Our Services
Enhanced Healthcare Revenue Cycle Management Solutions for Greater Returns
Voltech is a comprehensive and innovative provider of competent Revenue Cycle Management services to a wide range of healthcare providers of USA
Voltech has a team of specialized and dedicated professionals eager to render their best. We help clients by leveraging our deep insight and knowledge, propelled by strategically designed work flow processes. At Voltech, we are committed to increase clients’ revenue and decrease overheads.
We customize our services to suit each and every precise requirement of our clients and ensure that we deliver what we promise: Profitability!
Whether you are a solo practitioner or a group practice, Voltech will strive to ensure the integrity and attention to detail that is integral to our services will continue to exceed the industry standards accepted in today’s business climate.
Our Claim Ratio / Performance
We Serve to Specialty
- Anesthesiology
- Cardiology
- Dermatology
- Endocrinology
- ENT
- Family Medicine
- Gastroenterology
- OB/GYN
- Ophthalmology
- Optometry
- Pain Medicine
- Pediatric Cardiology
- Physiatrist
- Podiatry
- Hospitalists
- Internal Medicine
- Nephrology
- Neurology
- Pulmonology
- Radiology
- Rheumatology
Eligibility Verification
Before the patient's visit to the provider, we perform pre-insurance verification to check eligibility regarding the particular insurance, requirement for any pre-authorization or referral, whether any copayment has to be collected, if the patient has met the deductible, the amount of co-insurance the patient shares, and whether the patient's insurance covers the service sought from the provider. This step is important because many insurance providers do not provide retro-authorization.
Medical Coding
We access the superbills and detailed patient information from the physician's office through a secure network. The medical documents are verified and their validation is communicated to the client. The healthcare documents are then sent to the medical coding department to assign CPT and ICD codes. The coded documents are subjected to proof-reading and cross-checked by the medical coding manager. The coded documents are then forwarded to the charge entry team. We also validate the code entered by the clients. Voltech is getting ready for the ICD 10 change.
Charge Entry
The charges from the coded documents are entered into the particular patient account. If the patient is new and an account number does not exist as yet, then the patient account is created by entering all the demographic details from the patient registration form. Before transmitting the claims to the insurance payer through the clearing house, the entered charges are audited by the Quality Assurance (QA) team to ensure a 'clean claim' is submitted.
Claims Transmission
Once the charges are entered and audited, the claims are then filed with the payer electronically. We also have the capability to process paper claims. Usually at clearing houses, the claims go through some type of cursory filtering software to ensure that they are accurate and all information is contained within the document. Within 24 hours, a paper report is sent back with errors that have been caught. Once we have the report, the incorrect claims are rectified with the necessary information within 24 hours and the claims are resubmitted to the insurance company.
Payment Posting
When our team of experienced medical billing outsourcing professionals receives scanned EOBs (Explanation of Benefits) and checks, these payments are entered into the system. As part of this task, we also charge appropriate patient accounts and initiate the process for denied claims in case actual claim is far below the expected one. Reconciliation takes place on a daily basis.
Accounts Receivable
Once the claims are submitted to the payer for processing, our expert medical billing BPO follow-up team resolutely pursues all unpaid insurance claims that have crossed the 30 days bucket in order to reduce the accounts receivable (AR) days of the claim. Sometimes, the claims are underpaid by the insurance payer, and in this case, we ensure that the underpaid claims are processed and paid correctly. The denied claims are appealed by our AR team.
Denial Management
The denied claims are addressed on priority basis - our billers and coders find the missing puzzle pieces fast, and re-file or appeal the denial. We have Denial Analysts on board who fix the issue and send the claim for reprocessing. If the claim needs more information from the provider, then these gaps are filled promptly; if the claim is denied and the patient is responsible, the claim is billed to patient.
Patient Statements
We follow up with patients for any pending balance due after the insurance claim is processed A patient statement is generated and filed on a weekly or monthly basis, as per your business requirement. Follow-up is done through phone calls. If no response is received from the patient, we move those balances to collections, generate a report for it and send it to you for further action.
Reports
Voltech is a comprehensive and innovative provider of competent Revenue Cycle Management services to a wide range of healthcare providers of USA
Credit Balances
As part of our medical billing outsourcing services, we can perform credit balance processing of the payer or patient, after verifying that it is a case of overpayment. This ensures correct and timely refunds to the appropriate entity