Streamline adjudication Services with Futuristic Giga Tech Pvt Ltd

If you are an insurance company then the term “Adjudication” is no jargon for you. Yet, to put it forth more clearly; it is the legal process by which an arbiter or judge reviews evidence and argumentation including legal reasoning set forth by opposing parties or litigants to come to a decision which determines rights and obligations between the parties involved. Adjudications contribute in resolving 3 types of disputes:

• Disputes between private parties, such as individuals or corporations
• Disputes between private parties and public officials
• Disputes between public officials or public bodies

The adjudication process consists of receiving a claim from an insured person and then using software to process the claims and make a decision or doing so manually. If it’s done automatically using software or a web-based subscription, the claim process is called auto-adjudication. Automating claims often improves efficiency and reduces expenses required for manual adjudication. Many claims are submitted on paper and are processed manually by insurance workers.

After the claims adjudication process is complete, the insurance company often sends a letter to the filer describing the outcome. The letter, which is sometimes referred to as remittance advice, includes a statement as to whether the claim was denied or approved. If the company denied the claim, it typically has to provide an explanation for the reason why under regional laws. The company also often sends an explanation of benefits that includes detailed information about how each service included in the claim was settled. Insurance companies will then send out payments to the providers if the claims are approved or to the provider’s billing service.

You understand that claims payment and reprising is a very difficult process, and that results are better garnered when these are handled by experts dealing with adjudication day in and day out.  It is for that exact reason that we build our Insurance Payer Services team based on industry experience and proven results. Our team goes through a rigorous training on the claims adjudication process. We believe in educating our adjudicators and then training them on simulated claims so they can adjudicate payments from day one of a project using our client’s payment system or our own proprietary claims system.

Futuristic Giga Tech Services’ delivers exceptional financial accuracy with fewer re-works, streamlined processes & significantly reduces adjudication costs. We enhance your claims adjudication capacity by providing access to highly skilled labor and proven processes.

• Benefit Analysis
• COB Edits
• Stop Loss Claims
• Flexibility on Volume Fluctuation
• Faster Processing
• Multi-site Redundancy

Futuristic Gigatech’s AR Management to benefit you

Futuristic Gigatech Pvt Ltd | Collection Serive Provider in Bangalore

When a company has made a sale and has delivered the product or performed the service, but the customer is yet to pay you for the same; here, cash “to be received” is filed under the category Accounts Receivable in accounting terms.

People consider accounts receivable as mere sales but is it really so? In the accounting world, Accounts Receivable could be more aptly defined as cash inflow that’s still “in waiting.” It implies cash that is legally owed to you, which is in theory and not cash in hand. So let’s more specifically acquaint you with the term “Accounts Receivable”.

The collection process is the art of knowing the customer. A psychological understanding of the customer gives you insights into what buttons to push in collecting the account. We analyse the critical issues of AR delays and the core aspects thoroughly and follow transparent methods to ensure a proper follow up in claims management and perform the work in most cost effective manner to generate the best Revenue Outputs.

How can Futuristic Giga Tech help you with AR Management? Here are certain aspects of our AR Management:

• Minimized default risks and optimized cash flow and retention.
• Follow up for the delayed payments from insurance companies
• We are fully compliant as per HIPAA on all processes that we adhere at Futuristic Gigatech .
• Take initiatives in finding the AR Back logs, clear them leading to effective collection outputs.
• Work on Unearned/Excessive adjustments/Discounts.
• Find the claims over 60, 90, 180+ bucket and manage Insurance appeals in an effective manner.
• Work effectively on Old AR/Backlog / AR projects with aged accounts.
• Achieve revenue in high transaction-based issues.
• Execute to considerably increase profitability of your business.
• Prepare crystalline structured reports in order to reduce the AR days.
• Reimbursement analysis including Paid, Denied, Underpaid and Over paid issues.
• Generate revenue from patient dues.
• Operate assuring excellent Customer service.
• We work on Green Environment protection.
• Highly committed to increase Return on Investment for all our clientele.

We assure our clients have increased time and resources to focus more on their strategic business analytic than on daily operations.

Futuristic Gigatech Pvt Ltd ensures error free charge entry process

Charge entry process deals with the entry of details that are needed to get your insurance claims processed. The details i.e., the face sheet of the patient, physician details, information about the insurance coverage of the patient and billing information are entered in this process and hence the claim gets created.  It is the most crucial juncture in the billing cycle.

Following this process seamlessly is vital to any and every medical organization or hospital’s efficient management of patient’s data. If not carried out accurately, this seemingly simple process could pose trouble in the medical billing management.

At Futuristic Giga Tech Pvt Ltd, our professionals with apropos technical support make all possible efforts to relieve the undue burden off your shoulders. Yes, we provide an individual account for each patient and assign a unique and individual account number. The complete demographic data of the patient is entered. The insurance details of the patient are keyed in, which includes the primary, secondary and tertiary insurance coverage of the patient. After the complete patient details are entered it is sent to our quality control department for proofing.

Key Highlights of Charge entry services offered at Futuristic Giga Tech Pvt Ltd:

Reduce cost up to 40%

Patient registration

Efficient, Skilled and experienced charge entry professionals enter multi-specialty charges in PMS.

Ensuring to attain highest first pass rate to avail fewer denials and under payments

Ability to work on stringent timelines and multitasking ensures on-time delivery

Easy Payment Posting for your business at Futuristic Gigatech Pvt Ltd

We, at Futuristic Gigatech Pvt Ltd help you unleash the complete potential of your medical practice through the Electronic Remittance(ER) technology. Regardless of the EMR software your practice uses (Web based, server based). Futuristic Gigatech Pvt Ltd maintains the standards as required by the health industry.

Whether you have electronic lock-boxes or receive hundreds (or thousands) of EOB’s mailed weekly to your office, this information must all be posted to a patient’s account in a timely manner. Adjustments or denials must be adjudicated promptly to insure that patients understand their payment responsibilities. Of equal importance is to have the practice’s accounts receivable reflecting the most current payment receipts.

We have organized way of receiving the ERA and the EOB’s from the insurance companies, all the EOBs and ERA’s will be uploaded in our tracking system to be efficiently monitored and used by our expert posting team with absolute precision to reduce the incorrect posting issues.

Sending this information to Futuristic Gigatech Pvt Ltd is an easy task, you can scan us your paper EOB’s to our secure FTP site for us to work with. If there are electronic lock boxes, we will access them get the required information. We also do index EOB’s to patient’s record thus enabling our clients to access EOB’s just by entering in to patient’s records.

It is very important to have this department streamlined with well trained staff as it might lead to dissatisfaction among patients and providers.

Services we offer at Futuristic Giga Tech Pvt Ltd:

• Patient Registration using PMS or Hospital interface
• Charge Entry services
• Payment posting with EOB’s or ERA’s, using Manual or electronic interface
• Denial/Rejection posting
• Reconciliation
• Refunds / Adjustments / Write off’s
• Provider data updates

Futuristic Giga Tech Pvt Ltd: Easy Electronic and Paper Claim Submission

Paper Claim

Paper claims are difficult to track and take longer to reach the payer. If you are forced to submit multiple paper claims to an individual payer, send them certified or registered mail so that you have proof that the claims reached the payer and that somebody at that office accepted the package.

Futuristic Gigatech Pvt Ltd uses the following standards when printing PAPER Claim.

• Use only original claim forms (the ones printed in red). The current acceptable forms are the CMS-1500 and the UB-04.
• We make sure that the print on the claims is dark.
• Claims scan best use at a size12 font in uppercase letters & we make sure that the information that is required in each field prints within the area of each block.
• If need to write on the claim for any reason, we use blue or black ink. The payer processing software does not recognize red ink because the forms are red.

Electronic Claim

There are a number of advantages that electronic claims submission has to offer over traditional methods. Convenience is the first thing that comes to mind—along with increased speed that comes from not having to wait for paperwork to move through the mail system. Submitting claims electronically may allow providers to decrease administrative costs and improve cash flow.

Claims may be electronically submitted to a Medicare Administrative Contractor (MAC) from a provider using a computer with software that meets electronic filing requirements as established by the HIPAA claim standard and by meeting CMS requirements contained in the provider enrollment & certification category area of this web site and the EDI Enrollment page in this section of the web site. Providers that bill institutional claims are also permitted to submit claims electronically via direct data entry (DDE) screens.

Also check on these claims within a week to make sure that they have been entered into the payer processing system. When we call to follow up a paper claim, we inform the representative know that the claim was submitted on paper and the date it was sent.

For more information visit our official Futuristic Giga Tech Pvt Ltd website.

Futuristic Gigatech Pvt Ltd | Appointment Scheduling

Patient call and visit volumes continue to rise, and this isn’t always met with added staff and resources to help manage the influx of patients into the practice. Increased volume can also be accompanied by inconsistent service levels and reduced satisfaction for both staff and patients. No unit would afford to have a negative name based on management problems.

Healthcare service providers are more often than not spewed by several calls for appointment each hour. Attending to each call, fixing appointment, maintaining the records and managing reminders; all need to be well managed for satisfaction of both staff and patients. Proper management obviously desires ample number of individuals.

At Futuristic GigaTech Pvt Ltd, we offer cost-effective and timely patient scheduling services to keep you from having to face distrust. When a patient calls to make an appointment, a time slot must be scheduled. Likewise at Futuristic Giga Tech Pvt Ltd, we follow a specific process for patient appointment scheduling for the beneficiary of both the patient and the attendant (MD).

Benefits of Outsourcing Appointment scheduling to FGT:

Futuristic Giga Tech Pvt Ltd ensures decrease in operational and overhead costs while enhancing the cash flow and productivity to a greater extent.

1. 24/7 online appointment scheduling services.
2. Ensure effective appointment scheduling to doctors, clinics, multi-specialty practices, hospitals.
3. Reduce no-shows.
4. Improved patient compliance and ensured patient’s privacy.
5. At FGT, we perform appointment confirmation and re-scheduling.
6. Create detailed and tailor-made reports, summaries and much more.
7. Bring down overbooking, late appointments, and missed appointments.
8. Emergency appointment scheduling is also done to ensure that accurate care is availed to the patient at timely manner.
9. FGT has standardized process to handle scheduling and call backs.
10. FGT also offers computerized E-Mail notification of re-scheduled appointments.
11. Strictly HIPAA compliant in all processes followed at FGT.

Progress is possible only when the increasing workload is accustomed with consistent services on part of the service provider.

Medical Billing in Health Care Service : Futuristic Gigatech Pvt Ltd

Charge Entry

The charge entry process is where your claims are actually created. It is the most crucial juncture in the billing cycle. The key details, that are needed to get your insurance claims processed are entered here, and includes, the face sheet of the patient, physician details, information about the insurance coverage of the patient and billing information. It plays a vital role in medical billing management.

The extensive charge entry process we follow, to ensure there is no room for error!

Futuristic Gigatech Pvt Ltd provides an individual account for each patient and assigns a unique and individual account number. The complete demographic data of the patient is entered. The insurance details of the patient are keyed in, which includes the primary, secondary and tertiary insurance coverage of the patient. After the complete patient details are entered it is sent to our quality control department for proofing.

Key Highlights of Charge entry services

1. Reduce cost up to 40%
2. Patient registration
3. Efficient, Skilled and experienced charge entry professionals enter multi-specialty charges in PMS.
4. Ensuring to attain highest first pass rate to avail fewer denials and under payments
5. Ability to work on stringent timelines and multitasking ensures on-time delivery

Eligibility and Benefit Verification : 
Easy, Efficient & Cost Effective:Are you or your staff tired of waiting on the phone or jumping from website to website to verify patients’ insurance eligibility? Being able to verify a patient’s eligibility and benefits information in a timely manner is critical. To do this consistently, you need support that is easy, efficient and cost effective. FGT-Eligibility simplifies this process for you.

Simplified Eligibility Verification Process :
Futuristic Giga Tech Pvt Ltd – Eligibility increases office efficiency and staff production by eliminating hours on the phone or using multiple websites to obtain eligibility information. Further, it reduces the number of claim delays and denials by receiving timely coverage response.

Medical Coding
Medical coding is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers. The diagnoses and procedures are usually taken from a variety of sources within the health care record.

The coding process includes the following steps:

1. Hospitals LIS/ EMR system or Patient documents / files / reports that are electronically scanned at our client’s office are seamlessly and securely accessed by Futuristic Giga Tech Pvt Ltd’s  coding team.
2. Our teams verify and validate the documents, split them into batches and review them for completeness, quality and readability.
3. Diagnosis, Procedure Codes and modifiers are assigned as per client descriptions and guidelines. Modification of certain codes may be made as per carrier requirement.
4. Our diligent quality control teams audit the dictation and process it further for charge entry and cash posting.