Medical Billing / Revenue cycle management require a vast knowledge of coding, billing, and payer rules. Managing revenues in-house leads to high-costs & giving less time for patient care, particularly for smaller practices.
Provider and Outsourcing unit share a very close bond. Provider only has to focus on providing quality services to patient whereas all the back end operations are taken care by PAMM Infotech
Appointment
Scheduling
Insurance and
Benefit Verification
Patient
Visit
Medical
Coding
Claim creations &
submission
Rejection Tracking
& Resolution
Payment
Posting
Denial
Management
Appeals &
Reconssiderations
Patient
Statements
Day
End reporting
Month End
Reportings
PHI ( Protected Health Information) :- This includes identifiable demographic and other information relating to the Patient physical or mental health to be kept fully confidential. For purposes of the Privacy Rule, genetic information is considered to be health information. Proper security will be in place so that patient information is not shared out.
REDUCED PAPER WORKFLOW :- This was observed that provider who doesn’t have experienced staff that can work on Electronic Data Setup has a delay in submitting claims to Insurance company which leads to delay in receiving Payment. In past when claims were mailed to insurance companies, Provider’s kept on waiting for payment to come in thru Insurance Via Paper check for approximate 35-40 days but we have an experienced staff who guarantee 90% of claims to be submitted electronically which makes claims to land at insurance door steps within 48 Hours and with setting up ERA/EFT contracts with insurance companies, the payment comes directly into provider bank account within 15-18 days.
EDI Setup :- We have an experienced staff who specializes in EDI Contracts with the Insurance companies and the clearing house. This will eliminate all the Paper claims submissions & check that comes to Provider and the Payments are directly deposited in Provider bank accounts. This also helps lower the Manpower as Posting Insurance money along with the reconciliation is just few click away.
Denial Management :- CMS publishes guidelines for provider telling them which services according to their specialties will be reimbursed or not, so on an average Provider 30-40 % of revenue is denied upfront by Insurance companies for ABC reason. Compiling 30-40 % of denial volume for current months & LAST month added land Provider in Very BAD situation, so experienced staff with TOP Most analytical skill set can work on denial trending, find out the resolutions and can even present the Excel tracking to Provider anytime. This means outsourcing unit is always ready with financial analysis for Provider & in same way they work out with insurance company to collect the revenue.
Aging Capture :- By word Aging we Means the average age of claim. In today’s RCM world we have 5 major type of insurance type classified as FINANCIAL CLASSES as listed below. Each Financial class has their timelines & guidelines to pay. The rules /TAT of Claims processing are DIFFERENT for almost EACH class.
| Financial Classes |
|---|
| Medicare |
| Medicaid / Medicaid |
| Managed Care plan (PPO /HMO/Commercial insurances) |
| Worker’s Compensation |
| Private Pay / Self pay |
Medical establishments such as hospitals, clinics, rehabilitation centers and so on are looked upon as edifices of hope by the sick and diseased. Like any other business, medical establishments have to well-organized institutions. They follow complex processes and need efficient manpower and software to manage these processes. The primary objective is to provide quality healthcare to masses and that too in a cost-effective and efficient manner. The hospital management and administration is concerned with the organization coordination, planning, staffing, evaluating and controlling of health services for the people. With the help of professional software, these can be managed proficiently, economically, and successfully in a given time period.
Medical transcription is a medical language specialty, a distinction that has led to an alternative title for the qualified medical transcriptionist — medical language specialist. This is a process, which deals in converting the voice-recorded reports as dictated by physicians or other healthcare professionals into text format.
A medical language specialist who interprets and transcribes dictation by physicians and other healthcare professionals regarding patient assessment, workup, therapeutic procedures, clinical course, diagnosis, prognosis, etc., in order to document patient care and facilitate delivery of healthcare services.” The documents that are commonly transcribed include History and Physical examination, Office Notes, Pathology Reports, Radiology Reports, Laboratory Reports, Operative Reports, Autopsy Reports, Consultation, etc. These reports have to be very accurate, as they form the corner stone for the patient’s health care. A medical transcriptionist may also be required to maintain other records relating to evaluation of equipment, inventories of hospital equipment, keeping record of daily work charting, printing, delivering medical reports, providing administrative support, and training, etc.
Legal transcription, as the name suggests, is the act of transferring any type of legal proceeding from the spoken word to a document format or a printed format. The services for the legal transcription include transcription of depositions, testimonies, official court hearings, interrogations, client letters, legal briefs as well as general legal correspondence. This can also include teleconferences and calls, telephone conversations, public hearings, minutes of meeting, wire taps, etc.
It is performed by professionals who have a strong command of English language as well as a strong sense of ethics and confidentiality. Many legal transcribers have a background in law that gives them a strong understanding of the source material.
The benefits of legal transcription include saving time while trimming overhead costs, improving work flow and shortening turn-around times. Legal transcription also assists with work productivity. By eliminating the necessity for administrative departments to carryout transcriptions, those departments can concentrate on more crucial day-to-day administrative tasks.
The software development process is a general term describing the throughout process of developing a software product. We at, PAMM Infotech, help you customize software development solutions and IT staff augmentation services for healthcare technology providers. As a seamless back-end software development partner, our niche technology and industry experts come in as an extension of your company to optimize development life cycles. Our software development approach is defined and designed and goes through successive phases in an orderly way. This approach not only includes the actual writing of code but also the preparation of requirements and objectives, the design of what is to be coded, and confirmation that what is developed has met the objectives.
PAMM Infotech is formed by a partnership between software professionals in INDIA and Medical service providers in USA. We have an existing business model in function for more than 15 years. The success of our service has led to an expansion in capacity and PAMM Infotech is one of the well known service provider in this sector and enjoys a reputation for quality and timeliness – a reputation we jealously protect.
PAMM Infotech has been successfully providing medical transcription services to clients in the USA. Since its inception, it is able to provide a quality service to a large number of existing and prospective clients. Our staff people are graduates with a sound command of the English language. Their work is supervised by qualified medical practitioners for accuracy and quality of work. We realize the importance of quality standards and time deadlines in the healthcare industry and these two criteria form the cornerstones of PAMM Infotech. PAMM Infotech aim to build partnerships with its global customers and provide a service which helps them achieve their objectives. Our goal is to ensure that enterprises maintain and grow their knowledge base through cost-effective data capture, storage and management servies. We streamline the processes and lower overhead with our offshore, low-cost, high-caliber IT staff. We at PAMM Infotech guarantee that your work is completed by a well-supervised, professional services organization. With PAMM Infotech, you avoid the middleman, and thus only one entity handles all projects from inception to completion.
Our mission is to “Utilize our expertise composite products to provide the absolute best value as measured by quality, cost, delivery, and innovation”. We are firmly and sincerely committed to providing value-packed services of uncompromising quality to business and individuals. Our business will always be conducted with prode and the highest degree of ethics. We will always use the most appropriate means for accomplishing each goal depending on the customer’s needs. PAMM Infotech provides high quality healthcare services to medical professionals who wish to avail economic value by contracting it out. We can professionally process your clinic/hospital administration and management needs on a one time or on a continuing basis – quickly, accurately, and reliably.
Benefits of working with us:
PAMM Infotech is proud to enlighten the growth engine all the working hands with us. We do emphasize for our Client growth but there are several training programs for in-house staff. This helps us to keep up with the market pace and have the happy faces on board. Please contact HR at hr@pamminfotech.com for more insights.
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