Now this segment and service is our passion, expertise or you can say it is the 'WORK which WE LOVE TO DO'!! Our UAE RCM team is one of the best in class who works keeping in mind as the ownership of the facility and take care of each n every Dirham associated with the claim. At IndusMed we provide the complete set of service to fulfill the Revenue Cycle management of a Healthcare Facility. Our Services are Customized to meet the requirement of each Individual Client with focus on providing Best Quality, Compliance, Staff Trainings and meeting the deadline and T.A.T .

Pre Insurance Verification

A vital part of the medical billing process is the scrutiny and verification of the patient's eligibility and benefits before and after the treatment.Once you completes patient appointment scheduling,we check with the insurance company regarding any payment responsibility the patient needs to fulfill prior or post the treatment. Our teams of expert will carry out this verification process ASAP before the appointment date to provide all the details before the visit.The details that the Indusmed team verifies include:

• Effective date and coverage details
• Type of plan
• Payable benefits
• Co-pay
• Deductibles
• Co-insurance
• Claims mailing address
• Referrals & pre-authorizations
• Pre-existing clause

This information is collected and verified before the patient appointment date as it helps in getting referrals, prior authorization numbers, and optimizing the billing process, as well as preventing denials due to eligibility reasons and moreover will help the provider to collect accurate Deductable & Copayment.Once the verification process is completed and the patient visits the health care provider, treatment plans are generated.

Data entry of information should be the least of your concerns. However, if not done correctly, data entry errors will also lead to the loss of your money. At Indusmed, We have expertise in Demographic and Charge entry service which leads to accuracy of data and minimize the losses occur due to clerical/typo/system errors.
Our Insurance specialists enter the required patient demographic details as provided by the patients at the time of the visit. For established patients, we validate these details and necessary changes, if any, are made to the patient records on the practice management system and use the current active details for further billing of the claims.

This service is like our cup of cake or super specialization as our coding experts who are certified via AHIMA/AAPC organizations are putting their efforts with the use of technical expertise to judge the appropriate documentation given by the clinician and code it up to the maximum level of specificity. The Mission & Vision of our Indusmed Medical Coding is to provide the maximum and accurate revenue/reimbursement of the claim to our clients which really makes a difference in the whole cycle of the claims and ultimately leads to the best patient care as all your worries of getting the accurate reimbursement is on our team of Passionate Coders.

Our Coding team is proficient with:-

• CPT, ICD-9, ICD-10 & HCPCS coding for various specialties.
• American & Canadian Dental System Coding.
• HAAD & DHA Coding standards
• IR-DRG Coding for HAAD
• DSL coding for DHA Outpatient/Day Care/Inpatient Services.
• Payer Specific Coding Requirements.
• AMA Documentation Requirements
• Denials are analyzed and appropriate actions taken.  

Indusmed Payment Posting solutions save valuable time, improve data accuracy, and accelerate the flow of money into the proper accounts. We provide you with services for filing and posting of Hardcopy Explanation of Benefits (EOB’s) and Electronic Remittance Advice (ERA’s). We also undertake reconciliation of accounts and file secondary claims as applicable.

• EOB filing or scanning
• Manual or Electronic Payer Interface Posting
• Denial posting and processing
• Reconciliation  
• Credit Balance Process  
• Secondary Claims process
• Indusmed works on the denials (clinical, technical as well as short-payment denials) immediately after posting is completed.
• Denials are analyzed and appropriate actions taken.  

The medical claims are generated by our Billing Associates based on billing rules pertaining to specific carriers. The claim then undergoes multiple quality checks before it reaches the insurance. Our highly experienced quality team will assess the claim in all aspects of compliance so it will be accepted 100% at the insurance company.

Hereafter our dedicated submission team will submit all the claims within the time frame as per the Timelines of DHA & HAAD so that the claim reimbursement time will be fast and nothing should be missed to submit.

Indusmed Payment Posting solutions save valuable time, improve data accuracy, and accelerate the flow of money into the proper accounts. We provide you with services for filing and posting of Hardcopy Explanation of Benefits (EOB’s) and Electronic Remittance Advice (ERA’s). We also undertake reconciliation of accounts and file secondary claims as applicable.

• EOB filing or scanning
• Manual or Electronic Payer Interface Posting
• Denial posting and processing
• Reconciliation  
• Credit Balance Process  
• Secondary Claims process
• Indusmed works on the denials (clinical, technical as well as short-payment denials) immediately after posting is completed.
• Denials are analyzed and appropriate actions taken.  

In a typical healthcare system, about 20% of rejected claims is never resubmitted. A maze of policies, billing requirements and regulations, as well as complex managed care contracts contribute to the number of denials that go unattended. At Indusmed, Our Denial Management system can help you take control of your denials for more efficient claims processing and accelerated reimbursements. Our Practice management system helps us to have a track of payments/rejections ageing report which always keeps the flow of money on track and on TAT which do not keep any claim unattended and helps the Accounts/Finance to validate their data accurately.

Major Healthcare Facilities lacks reporting system due to which it is tough for the Management to check the financial status of the Facility in terms of Revenue Cycle Management. IndusMed continuously works on reporting system and provides a detailed report on weekly basis about the Complete Account Receivables, Submission data, Payments received, Ageing reports of the Payments, Payments Pending and etc.These reports will give a clear picture of the currents status and also shows IndusMed's Performance on a regular basis.