MNYC - is a new completely customizable Provider Solutions.

Credentialing & Contracting

This is the first step to establish any new practice in the market and plays very crucial role in establishing proper cash flow and inward remittance according to the given contract. Keeping in mind that various payers have different contracted rates and payment guidelines according to the demographics of the market and kind of patient base they have. We have a data driven approach to pull the maximun reimbursement rate in contracts. Keeping all the figures and facts in mind while negotiating contracts. Apart from this their are various forms and details which needs an eye to detail. We have an indepth experience to handle all these aspects of this domain.

Elig. & Benifits Verification

This is one of the most neglected area and has potential to leave a long lasting scar in monetory terms. As per a survey 15% denial comes due to patient eligibilty and benifits not scrutnize properly at the very begining itself. Error prone demographics could lead to probable denial of incorrect authorization or No Authorization at all. Which leads to disatisfaction of patient at the front desk itslef and do not leave right impression on our customers. Our seasoned staff has an eye to detail, to eradicate the denials based on patient coverage. By completing nearly defectless eligibility/benefit verification leads to obtaining auth in lesser time than usual.

Medical Coding

Incorrect coding leads to increased number of the denials and if not done with responsibility and quality then it could result in reduced cash flow, higher claim life and increased AR Days. We have a team of certified coders to look at the services rendered by our clietns to patient. Our boundless effort to provide error free claim's coding at the first go itself which in turn leads to reduced AR days. Clean and error free claims go through adjudication process without any denial and thus increase the cashflow in timely manner.

Demo & Charge Entry

First step in Revenue Cycle Management but prone to maximum number of mistakes either in typo or human made errors. Proper and error free entry of data leads to lesser number of denials and claim rejections, not only from front end as well as from EDI also. Our success lies in multiple level of scrutinization during this process. Every task gets scrutinized on completion. Charges are uploaded according to the given super bill by the provider and again gets audited before submitting the claims to clearing house in nearly inpeccable state. This increases our Clean Claim Ratio and increase the Cashflow and revenue generation along with this decrease in Days Sales Out.

Payment & Credit Analysis

We have a seasoned and well trained staff to handle all Payment Process and do not rely on keeping the things in manual version. Rather we have moved our client from paper bound enviornment to Electrnoic Transactions based environment. This has reduced the burden on provider's office to store and dedicate a person for record keeping of all incoming payments and payment disputes. We run an audit on regular basis to review and evalute any outstanding amount either from payer/patient or vice a versa. This keeps our books in a cleaner state.

AR & Appeals

We have a very roboust and streamlined process to handle the AR and have dedicated team for denial management. All the team members are highly skilled and seasoned player of the industry. Which have helped us to remove the denials within a short span of time. We have a lowest TAT to handle the denials that is well within 48 to 72 Hours. For appeal on claims we rigoursly review all the medical documents before submitting any dispute or appeals back to the insurance. By increasing the number of touches with reduced time gap works in miraculous way. Impact of this could be seen in lesser AR Days.