
Medical Coding, Billing, A/R Follow-up for Florida based MSO.
Client Overview:
The client is a group of multipspeciality Medical Service Organizations (MSO) based out of Florida.
Processes in Scope:
- Medical Coding
- Billing
- A/R Follow up
- Records maintenance in electronic format (EMR)
- Practice Management Platform
Challenges:
- Enormous backlog of records to be updated into system for billing and to be converted into revenue
- Difficulty in the existing Practice Management Software (PMS)
Solutions:
- Kayal Health proposed an end-to-end RCM solution on our partner’s platform
- We implemented PMS and EMR tools and integrated with our inhouse dashboard
- Conversion and update of Medical Records
- For accurate medical coding, our team used tools like Encoder Pro and utilized various available reference material like CPT coding manual, ICD and HCPCS book etc
- Deployed additional experienced & certified resources to eliminate the backlog
Objective:
- To clear backlog of medical coding according to prescribed formats
- Getting experienced resource onboard
- Implement the training programs in organized way
Benefits:
- Reduction in turnaround time resulting improvement of cash flow
- Streamlined process with quantifiable metrics and trans