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Medical Billing Services

Our medical coding and billing services are designed to address a wide range of issues and challenges faced by hospitals and physicians while realizing payments. By leveraging efficient processes and billing workflows, we help to improve productivity and quality, which in turn reduces operational cost and boosts revenue generation. Our billing process experts can provide customized solutions to help you achieve your business objectives. These solutions not only dramatically improve efficiency in a manner which is surprisingly cost-effective, but also allow you to focus on the more important aspects of your business.

Healthcare Revenue Cycle Management Service

GoTelecare’s end-to-end revenue cycle management services are designed to leverage from our productivity, performance, experience and knowledge, thereby reducing your cost of operations and increasing overall revenue. Our medical billing process experts can provide customized solutions to achieve your business objectives, which are efficient, cost-effective and most importantly, allow you to focus on your long-term business goals.

Healthcare businesses requiring dedicated medical billers/coders/data analysts can save more than $20,000 per employee every year by outsourcing to us. We can handle all your billing requirements at just $10 per hour for each full-time executive. And did you know that we are the only Revenue Cycle Management company serving both Payors (Health Insurance Plans) and Providers (DME / Orthotics& Prosthetics, Home Healthcare, Nursing Homes and other healthcare facilities) in the US with an impeccable track record of over 7 years?

Social Media Marketing

GoTelecare’s repertoire of services reaches beyond RCM into the realm of generating fresh business for all clients through online branding and social media marketing.

Consistently generating leads that get converted into paying customers over time, is the lifeline of any business. With GoTelecare by your side, you can stop worrying about missing out on the opportunity to discover and connect with bona fide prospects.

We leverage our access to more than 3.4 million healthcare providers to find the best matches for every client’s business. Whether you run an urgent care center, a DME shop, a nursing home, a home health agency, or sell medical billing software, you can rely on us to connect you with the hottest leads from your vicinity.

GoTelecare also gets you hundreds of targeted, high-quality leads through multi-channel B2B / B2C marketing. We employ email marketing, SEO (Search Engine Optimization), LinkedIn® marketing, paid advertising, and more, executed by highly experienced professionals in promoting healthcare products and services on the digital platform.

It’s an edge no other RCM company will give you!

Our Clients Experience:

  • > 98% Claims Accuracy
  • > 97% Collection Rate
  • > 90% 1st Claims Pass Rate
  • Active lead-generation from social media marketing
  • As low as 3% Claims Denial Rates
  • Professional Claims Pricing lowest in the industry
  • Institutional Claims Pricing as low as 2.9%
  • FREE Billing Software with zero-cost implementation
  • FREE EMR
  • No Hidden Cost
  • Excellent References

Download a GoTelecare Case Study

Key Differentiators

People

  • Strong leadership and experienced management team
  • Highly skilled staff, trained in process, product and communication skills
  • Workforce competency built on structured training, feedback and coaching
  • In-depth end-to-end healthcare lifecycle process knowledge to serve both Providers and Payors
  • Skilled and experienced in various billing and claims adjudication systems

Process

  • Robust process transition methodology with minimal service disruption
  • Service delivery based on project management best practices
  • Ensure quality by carrying out rigorous quality assurance and control activities
  • Structured reporting with complete transparency and visibility of the process
  • Higher visibility of revenue cycle performance metrics
  • Process specific KPIs to ensure service levels

Service

  • Capability to build a fully-fledged medical billing service for new and established healthcare providers
  • Strong denial/rejection management process to maximize revenue
  • Customized Payor and Patient follow-up projects to reduce payment backlogs
  • Medical billing software vendor transition and onboarding expertise
  • Medical coding and transcription service

Our Clients

Hospital, DME, HHA, Healthcare Providers, Nursing Homes, Orthotics and Prosthetics

 


Durable Medical Equipment Billing (DME)
    • Order Entry – Patient information (demographics & insurance), Ordering physician, Prescription & Diagnosis
    • Eligibility / Insurance Verification
    • Follow-up on medical documentation collection
    • Obtaining authorization
    • Follow-up on authorization approval
    • Creation of sales order
    • Creation of service estimate (patient financial responsibility)
    • Delivery scheduling
    • Printing / intimation of ready for delivery tickets
    • Confirmation (audit) of order on receipt of proof of delivery
    • Submission of claims (EDI / Paper)
    • Rejection management
    • Payment posting
    • AR follow-up
    • Denial Management
    • CPAP User Compliance Tracking
    • Counseling calls to non-compliant CPAP users

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Physicians Office Billing
    • Patient entry (demographics & insurance)
    • Eligibility / Insurance Verification
    • Authorization follow-up
    • Charge entry
    • Submission of claims (EDI / Paper)
    • Rejection management
    • Payment posting
    • AR follow-up
    • Denial Management

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Home Health Care
    • Order Entry – Patient information (demographics & insurance), Ordering physician, Prescription & Diagnosis
    • Eligibility / Insurance Verification
    • Follow-up on medical documentation collection
    • Obtaining authorization
    • Follow-up on authorization approval
    • Intimation of ready for delivery tickets
    • Confirmation (audit) of order on receipt of proof of delivery
    • Submission of claims (EDI / Paper)
    • Rejection management
    • Payment posting
    • AR follow-up
    • Denial Management

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Medical Coding Services
    • FREE Billing Software
    • FREE EMR
    • FREE Implementation
    • No Hidden Cost
    • 97% Collection Rate
    • 98% Coding Accuracy
    • Claims Submission within 24 – 48 hours max
    • 100% HIPAA Compliance
    • Custom Reporting
    • Real Time Audits
    • $1/Chart

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Prior Authorization
    • Full range Prior Authorization service (Auth Request + Follow-up + Approval)
    • 100% HIPAA compliance
    • Highly competitive prices
    • Zero overhead with no overtime & hidden costs
    • 7+ years of experience in claims adjudication for leading Payors
    • Free your in-house team for focusing on care management issues
    • Zero lockup service contract that you can cancel anytime

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Anesthesiology Billing Services
    • 99% overall accuracy
    • Up to 97% collections
    • 70% reduction of billing costs*<br>(*From your current in-house setup)
    • Excellent references from esteemed health insurance payers & providers
    • High-volume claim processing capabilities **<br> (** We are currently processing more than 1 million claims annually!)

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Hospital Accounts Receivable
    • Up to 97% in AR collection
    • Cost just 1% of collection
    • Comprehensive accounts receivable management

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Urgent Care Center Billing
    • Patient entry (demographics & insurance)
    • Eligibility and Authorization Verification
    • Charge entry
    • Submission of claims (EDI / Paper)
    • Rejection management
    • Payment posting
    • Accounts Receivable follow-up
    • Denial management

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Nursing Home Billing
    • AR Follow-up (payer)
    • Denial Management
    • Resubmissions

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Orthotics and Prosthetics Billing
    • Order entry based on the Rx received from the physician
    • Patient demographics & insurance entry
    • Provider information entry
    • Product code ,Rx & Dx entry
    • Eligibility verification and auth requirement enquiry
    • Patient’s appointment with Practitioner for Practitioner to assign codes
    • Collection of detailed Rx from ordering physician’s office
    • Collection of documents required by payer for auth approval, E.g. Diabetic Verification Form, initial evaluation, medical notes to support K level, PPR Form
    • Calculation of service estimates (patient and payer responsibility)
    • Determination of payer criteria prior to delivery
    • Generation of delivery ticket
    • Creation of claim after receipt of confirmation of delivery
    • Submission of EDI / paper claim to payers
    • Cash posting
    • Rejection & Denial Management
    • A/R follow-up

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Rapid Automation Technology
    • Cut cost
    • Save Time
    • Zero Error
    • Work Smart

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