Our Services
Our Services
Manpower
ClaimsKare boasts a dedicated and skilled workforce specialising in Revenue Cycle Management for the healthcare sector.
Our team is equipped with the expertise to handle various aspects of the revenue cycle, ensuring efficiency and accuracy.
We prioritise ongoing training and development to keep our manpower abreast of the latest industry trends and regulatory changes.
Bill Docket Preparation
ClaimsKare excels in meticulous preparation of bill dockets, ensuring that every detail is accurate and complies with relevant regulations.
Our process involves thorough scrutiny of documentation to eliminate errors and streamline the billing process.
Claim Auditing
Our claim auditing services involve a comprehensive review of submitted claims for accuracy, completeness, and compliance with coding standards.
We employ advanced auditing tools and methodologies to identify and rectify any discrepancies, minimising the risk of claim denials.
Claim Submission
ClaimsKare ensures timely and accurate submission of claims to insurance providers, government agencies, and other relevant entities.
We leverage technology to facilitate electronic claim submissions, reducing processing times and minimising the likelihood of errors.
Query Management
Our team handles all queries and inquiries related to billing and claims, promptly and professionally.
We prioritise clear communication and resolution to ensure a smooth and transparent interaction with all our stakeholders.
ECS Reconciliation
ClaimsKare conducts Electronic Clearing Service (ECS) reconciliation to match financial transactions, identify and resolve discrepancies.
This process ensures that all financial transactions align with the agreed-upon terms and conditions.
Post Claim Analysis
We perform a detailed analysis of processed claims, identifying trends, and areas for improvement.
The insights gained from post-claim analysis contribute to refining processes and optimising the overall revenue cycle.
Deduction on Claims
ClaimsKare diligently manages and addresses any deductions on claims, working to minimise deductions and disputes.
Our proactive approach involves identifying root causes and implementing corrective measures to prevent future deductions.
Claim Payment as per SLAs
We adhere to Service Level Agreements (SLAs) to ensure timely and accurate claim payments. Our commitment to SLAs is fundamental in maintaining positive relationships with payees and stakeholders.
Monitoring of the Processes
ClaimsKare continuously monitors all aspects of the revenue cycle, employing key performance indicators (KPIs) and analytics.
This proactive monitoring allows for swift identification of inefficiencies and the implementation of strategic improvements.
Our Solutions – Outsourcing
Outsourcing your Revenue Cycle Management (RCM) can be beneficial in many ways.
Dedicated resources placed by us at your hospital.
Prepared by our claim experts at your hospital.
Audited by professionals at hospital premises.
Claim delivery by us on a daily basis - 48 hrs TAT for delivery.
Timely query tracking -7 days TAT for query management.
Weekly & monthly reconciliation provided by us.
Monthly dashboard with detailed analysis – TAT, SLA, Deduction, etc.
We analyse deductions to rectify billing as well as to recover deducted amount.
Guaranteed payment of claim as per SLA. We charge only after the payment of claims.
Better monitoring of the process through dashboards.
Benefits
- Cost Savings
- Streamlined Billing & Reimbursement
- Focus on Core Functions
- Reduced Denial Rates
- Improved Cash Flow & Accelerated Collections
- Increased Efficiency for Your Team
- Comprehensive End-to-End Revenue Cycle