Focus on Revenue Cycle Management
Rannsolve Healthcare is a renowned name in the healthcare domain specializing in delivering end-to-end solutions in efficient Revenue Cycle Management that helps cut costs without compromising on quality or turnaround time. With a strong management team in position, the company has strived to achieve what other competitors in the field are struggling to attempt.
Along with the advent of new technology come regulatory risks and challenges with regards to compliance in the evolving healthcare economy. At Rannsolve we take compliance seriously, respecting consumer privacy and adhering to the strictures of HIPAA, Patients Privacy Act, and Affordable Care Act. We are also aware of the latest ruling regarding granting direct access to patients for laboratory results, which entitles patients to receive test results directly from laboratories.
Rannsolve Healthcare provides credentialing services as per current standards set by the Accreditation Association for Ambulatory Healthcare (AAAHC) and the National Committee for Quality Assurance (NCQA).Credentialing includes services for various types of healthcare providers who wish to tie up with various insurance companies and payors.
Detailed verification process validating criteria that include:
- Existing professional licenses
- Validity of current Drug Enforcement Administration (DEA) and Drug Control Substance Certificates (DCS)
- Verification of Educational qualifications
- Training for Post-graduate students
- Privileges for Hospital Staff/Employees
- Various levels of liability insurance
The services include sourcing Credentialing Application kits from the concerned entities like the commercial and health insurance companies. We offer assistance in verifying and submitting filled out and signed applications, and follow up with the payors and assist in retrieving Provider of Group ID number that serves as a confirmation of the participation of various doctors in the insurance. Weekly reports are submitted detailing the status to the service providers until a firm enrollment date is announced to enable claim submission. We assist with the Re-credentialing by sending the prescribed application well before the expiration of the credentialing papers.
All these services and solutions rendered by us lay emphasis on how important it is to maintain a holistic approach with the patients at the pre-encounter stage itself, and to also establish financial viability, heralding beneficial changes that help lead to enhanced patient and physician interaction and understanding.
Rannsolve healthcare offer a host of pre-encounter services through a structured software program during the pre-encounter stage, leading to unmatched service and excellent performance.
- Scheduling appointments
- Checking and verifying insurance eligibility
- Effectively managing referrals’
Our post-encounter services focus on helping you attain a high degree of operational efficiency, better and more efficient patient information management, and a smooth workflow that has been enabled after the patients’ needs have been addressed effectively via our post-encounter services. Our services include:
- Assistance with claims submission
- Medical coding
- Change entry and demographics
- Handling rejections (clearing house/payor)
- Following up with Accounts Receivables (ARs)
- Posting payments
- Managing refunds
- Statement posting
- Managing collections from patients
- General reporting
We have a well trained medical coding team that comprises Certified Professional Coders (CPCs) who have gained accreditation from the American Academy of Professional Coders (AAPC). The team is adept at verifying and validating all related documents and strictly adheres to CPT-4, HCPCS, LCD/NCD, ICD-9-CM, ICD-10-CM, as well as CCI EDITS guidelines. Our coders keep themselves abreast of the latest updates and follow methodologies stipulated by various Medicare contractors, CMS, AMA, various medical societies and federal organizations.
Our team of well qualified, trained and experienced medical transcriptionists here at Rannsolve Healthcare is available around-the-clock to offer unmatched medical transcription services. We have transcriptionists with exposure to handling a wide range of clients that includes clinics, hospitals, as well as group practices. The outsourcing solutions we offer in medical transcription ensure that your costs are kept well within affordable limits without compromising on quality. We also take pride in strictly adhering to the turnaround time, ensuring you of prompt deliveries at all times, and endeavoring to exceed your expectations.