clarus -brochure
TRANSCRIPT
evolve
clarity,everytimeWelcome to ClarusOur vision will be accomplished when providers go paperless and spend much time on patients rather than working on claims.
healthcaresolutions for the next evolution
experience
engage
evolve
“Accurate and ReliableImprovements in paymentSignificant reduction in A/R days Operational cost reduction and enhanced coordination
Trust & Quality
Vision we live on Core value
Clarus provides services to healthcare professionals, hospitals and medical billing companies.
Clarus operates with six sigma level Quality management system.
Clarus supports to organize and maintain high standards in the competitive healthcare revenue cycle management arena.
Clarus maintains precise process excellence and deliverables within the stipulated timeframe.
To REVOLUTIONISE the healthcare industry with quicker turnaround time, transparency, bare minimum denials and cost effectiveness.
Integrity Quality Innovation Constructive Communication Mutual Respect Long Term Relationships
Themission statement
• Comprehensive, transparent RCM system
• Maximizing client’s revenue potential by reducing operational costs with best in class end to end services.
• Reduced backend professional Charges
• Credentialing and contracting services with 100% Quality Assurance
• High process efficiency
• Quicker turnaround time
• Efficient client co-ordination
• 100% customer satisfaction
Document Management
Provider ServicesReducing administrative cost
Coding ServicesFully compliant with ICD-10-CM
Payer ServicesUnparalleled attention to details
Documenting every single process
The turn key solutions
DMS
RCM
PS
End-2-End Billing Services
ProviderEnrollment
Authorization Request
and Tracking
Eligibility & Benefit Verification
Medicalcoding
ChargeCreation
Electronic & Paper ClaimsSubmission
PaymentPosting(Insurances& Patients)
Fee Schedule Review & Analysis
Denials & Accounts Receivable Management
AppealsManagement
Secondary Insurance
Billing
ExtensiveInsuranceFollow Up
Patient Statement Processing & Mailing
InboundPatient
call support
• Accurate and Reliable• Improved cash flow• Our clients benefit from our solid foundation and experience.• Remarkable improvements in payment per procedure • Significant reduction in A/R days • Operational cost reduction and enhanced coordination • Robust analytics and reporting • Denial reduction
Revenue Cycle Management
Revenue Cycle ManagementProcess Flow
Insuranceeligibility verification
1
Patient Demographicsdetails entered into the PMS
2
RetrieveMedical Records for Coding
3
Codeddocumentsare then sentfor Charge Entry
4
Electronic/Paper claimsubmission toInsurance payersand track Rejections
5
PaymentPosting and reconciliation of the claim
6
AR follow-up and Denial management
7
Customized reportssent to clientperiodically
8
ProviderServices
Eligibilityverification
Enteringpatient info,
codeddiagnosis and
procedure
PaymentPosting, denial
capture andappeals
Insurance, patientAR follow-up
andDenial management
Submissionto Insurance
payers and trackrejections
Codingdiagnosis and
procedure
CodingServices
Optimizing revenueby reducing
compliance risk
Compliance auditperformed by
AAPC certified coders
We follow Top levelSix Sigma QMSwhich makes an essential part inproject execution
Complete an amplereview of ICD-10 work flow,
strategies, action plansand initiatives.
Appropriate HCCvalue linked to related MRA
Diagnosis code
Improving cashflow by
accurate claimssubmission
ClaimsData Entry
Provider DataMaintenance
Pricing
AppealProcessing
ClaimsAdjudication
Services
MemberEnrollmentServices
PayerServices
Documents by adocument management
system are regulated
Capture avariety of file
Metadata
Periodically review the
storage capacity
Distribution& Security
Linking Records to Business Process
DocumentManagement
Why us ? Apart from the usual benefits that you get from offshore outsourcing, Clarus provides you more advantages:
• Management with over 15-Years of experience in Healthcare industry
• HIPAA compliant
• Dedicated Managers for every practise
• End-to-end RCM services
• Flexible pricing options
• Expertise in various number of specialties
• Experienced in vast EHR and Practise Management Softwares
• Disaster Recovery Centre and Business Continuity Plan for uninterrupted services
24/6CustomerSupportall round the year
Clarus RCM Inc., www.clarusrcm.comContact: 888 736 3611Email: [email protected]