We are one of the Best Medical billing and coding specialist in Dubai, UAE. All our coders and billers acknowledge by the Health Information Portability and Privacy Act (HIPPA), a set of global standards that protect the confidentiality and security of patient’s medical information. We have Certified coders – AAPC or AHIMA accredited with experience and have knowledge for each speciality.
Our highly trained team of certified billing experts will provide you facility with superior billing, coding and collection capabilities. We provide an individually assigned account manager that will work on your account to achieve optimal performance and results that will maximize collections, prevent denials and eliminate “write offs.”
We optimize your entire revenue cycle and take on your most time-consuming tasks to ensure that your medical practice is running at maximum efficiency and profitability. We also provide daily, weekly, and monthly reports to update you about the status of your claims. We specialize in billing and coding for every practice so that you can focus on patients.

RCM is the process of identifying, collecting, and managing the practice's revenue from payers based on the services provided. A successful RCM process is essential for a healthcare practice to maintain financial viability and continue to provide quality care for its patients.it s included the below key areas: -

• Enhance hospital net revenue.
• Diminish rejection rates.
• Pick out revenue opportunities.
• Revenue data reconciliation with Finance team.

• Coding.
• Billing
• Submission

Our expert team will review the denial and will engage an effective communication with the stakeholders.

• Proper timely assessing and analysis of denial to identify the area and escalate to stakeholders.
• Proper denial trend analysis and preparation of a corrective action plan for executive and monitoring processes.
• Expertise team involvement in the denial for identifying the denial root cause.
• Timely and continuous communication with payers and internal teams to recover revenue from payers and avoid rejections.
• Continuous training and refresh updates on adjudication policies and insurance updates.
• Advice the provider for corrective action plan upon our review.

Reconciliation is a key step in closing the revenue cycle, our experienced finance and reconciliation expertise team are tasked with auditing and financially reconciling all records to be presented to the payer for a final closure of accounts. Reconciliation process will start following the Submission and Resubmission.

• Performing final rejection review and audit on claims.
• Validating and preparing data with eligible claims upon our review.
• Communicating reconciliation data with claim justification, findings, and supportive documentation.
• Negotiation on the rejected claim data and amount to achieve the lowest rejection rate.
• Signoff for payer accounts as per agreed contractual terms (quarterly, semi-annually, and annually).

Our goal of a prospective audit is to catch any billing or coding errors before the claim is submitted.

• Medical review.
• Administration audit.
• Adjudication review.
• Policy review.
• Documentation review.

Retrospective audits involve reviewing claims that have already been submitted in the terms of either paid, denied, or pending lead to:

• Training
• Escalation to stakeholders
• Payer escalation
• Prepare the action plan and execution
• Monitoring policy

Rule Enginers

Rule engines help us to identify processing level errors like eligibility, medical necessity, excluded ICD, Insurance guidelines the details will regularly updated with set of algorithms, empowering your practice to monitor patterns of abuse and uncover suspicious claims, which when left undetected, could hurt a practice’s business,

• Medical Adjudications
• Regulation Policies and Updates
• Insurance Policies and Updates
• Internal Adjudications

System Enhancement

Review on the current system and process and giving proper advise for ana enhancement which will effectively impact on:

• Billing
• Revenue tracing
• Avoid duplicate action
• Reduce manual interference

Reporting Services

We offer greater transparency, efficiency and accuracy in the management and reporting of revenue cycle data

• Monthly, quarterly revenue, and detailed reports
• Dashboard for tracking and monitoring claim status
• Assistance for reconciliation with finance and insurance
• Revenue monitoring data and reports