R evenue C ycle M anagement S ystem How we do It

1. Revenue Cycle Management System How we do It Insurance companies aim to benefit more by slowing down the process at the physician’s expense! We aim to get you what is rightfully yours!! DOCTUS is your catalyst, cutting down receivables and accelerating your cash flow We approach professionally to overcome the tactics being used to hold your money by insurance companies !!!

2. Revenue Cycle Management System How we do It Profile Driven by People, Process and Technology, Doctus USA consistently provides quality motivated solutions and compounding value to our clients through outsourced Healthcare Administrative Support Services. The Doctus Team of trained and experienced professionals has actively serviced the North American medical markets for more than 7 years and is highly specialized in Medical Billing, Receivables Management, Indexing, Transcription and Digitization Services. With North American based Management and world class domain knowledge in healthcare, enabled support services, software development and application delivery, Doctus are the trusted partner to several North American clients.

3. Revenue Cycle Management System How we do It Our team Our employees are our key players. They understand our clients demands and expectations and this allow us to guarantee service levels which is unmatched in the industry. Our billing team consists of- - Professional Coders certified by American Academy for Professional Coders (AAPC) - Billing Specialists with experience in handling diverse specialties. - Experienced AR Analysts and Denial Management Specialists

4. Revenue Cycle Management System How we do It What we do • Patient Scheduling & Insurance Eligibility Verification • Medical Coding • Medical Billing • Patient Registration • Charge Posting • Claims Transmission • Payment Posting • Statement Processing • Denial Management • Accounts Receivable • Insurance follow-up • Patient follow-up

5. Revenue Cycle Management System How we do It Clearing Houses For Electronic Clearance • Demo Entries • Charge entries • Medical Coding • EOB’s • Payment Postings • Denials • Claims Submission • A/R Analysis • Follow up’s • Insurance Calling • Patients Statement • Patient Calling • Customer Care Insurance Company Releasing payments Hospital /Doc’s office generates Super bills Claims

6. Revenue Cycle Management System How we do It SCANNING TO INDIA CLIENT IN US CODING ACCESSSING SOFTWARE PATIENT DEMOGRAPHICS ENTRY CHARGE ENTRY QUALITY AUDIT Paid Claims for cash application Unpaid Claims For corrective action TRANSMISSION OF CLAIMS THRU CLEARING HOUSES CASH APPLICATION AR ANALYSIS / CALLING CASH TALLYING ACTION ON DENIALS / REJECTIONS GENERATION OF REPORTS REPORTS TO CLIENT

7. Revenue Cycle Management System How we do It Scanning Documents to India Medical Coding Log to be maintained with File name, Total charges, Specialty details, etc before Coding. US Office scans Patient Demographics, Charge Sheets, Insurance Card Copies, etc. Coding of Diagnosis to the utmost specificity using ICD-9 CM Manual. Scanned copies would be saved as *.TIF (Tagged Image Format) file and placed in FTP Site In the FTP Site, Files would be placed in the common path which can be accessible by India Coding of Procedures by referring to CPT / HCPCS. Mail to India on Scan date, File name and directory path. After Coding, files to be handed over to Charges Department for processing.

8. Revenue Cycle Management System How we do It Demographics entry Documents to be sorted Patient wise before entering into the system Patient Account Numbering to be done, if system does not generate automatically If any clarification is required, send mail to US office Patient #, Name(LFM), Address, SSN, Sex, Employer, Home Ph, Work Ph, Guarantor, Marital Status, Subscriber details, Doctor#, Insurance information etc to be entered in the system After entering, printouts to be taken and data to be checked Log to be maintained with Total Patients, Patients entered, Pending details, etc.

9. Revenue Cycle Management System How we do It ChargeEntry Patient Demographics and Coding to be done before entering Charges Charge File to be sorted by Patient / Date of Service Patient #, Doctor # , Place of Service, Type of Service, Date of Service, Procedure Code, Diagnosis Code, Modifier, Units, Value, Referral , Prior Authorization, On Bill comments, etc. to be entered in the system If any clarification required, send mail to US office. After entering data, file to be given to Quality Audit for checking After checking and corrections, Claims to be transmitted. After Transmission, Charges completion details to be sent to US office. If any incorrect details found, Charges department to be informed

10. Revenue Cycle Management System How we do It Quality Check Quality Audit for Patient Demographics and Charges before sending batch wise update to client Patient #, Name, Address, SSN, DOB, Home Ph, Work Ph, Guarantor, Subscriber details, Employer, etc to be checked in Patient Demographic File Date of Service, Procedure Code, Diagnosis Code, Modifier, Units, Value, Place of Service, Type of Service, Referral, Prior Authorization, On bill comments, Location, etc to be checked in Charges File After Quality Audit, files to be given to Supervisor / Manager for sending Batch Update to client. If any incorrect details found, Charges Team to be informed of the same and correction done Log to be updated with patients checked, charges checked, correction details, etc

11. Revenue Cycle Management System How we do It Claim Transmission Electronic/Paper After Quality Check is through, List of Electronic Claims to be separated Transmission processes to be accurately followed to avoid rejection Claims to be transmitted electronically through different clearing houses After transmission, log to be updated with patient #, claim#, total claims transmitted, pending claims, etc. If any incorrect details found, Charges department to be informed Send mail to Charges department after completion of Transmission

12. Revenue Cycle Management System How we do It Cash Posting Checks and EOB(Explanation of Benefits) to be arranged before doing Cash Posting Insurance Name, Check #, Total Check Value to be cross verified with the Check and EOB Copies In the EOB Copy, Claim#, Date of Service, Procedure , Units, Charges to be identified before posting Application of Payment, Deductible, Co-insurance, Adjustments, Write offs, etc in the Cash Posting After Cash Posting, Claim#, Patient Name and Value to be checked for tallying data with the EOB If any incorrect details found or any details missing, follow up to be done with Insurance Log to be updated with Total Checks, Total Value, Posted details, Pending details, etc

13. Revenue Cycle Management System How we do It Denial management • Our A\R and Denial Management Specialists receive extensive training in AR follow-up. • Aggressive follow-up starts 21 days after claim submission. - Our Specialists are chosen for their analytical skills and are provided with access to all the documentation required to make sure that the claim is paid on the first call.E.g. When the Insurance rep says that the claim lacks authorization number, our Specialists are taught to immediately retrieve the authorization number from our database and fax it while they are still on the call. • Within 24 Hours on receipt of EOBDenied claims are worked on, rectified and resubmitted. • EOB is postedon the same day and All Denials which require additional documentation, are sent to the Doctor’s office. • - we are well versed with using correct appeal procedures in knowing Healthcare Laws and we specialize in working on old Account Receivables.

14. Revenue Cycle Management System How we do It Skill set We expertise in most of the billing softwares. However, its is defined by our clients. We also use remote desktop applications or web based softwares. • Specialties • Radiation Therapy • Obstetrics • Ambulatory Surgical Centre • Orthopaedics • Pathology • ENT • Family Practice • Paediatrics • Gastroenterology • Podiatry • General Surgery • Gynaecology • Radiology • Infectious Disease • Internal Medicine • Cardiology . .Neurology • Physical Therapy • Software • Medic (Misys PM / Tiger) • MDS • Excalibur • Medical Manager • Med plexus Medisoft • PMC • Lytec • Sequel Med • Geysers • Kareo • Vericle • NextGen • IDX • Healthmatics Ntierprize • Office ally

15. Revenue Cycle Management System How we do It For further information, please contact- Phone : 1-408-625-7222Fax : 1-406625-7006 E-mail: info@doctususa.com