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At Geloof Solutions, we guarantee that we can increase your cash and insurance reimbursements.  We are a group of experienced Medical billing professionals working together to maximize your reimbursement and reduce your unpaid claims.  You cannot compare our medical billing expertise to in house billing. The majority of our time is spent tracking and following up on unpaid claims.  This is the number one issue in making sure you collect what is due you.  As we all know insurance companies are purposely holding back your payments, delaying your payments or denying them for no good reason.  We takes this as a personal challenge and we aggressively follow up in a methodical way to get you your money.  We file all primary claims electronically and most secondary claims are now going electronically to ensure that clean claims are going out.  

 

Why Geloof

1. Very low cost risk free billing services, starts at 3.5% of total collections or $2.99 per claim. 2. Increased reimbursement 3. Accelerated pace of collections 4. Shorter revenue cycle 5. Advanced technology 6. Fee Analysis 7. Comprehensive reports 8. Reduce Aging AR 9. Very less paperwork 10. Reduces your billing cost by more that 50%. 11. 10 yrs experienced medical billing professionals. 12. Medicare & Medicaid expert professionals 13. Our professionals has also worked with major health insurance companies, like United Health Care as claims adjudicator and understand the norms of adjudication. 14. We always make it sure that claims should be submitted correctly in first go. We always do clean and error-free claim submission. 15. Reduce lost claims

How We Work

We believe that the whole process revolves around having efficient staff who understands that the most important thing about billing and collections is information. Proper information gathering is the most important step. This process requires not only a lot of accurate collection of information as well as proper data entry and follow up. The process starts at the front desk. We have given a brief explanation below on how our process works. Please contact us at info@geloofs.com or visit our website www.geloofs.com if you have any further questions.

Geloof Solutions provides a host of Healthcare Outsourcing Solutions across the Physician, Dental and Hospital space:-

    

Revenue Cycle Management

Medical Coding

Charge / Demographics Entry

Cash Posting

A/R follow-up

 

Revenue Cycle Management
We offer cost-effective, end-to-end Billing Support Services to third-party medical billing companies. Our Solution Suite consists of:

Medical Coding Solution Suite

Charge Entry Solution Suite

Cash Post Solution Suite

A/R Follow-up Solution Suite

 

Our end-to-end RCM Solution Suite offers you the following features and benefits:

1. Electronically Scanned Documents:
Documents are scanned in your offices and are seamlessly and securely accessed by our offshore center using fully secured VPN connections.

2. Verify and Validate accompanied documents:
Documents are split into batches and reviewed for completeness, quality and readability.

3. Accurate Coding:
Diagnosis, Procedure Codes and modifiers are assigned as per your descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require AMA code).

4. We use the following industry coding standards:

Diagnosis Codes (ICD-9: International Classification of Disease) Procedure Codes (CPT-4: Current Procedural Terminology) Coding for Inpatient Services (ICD-9) Drug Codes (NDC: National Drug Codes) Dental Procedure Codes (CDT: Current Dental Terminology) Other Procedure Codes (HCPCS: Healthcare Procedure Coding System)

5. Diligent Auditing:
Six Sigma oriented Quality Control department audits the coded charge sheets.

6. Process Patient Demographics Information:
Our team members process, verify and validate demographic information of patient.

7. Claim Submission:
Claims to be submitted to the payer electronically using a clearinghouse.

8. Denied Claims Processing:
Denied claims are processed, analyzed, corrected, updated and prepared for re-submission.

9. Extensive AR Analysis:
Experienced AR Analysts run insurance reports and identify claims over 30 days.

10. EOB Processing and Payment Posting:
Insurance payments are posted to the patient accounts from EOBs into the billing agencies’ existing software package.

11. Reporting:
Regular reporting enables billing agency to closely monitor performance and provide feedback to improve the process.

Charge / Demographics Entry

Our Medical Billing Charge Entry Service gets you Claims and Demographics entered in your billing system rapidly and accurately. Through the creative combination of advanced technology and qualified and experienced billing professionals, can get the claims sent to payers faster, with less errors and at lower costs. A completely seamless solution that minimizes data-entry while utilizing your guidelines and billing software.

Some of the key highlights from our Charge Entry Solution Suite:

Patient Registration Multi-specialty charge entry by our experienced billing professionals Verification of all claims before submission for fewer denials and underpayments Save up to 40% as compared to your existing costs. Complete HIPAA Compliant process and remote access solution keeps data in your control. Rapid and seamless transition to Octagon’s Operations Center in India in 30 days or less

Key Benefits

Improved cash-flow Faster Payments Higher Customer Satisfaction

Easily handle new clients without adding staff or new infrastructure.

Cash Posting

Our Cash Post Solution Suite Service gets all your payments posted accurately and usually within 1 business day. Through the creative combination of advanced technology with qualified and experienced billing professionals, Octagon can get all your payments posted in your billing system accurately and at lower cost. Some of the key highlights from our Cash Post Solution Suite:

Experienced billing professional post payments from EOBs, Charge Slips and other documentation. Secondary payer billing Management and Posting of Denials Write-offs and Adjustments processing Correspondence processing Verification of all payments posted to reduce errors and ease reconciliation. Save up to 40% as compared to your existing costs.

A/R Follow-up

Our Accounts Receivable Follow-up Service gets you paid more, faster, and for a lower Cost. Through the creative combination of advanced technology and qualified and experienced billing professionals, Octagon can improve your cash-flow and reduce your days in A/R.

Some of the key highlights from our A/R Follow-Up Solution Suite:

Receivable Analysis low per claim processing fee Payer Follow-up Denials Management Resubmission of Claims Secondary Claims Submission Detail Reporting