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Revenue Cycle Management

Healthcare Revenue Cycle Management

End-to-End Revenue Cycle Management

Healthsoft implements highly efficient, end-to-end revenue cycle management solutions helping you identify new revenue sources and the latest recurring revenue model. With years of experience in delivering expert services for billing and collections, our clients have always achieved great results. Our team is dedicated to delivering well-tailored medical plans, insurance, government-funded programs and billing rules. We strictly follow major performance metrics as per industry standards to ensure best practices and help quantify success rates. We also see to it that our customers get the best value from our expertise and experience.

Proficient Scheduling and Verification

We guarantee that every healthcare facility will receive reconciliation of patient schedules and verification. We also provide an exclusive service for pre-certification or pre-authorization where co-insurance estimates are included.

Real-time Data Entry

We see to it that our clients can experience real time efficiency in data entry for smooth operations. We do efficient charge entry, including financial information and patient demography. We also double-check billing and coding edits to ensure accurate data.

Accurate Claims Submission

Our end-to-end revenue cycle management solutions simplify reconciling claims and editing corrections for claims. You can expect all your daily file submissions to be accurate as well.

Efficient Solutions for Patient Access

Be it outbound or inbound communication, you can expect efficient access to your patients. You will be able to easily manage patient payments and updates, incoming inquiries and production of statements. Making collection calls and organizing debt management will also be simplified.

Medical Coding & Billing

Medical Coding and Billing

Healthsoft provides comprehensive medical coding and billing solutions for healthcare providers while eliminating risks of noncompliance. We can help devise a comprehensive process for suitable payments and coding. Our goal is always to trim down delays, improve claim submissions, and eliminate administrative loads.

Complete Coding

Medical coding requires careful attention to how different specialists practice to guarantee accurate data and avoid lapses. We offer proficient and comprehensive medical coding services to ensure smooth operations across your healthcare facilities.

Improved Financial Performance

Our teams focus exclusively on all processes to offer effective insights and tools to achieve your goals. We can help you reduce errors, payer denials and staffing liabilities while focusing on patient care.

Well-organized Billing and Coding System

We carefully analyze all your medical records, including your previous coding. This ensures that your documentation can support the submitted codes for audits. We also maximize your claim reimbursement with our knowledge of reimbursement methodologies and medical coding.

Audit

In response to the high demand for our expertise in medical coding, Healthsoft Middle East organized Audit Services Division which provides a variety of audits to hundreds of clients each year. Our management team averages over 20 years of experience in medical auditing along with a national network of auditors and subject matter experts representing expertise in every medical specialty.

Healthsoft's audit clients include work with

  • Numerous insurance carriers, health plans and physician practices and hospital systems throughout the United States.

Our extensive audit resources will allow us to bring together the right mix of skills, experience, and industry knowledge to ensure we meet each of your specific needs. Our range of audit services include:

  • Coding/ Documentation Audits
  • Revenue Cycle/ Account Receivable Audits
  • Focused Audits
  • Corporate Integrity Agreement (CIA) Audits
  • Audit Validation
  • ICD-10 Readiness Evaluation
  • Litigation Support/ Expert Witness
  • Audit Plan Development
  • Appeals
  • Physician/ Coder Education

RCM Consulting

Our team has consultants with years of experience in this space, both in the Middle East as well as internationally. That’s how we’ve always been able to cut through the clutter to give our clients the best insights into issues as well as solutions. Whatever you need, our RCM consulting services can make it happen.

Reliable Consulting Service Team

Unlike other RCM consulting companies, our team is very flexible. We are offer intelligent solutions for tough programs. We assure you that you will see a drastic change in your numbers, in real time.

Optimize Net Revenue

Have you tried optimizing the revenue of your hospital but, not achieved the desires results? Healthsoft is the answer. Over our years of service in IT industry, we have put together the most tested and proven techniques in RCM consulting.

By making us as your RCM partner, you will learn valuable insights about you revenue cycle. Within a short-term run, you will be able to optimize the net revenue of your healthcare organization.