s cash flow by reducing days in A/R and improving profitability, by increasing collections ratio. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect un- paid and partially paid claims.
Ability to work offline (using spreadsheets or reports) or directly from Client Software Reports.
Our process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first. Using this approach, we are able to quickly achieve results and also apply early feedback across the entire category.
Payer Services
Data Assist Solutions provides its clients with personalized service, timely and accurate claims administration and a full range of related support functions. Our tailored claims administration includes Medical, Prescription, Dental, Vision, and Disability.
Data Assist takes a comprehensive, well-structured, and expertly managed approach to every outsourced process we handle. Our professionals communicate clearly with all parties involved and continuously monitor and manage all of the issues that can affect the cost of a program. Through our experience in many different industries and in all aspects of business process outsourcing, we have developed an exemplary set of best practices for the day-to-day conduct of our business. They guide not only how we work with our clients, but also with all others involved. The result is cohesive, consistent service delivery from the first step in a process through ongoing management of a program.
Data Assist takes a comprehensive, well-structured, and expertly managed approach to every outsourced process we handle. Our professionals communicate clearly with all parties involved and continuously monitor and manage all of the issues that can affect the cost of a program. Through our experience in many different industries and in all aspects of business process outsourcing, we have developed an exemplary set of best practices for the day-to-day conduct of our business. They guide not only how we work with our clients, but also with all others involved. The result is cohesive, consistent service delivery from the first step in a process through ongoing management of a program.
Services
Our clients are Third Party Administrators (TPA), Management Services Organizations (MSO) and Health Plans who gives highly individualized and personalized service to their clients. For them, responsiveness is critical. Growth is high for many of our TPA-clients who have earned the trust of their clients by ensuring compliance as the industry around them changes. MSO focus on providing excellent service and outstanding results to their IPA and Medical Group clients.
Simple and affordable, Claims Adjudication 's turnkey solution for paper claims administration cuts claims processing costs, improves accuracy of paper claims adjudication, enhances productivity of claims examiners and archives paper claims for easy and convenient access anytime through an intuitive and secure web interface.
Simple and affordable, Claims Adjudication 's turnkey solution for paper claims administration cuts claims processing costs, improves accuracy of paper claims adjudication, enhances productivity of claims examiners and archives paper claims for easy and convenient access anytime through an intuitive and secure web interface.
Our Healthcare Payer Services include:
Claims entry CMS-1500, UB-92 and ADA dental Forms
Member enrollment services.
Provider data services.
Authorization support services.
Claims Adjudication
Claims re-pricing
Customer care support
Benefits
Eliminates handling of paper claims.
Cuts paper claims processing costs by 40 to 50%.
Improves accuracy of paper claims adjudication.
Improves HIPPA and CMS compliance for paper claims tracking
Reduces storage cost
Improves turnaround times for processing.
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