We at Prayaag take pride in offering
a number of services to meet your business needs. We
bring to you considerable experience in handling a variety
of claims through our business associate. We
take every account seriously and strive to get the best
for our clientele. An Account manager will be provided
for every client, to ensure your satisfaction. Engage
us to outline your needs, and we are confident of being
able provide a suitable solution to exceed your expectations.
As a value added service, online verification of eligibility can be performed for every claim before billing the Insurance Company. This ensures faster reimbursement of claims by eliminating wastage of time spent on rejection and labor in resubmission.
The successful outcome of any claim starts with coding. Our coding team reviews the information provided by the doctor and codes every claim accurately according to coding guidelines.
Patient records are set up with complete demographic and insurance information. Charges are updated in respective patient accounts based on the charge sheets received from clients.
Major insurance carriers encourage the utilization of the electronic media for the transmission of claims and we have adapted to that requirement and equipped ourselves with the technology to sustain friendly and fully functional relationships.
Payments received from the insurance companies are posted into the system accurately using copies of Insurance Checks and Explanation of Benefits scanned to us by the Clients.
The overall revenue of a practice depends upon the specialty, total number of patients and the charges billed. These factors are analyzed based on reports generated and the Accounts Receivable is determined by our skilled A/R Analysts and it is sent to the “A/R Follow Up Team”. Denials received from insurance carriers are analyzed thoroughly and prompt actions are taken. If these denials have to be addressed with the insurance carriers, they are forwarded to the “A/R Follow Up Team”.
Well educated and extensively trained professionals with excellent communication skills are hired into the “A/R Follow up Team”. This team systematically follows up with the insurance carriers to address denials or check on general claims status and updates the “A/R Analyst Team” with their findings. They successfully resolve numerous issues with claims everyday and maximize revenue collections for the client.
Exhaustive reports are generated and a complete analysis is done to derive solutions to increase revenue. Detailed reports are also provided to the clients as per their requirements and standards.
Practice groups and the individual physicians are enrolled with the Insurance carriers and all the required credentialing procedures are completed effectively to facilitate faster process of medical claims at higher reimbursement rates.
The original revenue pattern of the client is identified and a strategy is developed in order to work towards the goal of achieving at least a minimum of 10% revenue increase. To achieve this goal, the Revenue Cycle is monitored continuously and relevant measures are implemented from time to time.
Mailing
Customized Management
Reports
Custom Services
As you chalk your organization's long-term plans, if
there are other needs you want us to work on, we will
consider those in addition to above services and come
up with suitable solutions that will be beneficial
to you.
Key Specialties
Well experienced in the following specialty areas
1.
Physician Medicine & Rehabilitation
9.
Neurology
17.
Chiropractic
2.
Vascular surgery
10.
Geriatrics
18.
Radiation Therapy
3.
Family Practice
11.
Pediatrics
19.
EKG
4.
Internal Medicine
12.
Ophthalmology
20.
Surgery
5.
Otolaryngology
13.
Podiatry
21.
Endocrinology
6.
Gastroenterology
14.
Radiology
22.
Cardiology
7.
Orthopedics
15.
Anesthesia
23.
Emergency
8.
Urology
16.
Urgent care
24.
Dentistry
Capable of servicing additional specialty
Work Flow
The following illustrates a high level work flow of our operations. We recognize that there will be specific tasks that will be unique to every client's needs.
Our business development associate will work with you and map out your specific work flow, based on your unique needs.
8, Sparrow Dr.
West Henrietta, NY 14586 Telephone: (585) 334 8625 E-Mail:enquiries@prayaag.com