Customer Process Study : This is a customer-centric process during which our on-site representatives and specialists meet and discuss the entire off-shoring process with your representatives. Our team understands your existing coding and billing processes and maps the same to our processes. In case you already have software system under use and would like to continue using the same, our representatives quickly learn the same. Service Level Agreements (SLAs) and reporting requirements are finalized and documented.

Transition: We have developed an effective and efficient process transition map. It allows the clients an effective means to observe the transition progress as each milestone is achieved. Typically, excluding the “payer” setup/approval process which is outside MEPS control – the transition can be accomplished in one orientation teleconference or within 2 to 5 business days based on the client's availability and responsiveness. A simplistic timeline that demonstrate the efficiency of MEPS setup is as follows (starting from contract execution):

After evaluating and understanding the client's specific requirements, a self perpetuating model is created that allows the client to transition, integrate and leverage the services that are available expeditiously. Emphasis is paid to minimize the impact on client's front office operations and often with no cost impact. Resource assignment and Technology plan suiting the customer requirement is prepared. For clients that require specific technology interface either at their end or at the processing end – focus on accuracy and interoperability is thoroughly reviewed before recommending and implementing a process. Pilot runs are carried out and results reviewed with the client before going live.

Representative flow chart, which indicates our process transition methodology is as follows:

Training: We train your staff on the scanning, documentation and processes involved. This is applicable only if you have in-house scanning facilities available.

Record Scanning: Your clerical staff scans documents at your location. Original documents never leave your office. You can upload the scanned documents to our secure ftp server or email them to us. In case you do not have scanning facilities available, you can fax them to our toll free no.

Data Transmission: Your billing data is transmitted via secure network to our off-shore processing center.

Review and Data Entry: Our Medical Billing specialists review your records and enter data into your/Internet based billing system. Our coding / billing specialists check for the relationship of the diagnosis code and CPT. A charge is created according to the billing rules pertaining to specific carriers and locations. All charges are accomplished within the agreed turnaround time with the client, which is generally 24 hours.

Quality Assurance: Our trained QA specialists audit the work done to ensure both accuracy and completeness before filing the claim to the clearing house.

Claims Transmission: Claims are batched and filed to the clearing housed. Once claims are uploaded to the clearinghouse, confirmation reports are obtained. Transmission rejections are analyzed and appropriate corrective action is taken.

Reports: We process, generate and transmit the required reports to the client at the agreed frequency.

Review: The Account Manager regularly generates and reviews reports for analyzing trends and i dentify patterns of non payment if any. Prompt corrective action is then taken to minimize errors. Customer feedback and reviews are carried out every quarter. Process changes, if any, are incorporated.