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RapidCare BPO Your One Stop Outsourcing experts

RapidCare BPO Your One Stop Outsourcing experts. Core Competency Presentation. RapidCare BPO Your One Stop Healthcare Solutions Provider. Mission. To Provide Healthcare Solutions that are comprehensive, flexible and cost effective, for Physicians , Clinics and Hospitals.

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RapidCare BPO Your One Stop Outsourcing experts

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  1. RapidCare BPOYour One Stop Outsourcing experts Core Competency Presentation

  2. RapidCare BPO Your One Stop Healthcare Solutions Provider Mission To Provide Healthcare Solutions that are comprehensive, flexible and cost effective, for Physicians , Clinics and Hospitals

  3. RapidCare BPO Your One Stop Healthcare Solutions Provider Who We Are • RapidCare BPO has associated with Rapid Medical services • Rapid medical services is a 9 - year old healthcare solution provider catering to small, medium and large practices throughout the USA • currently serves 400+ Physicians across all specialties • has a 600+ intellectual resource pool comprising of CMT Certified Transcriptionists, CPC Certified Coders and CMRS Certified Reimbursement Specialists • strictly adheres to HIPAA , HL7 and BS7799 Compliance Standards • operates out of State –of- the --Art facilities with redundancies in power , data , resource and location.

  4. RapidCare BPOYour One Stop Healthcare Solutions Provider Management Hierarchy

  5. RapidCare BPO Your One Stop Healthcare Solutions Provider What We Do

  6. RapidCare BPO Your One Stop Healthcare Solutions Provider Transcription Process • Initial setup of Toll free number / Dictaphone at client location • Client uploads Voice files to dedicated FTP server • Download the files and transcribe • QC on transcribed text by Editors • Copy of completed text files uploaded to client • Another copy is forwarded to the coding department

  7. RapidCare BPO Your One Stop Healthcare Solutions Provider Coding Process • Segregation of the files to the respective coders • Coding is done using CPT , ICD-9 from the transcribed charts • Two tier QC • a) Manual QC by Sr. Coders to check for under /over coding • b) QC through software to check • i) Compatibility of CPT and Dx. codes • ii) If code will be Reimbursed • iii) Whether the codes are bundled • Procedure Code Analysis done on a monthly basis to check the validity and reimbursement levels of the codes used • The charts are forwarded to the billing department

  8. RapidCare BPO Your One Stop Healthcare Solutions Provider Coding Metrics -Sample

  9. RapidCare BPO Your One Stop Healthcare Solutions Provider Billing Process • The coded charts and demographics are entered into the billing software • A claim is created and transmitted electronically to the Insurance company • Payments are received by the physicians, while the ERA/EOB are scanned to us. • The accounts are reconciled , Secondary Claims generated and Patient statements dispatched • Denied/Unpaid claims are followed up via phone till the payment is received • Monthly Financial summary reports are generated as per the clients requirements

  10. RapidCare BPO Your One Stop Healthcare Solutions Provider Billing Quality Standards • Our 3-tier QA process ensures 99.9% accuracy • a) Level -1 : 100% QC check by specialized QC team b) Level -2 : 100% Validation Check by software c) Level -3 : 100% Validation check by clearing House software i) L1 Report – Generated 30 minutes after transmission, which does a validation check before forwarding to the insurance company. ii) L2 Report – Generated 24 hours after transmission, which serves as an acknowledgement, that the claims have reached the insurance company. • We adhere to strict work flow management process, that makes sure there is absolutely no drop in quality standards • We exceed the performance standard guidelines set by http://www.physiciansnews.com/business/1101.htmlfor evaluating the performance of medical billing company.

  11. RapidCare BPO Your One Stop Healthcare Solutions Provider AR Benchmark Statistics

  12. RapidCare BPO Your One Stop Healthcare Solutions Provider Ancillary Healthcare Services

  13. RapidCare BPO Your One Stop Healthcare Solutions Provider Infrastructure Well spaced out cabins for distraction free environment Training Facilities to train and retain resource pool State of the Art facility

  14. RapidCare BPO Your One Stop Healthcare Solutions Provider Thank You For further Information contact: Eric Ennis: 248-346-3972 Mike Ennis: 248-670-3767 Rajive Saranathan: 586-745-0416 Email: info@rapidcarebpo.com

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