Providing Rapid Outcomes of Your Medical Claims

Centre State Practice Management has been assisting healthcare providers in increasing their cash flows by categorizing their medical claims procedures. We are completely committed to provide precision, competence and flexibility during our entire process of healthcare claims processing services.

We have created a strong model for organizing claims processes for our clients. These models propose our clients with the most optimal method to process claims. Some of these models are based on categories of redundant claims, produced by particular teams allocated with the task of scrutinizing, perceiving and following-up the redundant claims.

We ensure to equip our clients with full control over discarded claims. Our clients can keep a track on how the claim is progressing in concurrently and analyze the efficiency of the various stages of the medical claims management process. Altogether, this makes our medical claims processing services less time consuming and financially effective.

Here's How We Streamline the Medical Claims Processing:

  • We offer advanced pledges to claims insufficiencies such as misplaced data or prior authorization.
  • We ensure regular and rapid tracking with the payer to supervise all claims-related associations.
  • We believe in the digitization of all the documents and paperwork so that it can be kept in a single large, central and searchable data depository.
  • We provide complete audit reports for claims and settlement of payment amounts in real-time.
  • We tend to successfully handle redundant and denied claims, correct errors and resubmit them for final settlement and claims authorization.

Components of Our Diligent AR Process

1

Data Entry

Data Entry

Recording all relevant information related to the patient

2

Correct Billing Errors

Correct Billing Errors

Analyze all documents for the presence of any billing errors and resolve them accordingly

3

Settle Claims for Precision

Settle Claims for Precision

Confirming the correctness of each medical claim

4

Claims Filing

Claims Filing

Filing claims with the insurance company

5

Tracking Claims

Tracking Claims

Carrying out a thorough process of tracking claims with the insurance carrier

6

Preparing an EOB Statement

Preparing an EOB Statement

Producing a statement of explanation of benefits that contains important details regarding claims

7

Claims Status Update

Claims Status Update

Notifying the clients regarding the status of their claims

8

Assess and Resolve Denied Claims

Assess and Resolve Denied Claims

Processing all the denied claims and resolving all inaccuracies

9

Resubmit Accurate Claims

Resubmit Accurate Claims

Submission of the corrected claims

Our Specialized Medical Insurance
Claims Processing Services

Claim Support and Auditing

We at Centre State Practice Management are equipped with modern data processing tools and have highly competent auditors to provide our clients with the best medical claims support services. Our clients take benefit from our expertise to claim audits, carry out reduced payment analysis, come across successful solutions for recovery, and post payments for every claim. Conducting audits help us assure that none of our clients gets deceived by fraud claims and also gives us the capacity to make certain that the supplier is holding on to the most recent compliance regulations principaling medical claims.

Insurance Claims Setup

Our experts ensure to setup processes that provide clean claims by accurately recording all the demographic data regarding the patient such as information related to the patients insurance payer or policy number. While entering this information in the relevant software our experts make sure that no errors arise to slow down the claims process.

Claims Document Imaging

We make it certain that the patient’s insurance policy coverage is verified to ensure that it is in effect since the date the patient has claimed to obtain services and also assist you to obtain prior authorization from the payer. Our accurate analysis of spotting any exclusions prevents the arousal of denied claims and keeps minimum appeals so that your revenue inflows remain uninterrupted.

Claims Settlement

We posses extensive experience on settling claims both manually and through electronic media. Since we have been actively providing our services to our clients, we have assisted more than 200 hospitals with a variety of claim settlement and medical claims management requirement including the verification of details given by the provider, checking eligibility, processing payments, determining benefits, performing rule-based edits, detecting any frauds in insurance etc.

Claims Support and Auditing

Through the digitization of all the documents and paperwork so that they can be kept in a single large, central and searchable digital data depository, we prevent the loss or misplacement of any claim records. This makes our record storing process more efficient, secure and in compliance with the protocols of HIPPA.

Account Settlement

Account settlement service is part of our claims processing services. Here we ensure to complete all the formalities associated with account settlement such as contacting payment agencies and insurers to claim the money that they owe you. Our service provides you with an absolute understanding of what the policy covers and what you can actually claim, appropriate documentation relating medical expenses and procedures, and timely filing claims. Once we have filed the claims, we track and consistently communicate with the payment agencies and insurers until the concluding settlement is made.

Here's What Sets Apart Our Claims Processing Services

1

Extensive Training

Extensive Training

Our staff is regularly trained so as to keep them updated and well versed with the upcoming knowledge regarding the rules some payers might follow to rationalize the processing and settlement of claims

2

Rapid Audits for Claims

Rapid Audits for Claims

We frequently carry out thorough audits of the submitted claims to identify the arising errors during claims submission and preventing their arousal thereafter.

3

Distinct Procedures

Distinct Procedures

We have a very well-developed quality check procedure where we review every single details of the submitted samples to ensure that only best quality claims are forwarded for submission

4

Complete Compliance

Complete Compliance

We conform to the unyielding documented protocols to ensure our compliance with HIPPA regarding requirements related to claims submission.

5

Personalized Analysis and Reporting

Personalized Analysis and Reporting

We carry out real-time and regular reporting throughout the entire process of claims reimbursement with a fixed analytics approach to follow-up any denied claims or payments or any delayed final settlements.

6

Commanding Automation

Commanding Automation

Digitizing our data entry process for claims submission to ensure the submission of clean and correct claims first hand.

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