Medical Claims Management

1
Medical Claims Management
2
About Us

• MediClaimsManagement is a provider of innovative
  healthcare revenue cycle management solutions
  that transform the administrative and clinical
  operations of healthcare organizations of all
  sizes.
• MCM services and systems are designed to get you
  paid faster, reduce denials, track claims
  efficiently.

3

• Our world-class billing processes include
  electronic claim submission, claim tracking,
  denial tracking and updated CPT codes.
• We deliver a uniquely customized service to
  international hospitals, physician, and ambulance
  companies.

4
Our Mission

• As medical billing management experts we are
  resolved to dependably and flawlessly offer
  world-class solution focused on your bottom-line
• Our skilled and dedicated team delivers
  operational excellence with specialized
  expertise.

5
Revenue Cycle Management

• Revenue Cycle Management is the process used by
  healthcare systems in the United States to track
  the revenue or encounter with the healthcare
  system to their final payment of balance.

6
RCM Process
7
Pre Visit

• Pre insurance eligibility check
• Data entry of patient demographic and insurance
  information
• Patient appointment , remainder calls
• Patient collection tools

8
Claims Submission

• Medical coding , claims submission and follow
• Patient invoicing
• Electronic Payment and e-statements
• Denial Management and tracking with payers

9
Financial reporting

• Customized financial reporting
• Monthly update
• Medical Claims Management Ensures Your Practice
  gets paid in an optimized and timely manner.

10
Payment Posting and Reconciliation

• Electronics remittance advice
• Cash balance reconciliation

11
Services

• Physician Billing Claims Management
• Medical Billing
• Medical Coding
• Ambulance Billing
• Providing Proprietary Software Devices
• Electronic Billing and Filling
• Legal Expert Consulting Services

12
International Claims Management

• MediClaimsManagement has developed a unique
  system for international hospitals to optimize
  revenue and recover funds quickly.
• MCM is proficient at providing our clients with
  the necessary tools to properly manage their
  international portfolios.

13
Hospital Medical Claims Process
3. MED-XS TEAM PROPERLY FORMATS TO MEET
INUSRANCE COMPANY REQUIRMENTS .
2. HOSPITAL SENDS MED-X PATIENT INVOICE WITH ALL
NECESSARY HIPPA SECURED DOCUMENTS.
4. MED-XS IN HOUSE LEGAL TEAM REVIEWS MEDICAL
RECORDS AND INVOICE FOR PROPER SUBMISSION TO
INSURANCE COMPANY AFTER ANALYSIS.
1. HOSPITAL TREATS FOREIGN PATIENT FOR EMERGENCY
SERVICES.
5. MED-XS LAWYERS NEGOTIATE INVOICE PAYMENTS
WITH INSURANCE EXECUTIVES FOR HIGH DOLLAR AMOUNTS.
6. INSURANCE COMPANY SENDS PAYMENT TO
LOCK-BOX/BANK ACCOUNT FOR DISTRIBUTION.
14
Contact Us

• Medical Claims Management
• Address PO Box 720 Matawan, New Jersey 07747
• Cell No 917 965 5544
• Email info_at_mediclaimsmanagement.com
• Website www.mediclaimsmanagement.com

15
WWW.MEDICLAIMSMANAGEMENT.COM