REVENUE LIFECYCLE

When the RCM services are dynamic,

the technology can't be be timid.

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IS NO LONGER A COST CENTER,

SHOULD BE A PROFIT CENTER.

YOUR INSURANCE DEPARTMENT

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DIRECTLY LINKED

TO YOUR CLAIM

PROCESS

YOUR PRACTICE

SUSTAINABILITY IS

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OF EXCELLENCE IN

RCM WORLD

ICD’s ARE VITAL POINT

IDENTIFYING THE

RIGHT DIAGNOSIS

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WITHIN THE BOUNDARIES

OF MEDICAL COMPLIANCE

SERVICE EXCELLENCE

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KEY TO SUCCESSFUL

MEDICAL PRACTICE

FIRST PASS RATE IS THE

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MINDFUL INSURANCE

COLLECTIONS.

BUILDING PROCESS

MINDS ALONG WITH THE

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ADVANCED

ANALYTICS

CLAIM LEVEL

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Hospitals

Medical Centers

Ancillary Services

HOSPITALS


Revenue Cycle Services – RCM Consulting – Resource Deployment Services – Leadership Services – Medical Billing & Coding – Bill Review Services – Pricelist Management – Insurance Contracts & Negotiations – Technology Solutions

MEDICAL CENTER


Clinical Documentation Improvements – Clinical Charting – RCM Consulting – Short-term Services BI & Claim analytics – Resource Deployment Services OP Bill Reviews – Pricelist Management

ANCILLARY SERVICES


Dashboard / Reporting Services – Claim Analytics Services – Reconciliation & Resubmission Services Technology Turnkey developments – Management of IT & Infrastructure – Ticketing Solutions Management

HOW WE ASSIST PRACTICES

We provide technology-based RCM solutions to fit the precise needs of hospitals & medical practices, as they strive to achieve a minimum of 90% insurance collections aim while navigating the journey of value-based revenue cycle management services.

 

LONG BEFORE WE SOLVE CLAIM ISSUES EFFICIENTLY, WE IDENTIFY/REPORT THEM PRECISELEY!

SERVICES

SERVICES

Revenue Cycle service

Clinical Coding Services

Consulting Services

Resource Deployments

Ancillary Services

Business Intelligence Solutions

Technology Solutions to

maximize revenue

Clinical Documentation

Improvement Services

ProcessMed offers integrated RCM services, technology solutions, and qualified / experienced trained professionals to efficiently collect the money from the insurance companies.

We offer clinical coding services either as a part of RCM services or as an independent service, and our expertise specific to IR-DRG coding, E&M coding, and having experience in both ICD 10 AM & ICD 10 CM will enable the practices not to worry about learning new standards.

Our reporting solutions are designed to meet the industry requirements and automated reports to track submissions, re-submissions, remittance advices and provide auto reconciliations are just very unique in nature.

Our technology solutions are designed to capture accurate clinical data, fix medical necessities-based errors, remove technical errors and overall improve the first pass rate, which is vital to collect more money from insurance companies within 90 days.

ProcessMed offers, medical dictations, medical scribe services that are focused to improve clinical documentations / medical documentations / claim documentations outcomes, which in turn generates more revenue for the medical practices.

Our Consulting team guides healthcare practices through the many requirements of Ministry of Health /Dubai Health Authority / HAAD healthcare transformation. Our consulting and solutions enhance revenue per physicians, reduce expenses per insurance team member, streamline overall operations, and predict collections.

Our extensive resource base from India, may enable us to place high quality coders, billers and in fact we even place leadership team to govern, manage the day to day challenges of RCM department.

We manage IT & Infrastructure requirements, manage accounting functions, manage networking tickets, reduce expenses with reference to drug imports, and the hospitals/medical practices may find a one stop solutions from ProcessMed.

CLAIMS

Manage Claims

XML Submissions & Resubmissions

Remittance Analysis & Reports

Reconciliations & Closures

Pricing / Fee schedule Analysis

Contracts & Renegotiations

Claim Analytics

XML Imports / Exports

BI

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CLAIMS

Manage Claims

XML Submissions & Resubmissions

Remittance Analysis & Reports

Reconciliations & Closures

Pricing / Fee schedule Analysis

Contracts & Renegotiations

Claim Analytics

XML Imports / Exports

BI

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ProcessMed App

PROCESSMED DELIVERS SERVIECS ACROSS TWO OPERATIONS CENTERS IN UAE, SUPPORTED BY TECHNOLOGY TEAM IN INDIA.

  • Achieve 85% first pass rate through two layers of claim level auditing.
  • Submission Cycle within 7 Days (or) as per the contractual terms.
  • Collection cycle within 60 days of submissions.
  • More than 70% recovery in resubmissions as against the current trend of 20%.
  • Medical Rejections less than 5%.
  • Bill reviews to fix the revenue leaks and revenue opportunities through claim analytics.
  • Physician education to minimize rejections.
  • Minimum of 90% insurance collections and minimum of 93% final closures.
  • Assist in Insurance auditing & recoveries.
  • 5% degree in rejections with 60 days of contract with ProcessMed.
  • Implementation of new standards like IP-DRG, PCS, E&M, SNOMED, LOINC, HL7 and ANSI standards can be within 30 Days.
Operational Excellence

We define process, customer expectations, quality metrics and ensure leadership engagements to achieve a minimum of 85% first pass rate every time when we may submit claims to the insurance companies.

Innovative solutions

Our partners from USA, are enabling us to perform clinical documentation improvements through dictations, medical scribe and mobile based technology solutions.

Unique Selling Prepositions (USP's)

Millions of rules to rule out medical necessity-based errors, fix revenue leaks through our bill review services for both OP/IP claims, identify revenue opportunities through our claim analytics engine are some of our USP’s.

Best Practices

Focus on first pass rate than resubmissions / reconciliations. Utilize Clinical Document Decision Systems to streamline medical necessities. Automated claim analytics engine to handle xml-based submissions/resubmissions. Improve overall payment distribution cycle from the current 120 days to 65 days.

PROCESSMED HAS BEEN PROCESSING OVER 1.2 MILLION CLAIMS PER ANNUM IN THE UAE MARKET WITH MORE THAN 95% ACCURACY AND 90% AVERAGE COLLECTIONS.

OUR CLIENTS

We have wide range of satisfied customers and Customer's details will be shared upon request. Please click below button and fill the details for to get customer's informations