The revenue cycle is a tremendously complex gamut of integrated functions ranging from pre-registration, scheduling and appointments; to medical charts and coding; to billing, A/R collections and contractual compliance.

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Revenue Cycle Management

Medusind's cost-effective, end-to-end Revenue Cycle Management (RCM) offers billing support services to hospitals, physicians and successful third-party medical billing companies. Our RCM solution suite is uniquely customized to improve your profits and relieve you of the pressures of hiring, training and motivating ineffective employees.



Key Features:


Patient Registration
This process involves collecting patient demographics. Our teams process, verify and validate demographic information of the patient and register a patient prior to an appointment at the clinic / hospital.




Claims Submission
Subsequent to patients visit to the clinic / hospital, we take responsibility to submit claims using electronic claims submission tools and the software platform that is already in place at the provider's office.




Medical Coding
Patient documents / files / reports that are electronically scanned at our client's office are seamlessly and securely accessed by our offshore center using our value platform VPNs connections. Our teams verify and validate the documents, split them into batches and review them for completeness, quality and readability. Diagnosis, Procedure Codes and modifiers are assigned as per client descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code). 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)

    Our diligent auditors and Six Sigma oriented quality control team audit the coded charge sheets and process it further for charge entry and cash posting.




  • Charge Entry and Cash Posting
    Our team gets the Claims and Demographics entered into the client's billing system rapidly and accurately. Insurance payments are posted to the patient accounts from EOBs into the provider's existing software package. With the creative combination of advanced technology and qualified and experienced billing professionals we can get the claims sent to payers faster, with fewer errors and at lower costs.




    A/R Denial Management

    Our experienced claims management team work tirelessly to get denied claims processed, analyzed, corrected, updated and prepared for re-submission.




    A/R Collections and Follow up

    Our knowledgeable AR Analysts run insurance reports and identify claims over 30, 60, 90, 120 and more days. Our A/R follow-up team gets our clients paid more and much faster by using the following approach.

    • Expert coding services
    • Timely follow-up on denials
    • Automated software tools
    • Robust technology
    • Daily follow-ups.

    Key Benefits:

    • Our clients focus their time on bringing in new physician practices and not on hiring, training, and motivating ineffective staff.
    • Our billing experts assist our clients in charge-entry, payment posting and other manual chores while the billing staffs on our client's end focuses on negotiating payments with payers and on improving collections for their physician customers.
    • Regular reporting enables clients to closely monitor performance and provide feedback to improve the process.
    • Assist our clients in front desk and back office functions while the staff at our client's site can focus on improved patient care and other aspects of the practice that will allow the practice to operate more efficiently.
    In a nutshell, our RCM solution helps our clients to increase efficiencies, accelerate cashflow, reduce overhead and improve patient care.


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