Healthcare

We understand that building a successful practice is challenging in today’s healthcare scenario. Regardless of the size or specialty of your practice, SENABI can offer you a comprehensive and fully integrated medical billing solution. Medical billing is one of our core competency and we can efficiently manage all your billing needs. Our medical billing specialists have many years of experience with major insurance payors in United States.

SENABI’s End-to-End Medical Billing Services

• 1. Pre-certification & Insurance Verification
• 2. Patient Demographic Entry
• 3. CPT and ICD-9 Coding
• 4. Charge Entry
• 5. Claims Submission
• 6. Payment Posting
• 7. Account Receivables Follow-up
• 8. Denial Management

Our customized Practice Management Reports

Daily Reports:

• 1. Scan control log (Charges)
• 2. Scan control log (Payments)
• 3. Pending log (Charges)
• 4. Pending log (Payments)

Weekly Reports:

• 1. Weekly AR report

Note: Reports can be customized and provided as per your requirements.

Why You Outsource to SENABI:

We as a medical billing partner, you can be sure to cut down your operating costs, while reducing the number of denials. Make a decision to outsource medical billing services today and give your healthcare practice a competitive edge.

We provide accurate medical coding online services at a cost-effective price. Our level of accuracy and fast turnaround time has set us apart from other medical billing coding outsourcing providers.

We follow a 3 tier medical coding process. Our medical coding team is made up of certified and experienced medical coders. With our medical coding specialists working on your project, you can benefit from lower denials. We assure you that you will see an increase in your reimbursement with us.

You can outsource with us:

• CPT and HCPCS (Level I and II) Coding
• ICD-9-CM Coding

Our Medical coding process includes the following steps:

• 1. Accessing files
• 2. Pre-coding
• 3. Coding
• 4. Quality check
• 5. Submission of coded charts
• 6. Client feedback

The following are some specialties that we have worked with although we are not limited to these specialties:

• Internal medicine
• Ambulance
• Chiropractic
• Physical therapy
• Gastroenterology
• Pediatrics
• Urgent care
• Emergency room
• Rheumatology
• Endocrinology
• Radiology
• Psychiatry
• Skilled nursing facility
• Cardiology
• Pediatric neurology
• Pediatric nephrology
• Orthopaedic

Insurance companies have a dubious distinction of rejecting medical claims. Medical claims processing is important for healthcare service providers in getting paid for the services that they have provided. However, this is easier said than done.

Healthcare claims processing is often a complex and tedious process. Attention to detail is important and any lapse in maintaining and filing accurate patient related data might result in rejecting your claim. Outsourcing your medical claims requirements frees you of the hassles involved and lets you shift your attention to patient care. We act as your medical claims processor and can help you increase your revenue by handling all the activities involved in medical claims processing. We are HIPAA compliant and our claims processing and submission services fits easily into any medical billing software.

Typical claims processing flow chart:

We understand that the different payers would be to establish benchmarks for their processing. This is usually obtained from historical information like the earlier paid EOB’s (Explanation of Benefits), Denials mails, Manuals and Newsletters.

We address the following as our benchmark:

• Time frame to process the claim by the carrier.
• Requirements such as provider number, tax ID number, pay to address etc.
• Check lists for the requirement of the carrier for all blocks in the HCFA-1500 claim form.
• Attachments, referrals and additional documentation.
• Different plans deployed by the payer and card copies of the plans.

However, delays in processing and payments should never be built into the benchmark, as the delay may directly be the result of improper claims submission. Establishing benchmarks based on the days required by carrier to process the claims would reduce our efforts to follow up on the claim and work on accounts, which need more attention.

• 1. Identification of Claims outside benchmark.
• 2. Prioritize medical claims to work on
• 3. Identification of Problem
• 4. Prepare and action plan
• 5. Implement the solution to all Outstanding claims

We provide Medical Transcription Services to hospitals, multi-speciality clinics, physician practices and healthcare institutions. Our delivery center is located in India which can process high volume transcription requirements with speed and accuracy. We assure over 99% accuracy, less than 24 hour TAT, and competitive pricing.

We can handle your entire medical transcription volume, physician by physician, and submit reports into your system and even fax the reports on your behalf to the referring doctors! Our medical transcription work-flow is 100% HIPAA compliant.

We specialize in the following areas but not are limited to:

• History and Physical reports
• SOAP notes
• Clinical Summary
• Progress Notes
• Discharge Summary
• Pediatric/Geriatric reports
• Rehabilitation Reports
• Teleconferences
• Operative reports
• Patient Charts
• Surgery Notes
• sychiatry
• Emergency Room Reports
• Medical Records Summary

Our medical transcription team comprises of:

• Client Account Managers
• Quality Associates
• Proof-readers or Editors
• Tier-1 Transcriptionists

In SENABI each medical transcriptionist undergoes rigorous medical transcription training across all specialties for over 6 months prior to their induction into our team. In order to ensure consistency in the quality, we dedicate medical transcriptionists to each client account. This is to ensure that they get well acquainted with the style and accent of the dictating physician.