Provider :
Revenue Cycle Management
Solutions
Salient provides a wide
range of Revenue Cycle
Management services to
Hospitals and Medical Billing
companies. We leverage people,
processes and technology to
provide operational and
financial solutions to our
clients. Our goal is to help
you maximize reimbursement and
reduce expenses. Our services
include Medical Coding, Charge
Capture, Payment Posting and
Account Receivables follow-up.
Medical Coding
Coding is a critical part of
the provider's revenue cycle,
since codes are the only
documentation accepted by
insurance companies for
reimbursement. The complex
rules for determining the
proper E&M Procedure Codes
(ICD, CPT, HCPCS) are strictly
enforced and often lower level
codes are entered to avoid any
possible miscommunication.
This results in lost revenue.
Our Coding services are
available for a wide range of
practices and organizations
including all types of
hospitals, physicians' groups,
long term facilities, acute
care facilities, billing
companies, as well as
individual doctors. We have
the ability to code Inpatient,
Outpatient, and Emergency,
Clinical and Laboratory and
all type of charts. Our coders
work in accordance with
updated standards and
methodologies laid down by
CMS, Medicare contractors,
AMA, medical societies, and
federal organizations
| Salient has a team of
certified coders with
following skill sets:-
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Specialized in CPT, ICD-9, and
HCPCS coding across various
specialties
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Proficient with latest
Insurance and governmental
regulatory requirements
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Proficient with CCI and LCD
guidelines and OIG alerts
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Hand on experience in the
coding software like
Encoderpro, Flashcode, etc
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HIPAA Compliant
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Expert in HL7 coding standards
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Our coders also act as
audit and compliance advisors
to our billing teams and
possess the ability to discuss
coding and billing issues with
clients towards resolving
problems that hold up
appropriate reimbursement.
Charge Capture and
Payment Posting
Charge Capture should be
reviewed on a regular basis to
comply with federal
reimbursement rules while also
ensuring that complete,
legitimate patient charges are
captured for billing. Salient
is skilled in all aspects of
medical billing and our
experience includes Medicare,
Medicaid, HMO, IPA, POS, EPO,
PPO, Worker's Compensation and
private indemnities.
| Our
Services Include: |
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Patient Registration
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Insurance Eligibility
Verification
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Charge Entry
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Electronic Claim generation
and Transmission
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Payment Posting
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Denial Management
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Reconciliation
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Refunds
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Provider Data Updates
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Patient Billing
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Accounts Receivable
On average, claims take
60-90 days to be processed.
Salient's team focuses on
accurately gathering patient
and insurance details, coding,
charges and reimbursement type
thereby identifying the gaps,
streamlining the billing
process, and speeding up the
claims posting process. The
result is an efficient
accounts receivable function
with optimized cash flows that
can reduce claim processing
time by up to 50 percent.
Salient's objective is to
improve your cash flow by
reducing days in A/R and
improving profitability, by
increasing your collections
ratio. Our skilled staff is
trained to identify patient
accounts that require
follow-up and take the
necessary action to collect
unpaid/underpaid claims.
| Services include: |
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Payer/Insurance follow-up
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Self-pay follow-up
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Receivable Analysis
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Denials management
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Analytics
Since reporting is an
essential part of any RCM
application, Salient will
provide comprehensive reports
which include customizable
dashboards, automated alerts,
triggers, and charts.
Our expert data capture
services are driven by
Concorde, a proprietary
workflow application engine. .
Its healthcare data warehouse
integrates numerous data
sources for coordinated
decision making and
performance monitoring.
Managers can improve quality
of care and financial
performance by measuring
current and historical
performance, planned process
changes and subsequent
results.
Concorde reviews the
responses received from the
Insurance companies via
different modes, to provide a
comprehensive Impact Analysis.
Our Artificial Intelligence
validates the appropriateness
of reimbursements, denials and
delays in compensation and
delivers a detailed report.
| Each Impact Analysis
provides valuable information: |
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Bucket Trend AR Analysis
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Payer Trend AR Analysis
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Site to Site AR Analysis
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Status and Exception Trend
Analysis
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Denial Management Analysis
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Bad Debt Analysis
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Month to Month or Quarterly
Trend Analysis
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Invalid Denials, Avoidable
Denials, Underpayments
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Operational Savings
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Missed Revenue Opportunities
and Positive Edits
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