{Transform} your Healthcare.
Discover dynamic RCM services with Tech Essentia, where complex processes are simplified through innovative solutions.
Patient Demographic & Charge Entry
Accurate data entry in the patient demographic form is crucial for ensuring timely claim payments. At Tech Essentia, we meticulously input all demographic, insurance, and charge entry details with the highest precision to facilitate claim approvals.
Our team operates during U.S. nighttime hours, enabling your claims to be ready for submission by the start of your workday, ensuring faster processing and efficiency.
Coding
Accurate visit coding is vital for your practice to secure proper reimbursements and minimize denials. Our team of highly experienced, AAPC-certified coders ensures every visit is precisely coded and submitted to insurance companies with confidence. With an in-depth understanding of coding guidelines, we keep your practice up-to-date with the latest regulations.
Based in Mohali, India—the medical billing capital of the world—our team works while you rest. By the time you start your day, your visit codes from the previous day are ready and accurate.
Payment Posting
Efficient payment posting is crucial for tracking payments, maintaining accurate records, and optimizing your revenue cycle management. Our team of skilled payment posting specialists ensures every payment is accurately recorded and assigned to the correct account.
Errors in payment posting can result in delays and denials, but with our services, you can trust that your payments are processed swiftly and precisely. Our robust reporting system establishes thorough checks and balances to maintain data accuracy.
Denial Management
Denials are inevitable, but addressing them effectively is essential to managing costs and maintaining cash flow. Unlike other providers who may simply provide claim statuses, leaving you frustrated, Tech Essentia takes a proactive approach.
We thoroughly research all claims older than 14 or 30 days (based on your preference), summarize our findings, and collaborate with you to develop a tailored resolution procedure. Together, we’ll determine whether the task is best handled by the Tech Essentia team or your in-house team.
A/R Follow Up
Timely and accurate payments are essential for effective revenue cycle management. At Tech Essentia, we take a proactive approach to unpaid claims by thoroughly researching their status, reviewing claim reports, communicating with insurance companies and payers, and investigating issues such as patient eligibility, coding errors, or missing information.
You’ll receive regular updates on claim statuses and the actions being taken to resolve outstanding issues, ensuring transparency and peace of mind.
Provider Credentialing
With many networks closing their panels, the credentialing process has become increasingly complex, requiring specialized expertise and in-depth knowledge of healthcare regulations. This critical component of your revenue cycle management ensures that you and your providers are properly authorized to deliver services to patients.
At Tech Essentia, our industry experts handle the groundwork before submitting your application, ensuring it’s worth pursuing.
Credit Balance Resolution
We are committed to helping you maintain a strong reputation and positive relationships with both insurance companies and your patients. Our systematic approach to managing balances ensures your financial records are accurate and do not reflect negative balances, fostering trust and integrity.
Credit balance resolution is a vital aspect of revenue cycle management. By addressing these balances promptly, we help you stay compliant with regulatory requirements while keeping your books accurate and up-to-date.
Eligibility & Benefits
Tech Essentia ensures timely and accurate reimbursements by verifying and confirming patient eligibility and insurance coverage before services are provided.
Our team of offshore experts uses advanced tools to quickly check patient eligibility, often before their scheduled visit. This proactive approach allows your team to contact patients in advance to confirm alternative payment methods or update insurance information, ensuring a smoother experience for both your practice and your patients.
Intake process
The intake process at Tech Essentia refers to the initial steps taken to gather and record necessary patient and healthcare information for the purpose of creating accurate and complete medical claims. This process is critical for ensuring a smooth revenue cycle management and reimbursement process.
The process involves patient registration, medical history, Insurance verification, Authorization and referral checks, medical coding, Charge Entry, Claim Generation. To know more, reach out us at Tech Essentia.
Provider Credentialing
Client auditing, or provider auditing, is the process of examining and assessing the accuracy, compliance, and quality of medical coding and billing practices within healthcare organizations, facilities, or billing companies.
The purpose of client auditing is to ensure that coding, billing, and documentation adhere to industry standards, regulatory guidelines, and specific payer requirements. To learn more, contact us at Tech Essentia.
Leading the Way in {Medical} Excellence!
Charge Entry
Process of entering detailed information about healthcare services provided to a patient into the billing system. This step is crucial in the RCM process.
Coding
Coding involves the translation of healthcare services, diagnoses, procedures, and equipment used during patient care into standardized alphanumeric codes.
Payment Posting
Posting is the process of recording payments received from insurance companies, patients, or other payers into the healthcare provider’s billing system.
Denial Management
Effective denial management helps healthcare providers recover revenue, minimize claim denials, and improve the efficiency of their Revenue Cycle Management process.
A/R Follow-Up
This refers to the process of managing & resolving outstanding accounts receivable to ensure healthcare providers receive timely & accurate reimbursement for services rendered.
Provider Credentialing
This is the process of verifying & documenting a healthcare provider’s qualifications. This process ensures that providers are authorized to practice and bill for their services.
Credit Balance Resolution
This can arise due to overpayments, duplicate payments, or adjustments. Resolving credit balances is essential for accurate accounting, compliance, and maintaining good relations.
Eligibility & Benefits
This is a critical step in the medical billing process to ensure patients are eligible for services and to determine the extent of coverage before rendering care.
