The financial strength of your practice is directly correlated to timely billing and account reimbursement. Oriental Solutions provides you with a comprehensive Medical Billing Service and receivables management system.

Our staff have clear understanding of the regulations and have been provided training on CPT, ICD-9, etc. We provide comprehensive medical billing solutions to our clients with the support of the latest technology and skilled manpower. Our billing process is designed to reduce costs and improve time control and efficiency.

Services Offered

• Coding (CPT, ICD-9, and HCPCS)
• Patient Demographics Entry
• Charge Entry - All specialties
• Payment Posting (Manual and Electronic)
• Payment Reconciliation
• Denials/rejections analysis, re-billing
• Accounts Receivable Follow-up
• Systemic A/R projects, re-billing
• Collection Agency Reporting
• Refunds

Demographic entry

• We work on scanned images as well as Electronically Submitted Demographic Sheets.
• Ability to accurately process insurance information (selecting appropriate insurance details).
• Information is accessed via Secure Server (or directly from Software Screen as the case may be) and enter information directly into the client software

Charge Entry

• We process charges for all specialties with good appropriate state and specialty rules.
• We have the ability to put in place Effective Charge Control Measures including Hash-Total Matching or Software based Batch Control
• We perform internal Quality Assurance at different Levels to provide the high quality output.

Payment posting

• Daily Deposits balanced accurately
• Low Pay, No Pay reports sent to client on daily basis
• Denials are worked immediately and secondary claim reports are sent on daily basis.

AR Follow-ups

• Our aim is to improve the client's cash flow by reducing days in AR and improving profitability by increasing collections ratio. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid and partially paid claims.
  
  
• Ability to work off-line (using spreadsheets or reports) or directly from Client Software Reports.
  
  
• Our process mechanism helps in identifying category / payer combinations and works on resolving the mix that results in the best collections first. Using this approach, we are able to quickly achieve results and also apply early feedback across the entire category.