Medical Billing

Medical Billing has become a crucial part of revenue management for healthcare service providers with millions of dollars lost annually due to under-pricing, coding errors, missed charges and un-reimbursed claims due to denials. Technosoft provides turnkey medical billing and coding services to multi-specialty groups and individual physicians in order to reduce costs, increase revenue, improve the accuracy of patient billing, and accurately process bills, while collecting the maximum allowable reimbursement for our clients.

Our services include:

• Eligibility Verification

• CPT-4 and ICD-9 Coding

• ICD-10

• Charge/Demographic Entry

• Payment Posting

• Denial Analysis & Insurance Follow-up

Our experienced billers are familiar with billing practices and methodologies, andmedical terminology and have experience of working on a variety of practice management software such as EPIC, GE Centricity, Imagine, Medical Manager, NextGen, Kareo, Allscripts, Healthpac and more.

Medical Coding

Technosoft offers comprehensive coding services as part of our full cycle revenue management and medical billing services, or as a standalone service for organizations doing their own billing. Our analytics-driven approach helps us derive insights by analyzing coding errors to stop rehash denials and our Coding services serve as a core point for generating claim charges, full value reimbursements to providers.

Our solutions are flexible in nature and use innovative technology platforms and automated workflow solutions which offer a variety of reports to track quality and key metrics with value-added services including DNFB reconciliation, Compliance reporting, Provider deficiency reporting and more.

Our Offerings:

• Expert coding and Medical record audit services with 95% accuracy

• Dedicated team of certified Professional coders

• Expert training in coding and documentation

• CPT, ICD-9, HCPCS, and DRG coding across various specialties

• Clinical Documentation Improvement and Deficiency reporting

• Evaluation and management documentation

• Chart Auditing

• A la carte coding services for all, or a portion, of your requirements

• Coding compliance reviews, audits, and monitoring.

• ICD 10 migration services

We help leading healthcare companies experience productivity gains and implement higher quality processes, while enabling them to be ICD-10 compliant. Our AHIMA or AAPC credentialed coders providecoding services for leading US hospitals. They have experience in both inpatient and outpatient settings across 25+ specialties and are totally HIPAA complaintand compliant with the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRPs). Due to our rapid deployment and set-up, we have the ability to manage a high volume of medical record coding work within a short turnaround time, with an accuracy rate of 95% or more. We are successfully managing the ICD-10 transition for our clients with a full fleet of ICD-10 trainers and credentialed coders.

Revenue Cycle Management

As a leading provider of revenue cycle processing and receivables management services, Technosoft has the depth of experience to improve cash reserves and maximize revenues of Provider organizations (hospital, physician billing company or a physician practice),while streamlining their operations.

Our team of highly-skilled professionals work towards helping your organization’s progress by reducing the cost-to-collect, improving net collections, and using automated technology to derive better process performance, quality, and turnaround time. TWIMS, our proprietary workflow application engine solution automates the receipt, processing and posting of all RCM paper documents, including charges, demographics, insurance payments, patient payments and correspondence.

Key Benefits:

• Onsite/Offsite AR subject matter expertise for process consultation

• Improved days in AR

• AR Analytics with enhanced dashboard reporting

• Trained AR callers with an average of 4+ years of healthcare experience

• Team with thorough knowledge and understanding of the end-to-end AR process

• Experience of working on multiple practice management platforms and multiple specialties.

• Continuous learning through training

AR & Denials

Technosoft handles all critical functions involved in AR management, including filing of appeals, assessing insurance low pays, updating insurance contracts, managing unapplied balances, managing refunds, and processing patient statements and delinquency letters. We use cutting-edge technology by combining business intelligence and analytics to manage and analyze data, and create information to support business decisions and solve business problems. Our efficient, automated workflow tools provide our clients with extremely detailed and thorough reporting on every claim worked on.

Services include:

A/R Management

• Collections

• Old A/R,/

• Eligibility & Demo Verification

• Resolutions focused AR follow-up

• Patient Calling and Collections

Denials Management

• Credit Balance

• Appeals

• Correspondence Entry

• Root Cause Analysis A/R follow-up

• Increased accuracy of claims submission

• Lower claim collection time

• Reduced claim defaults

• Scoring of likelihood of claim approval

• Actionable Reporting

Advanced Analytics

• Operation and business metrics dashboards

• Identification of anomalous trends

• Claims denial propensity

• Denial trend and root cause analysis

• Forecasting tool

• Automated eligibility tools

• Revenue leakage analysis – Contract coding

• Cloud-based solution

Our expertise includes:

• Improved Days in A/R(upto38-45 days)

• Experienced A/R callers

• Enhanced dashboard reporting

• AR Analytics and BI Solutions

• Better Collections

• 99% Quality maintained

• Periodic Reviews and Training plans

ICD 10

With an experienced team of over 1,800+ healthcare professionals, we help our clients mitigate the risk of impending ICD-10 productivity losses, while increasing efficiencies across the enterprise. Underlying analytical solutions help us predict ICD10 revenue loss and help healthcare providers mine existing data for trends and patterns in reimbursement and denials, resulting in high-value, actionable improvements for their Revenue Cycle.

Services include:

• Diagnosis Coding

• Procedural Coding

• Coding Review and Audis

• Provider Education & Deficiency Reporting

• Clinical Documentation Improvement

• RAC Audit

• Clinical and Coding Analytics

• Coding – Actionable Intelligence

• ICD 10 - Gap analysis, Risk and Impact Assessment

• Specialty Coding across 15+ Multi-specialties

• Dual Coding Support for ICD-9 and ICD-10

• Consulting

• Auto Audit tools

Analytics

Technosoft helps practices, clinics and physician groups improve their financial status and patient care delivery models by:

Our predictive analytics approach churns the claims data and helps us to confer 95%+ first-pass clean claims rate, while maximizing reimbursements.

Our Offerings:

• Monthly Revenue Cycle Dashboards, Variance Root Cause Analysis, Lost Revenue Recovery, Practice Performance Audits, Benchmarking, Payer Contracting Support and System Interface Analysis.

• Improve overall patient satisfaction by having the right staff available at the right time.

• Improve Patient Outcomes with Accurate Reporting

• Our Coding process is structured on automated coding workflow aiming at claim accuracy, efficiency of revenue capturing activities by

• Detecting coding errors, while reducing A/R outstanding days, denials and preventing revenue leakage with clinical code recommendations.

Healthcare Information Technology (HIT)

Technosoft helps healthcare organizations address complex challenges, including the need to reduce costs, coordinate care, assume more risks and manage complex payment models. Supported by our IT services portfolio, our healthcare IT solutions span across software services and consulting to hospitals, physician offices, imaging centers, home health care agencies and payers.

Technosoft provides Healthcare organizations with the following services;

• Application Lifecycle Services

• Independent Verification and Validation

• Remote Infrastructure Management

• Data Sciences

• Mobility

Our functional areas of support include

• Healthcare Analytics

• Provider database automation

• Healthcare insurance exchange

• Wellness automation

• Membership management

• Claims management

• Un-insured application integration

• Social security office support

Technosoft has significant experience in servicing several State and Local Governments including California, Connecticut, Illinois, Kentucky, Michigan, Minnesota, Montana, New Mexico, Pennsylvania, Rhode Island, Washington and Texas. Our collective experience in handling various government functions includes Child Support, Unemployment Insurance, Medicaid, and Eligibility. .

Technosoft specializes in developing and implementing scalable, extensible and configurable solutions across various technology platforms.

• ADM (J2EE, .NET, Sharepoint)

• Application exposure: Mainframe, MMIS, MITA , Facets , Pega workflow

• Data Warehousing and Business Intelligence (TIES)

• Independent Verification and Validation

• Mobility (MobXL)

• Remote Infrastructure Management (TRIMS)

• Enterprise Architecture Upgrade Planning Implementation

• COTS Implementation & Customization

• Transfer Systems Implementation

• Software As A Service (SAAS)

Mobility

Being leaders in mobility solutions, with strong offerings, integrated workflows and simple user interface, we help healthcare providers optimize and streamline the way data is entered, accessed, and shared, resulting in improved delivery of care.