Looking for a perfect healthcare partner to manage your revenue cycle effectively with 100% compliant on government HIPAA and PHI regulations?
Mahendra Nextwealth is a HIPPA certified company with expertise in both provider and payer services.
We have set processes such as Standard Operating Procedures, Variance Matrix and other robust mechanisms to ensure that the services we provide are highly personalized and customized to the needs to our varied healthcare providers and hospitals
It is our constant endeavor to deliver highest value in terms of accuracy and productivity. Thus, we constantly look at various internal and external factors to reengineer processes and achieve the best.
Medical Coding:
We understand the complexities involved in Medical Coding while acknowledging the fact that Experienced Quality Coders are not only difficult to source, but even more difficult to retain. Our approach towards this business line has been unique and we look at a blend of experienced coders who mentor and monitor a group of young, fresh life-science graduates with thorough knowledge of human anatomy and physiology. In other words, We catch them young and make them grow. We must say that we have been very successful with this model and have been delivering exceeding our Clients expectations.
We also have some coding professionals who are certified by AAPC & AHIMA Organization. Our expertise includes Radiology & IVR and Emergency (ER/ED) coding.
Medical Billing:
We understand the complexities of Medical billing with ever-changing guidelines and protocols from the insurance companies.
Our team of trained young graduates has depth knowledge in the RCM provider processes to ensures timely filing and maximum reimbursement for the provider from both insurance company
Hands on experience with various Practice Management System (PMS) and multiple specialities including Anaesthesia billing.
Medical billing services includes
Patient registration / Insurance Verification
Charge posting
Payment posting (ERA and Manual) and
Denial Management
Claims Adjudication:
For the payer services we have exposure in Claims entry like Validating OCR and EDI claims , Coverage verification and Prior authorization review.
Also Fee schedule application and co-pay /deductible determination