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Transform Medical Billing Outsourcing: Minimize Administration, Maximize Revenue

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HiPaaS employs a global delivery model enhanced by an AI-driven Medical Billing Platform.

WHAT IS HiPaaS Medical Billing Outsorucing ?

We provide Offshore delivery model for your practice's Administration

Save on basic Administration cost

Reduce basic administration cost by 70% of what you spend today with in office staff

  • New Patient On Boarding

  • Eligibility verification

  • Prior Authorization

  • Spend hours on call with Insurance Companies

  • Email and Fax with Insurance Companies

Medical Billing and Coding

  • We provide medical coding experts to augment your billing team or just to verify and cross check coding done by your billers or clinical staff

We work in US hours

Our offshore staff works at US hours based on your time zone in US. In fact, you will get coverage for East to West Coast time zones.

Revenue and Payment Posting

  • Our experts submit claims, follow up on payments

  • We reconcile payments and post the payments

  • We work on denials and resubmit denials

  • Our claims expert resubmit all retro claims and follow up to get you paid

Why use HiPaaS Medical Billing Services?

Save Administration Cost and Maximize Revenue

Savings

Get 60-70% savings on your Administration cost. If we don't save you money, stop using us - No contract commitment

Use of AI Tools

We provide Automation and AI to predict errors

Maximize Revenue

  • 25% Increase in Paid Claims
  • 80%+ Retro Payments

Healthcare Experience and Experts

We have over 10+ years of experience on working with both Hospitals, Clinics and Healthcare Insurance companies

Details About HiPaaS Medical Billing Servic

Start saving today. You can always use our services in combination with your current billing provider

Medical Billing Outsourcing Services

Comprehensive Medical Billing Services:

  • Complete End-to-End Medical Billing Solutions

  • Persistent Advocacy with Insurance Companies for Claim Processing

  • Commitment to Revenue Recovery:

    • Accurate Coding

    • Detailed Documentation

    • Prior Authorization

    • Diligent Claim Submissions

    • Rigorous Follow-Up on Denials

  • Resubmission of Outstanding and Backdated Claims Using Hospital-Grade RCM Technology

Advanced Technology Integration:

  • Advanced AI Utilization for Data Support, Explanations, and Documentation

  • Innovative Medical Billing AI Dashboards for Comprehensive Reporting

  • Time-Saving AI Automation for Enhanced Efficiency

Tailored Customer Engagement:

  • Tailored Contracts with a Focus on Results

  • Cultural and Language Alignment in Healthcare Domains

  • Dedicated Support Specializing in Multiple Medical Specialties

  • Expertise in Medicare, Medicaid, and Various State Regulations

Global Support Infrastructure:

  • Offshore Teams with 24/7 Availability

  • Customized Service Offerings to Meet Diverse Needs

Proficiency in Diverse EHR Systems

HiPaaS RCM offers seamless integration with a broad range of EHR platforms, including:

  • Epic, eClinicalWorks, Change Healthcare, CureMD, Athenahealth

  • Optum360, McKesson, Availity, TriZetto

  • Waystar, Glace EMR, Brightree

  • pMD, Healthnautica, Kareo, AdvancedMD

  • iPatientCare, Practice Fusion, Point Click Care (PCC)

Epic is a trademark of Epic Systems Corporation.

Denial Management with Generative AI

Harness the power of Generative AI to decipher reason and denial codes, offering solutions from an extensive knowledge base. HiPaaS delivers configurable automation for addressing and resubmitting routine denials.

Our comprehensive workflow facilitates the entire denial management process—reception, analysis, correction, and resubmission—tailored to align with your internal procedures. This includes seamless integration with real-time eligibility verification and prior authorization checks

AI-Enhanced Medical Coding Efficiency

Streamline your medical coding process and minimize errors with our AI technology. It automatically adjusts coding, ensures code accuracy, and recommends modifications. Our system facilitates adherence to intricate coding rules and performs automatic data corrections, thereby decreasing claim rejections and denials while boosting coding efficiency.

Eligibility Verification

Our platform offers interfaces for eligibility verification with clearinghouses, insurance companies, CMS, and DDE, ensuring patient eligibility is confirmed prior to claim submission and during denial investigations.

Specialities Supported

  • Primary Care: Internal Medicine, Pediatrics, General Practice

  • Women’s Health: Obstetrics & Gynecology

  • Specialty Care:

    • Otolaryngology (ENT)

    • Gastroenterology

    • Allergy & Immunology

    • Nephrology

    • Orthopedic

    • Podiatry

  • Mental Health: Psychiatry, Psychology, Mental Health Services

  • Ancillary Services: Radiology, Durable Medical Equipment (DME)

  • Eye Care: Ophthalmology

  • Dental Services

  • Extended Care: Nursing Homes, Home Health, Hospice

  • Occupational Health: Workers' Compensation

Revenue Prediction (A/R)

Enhance your financial foresight by predicting aging, denials, and payment outcomes as soon as claims are submitted. Utilize procedure codes to forecast payments and optimize revenue by concentrating on high-performing procedures and insurers. Proactively anticipate denial and prior authorization scenarios before submission. Gain comprehensive insights with over 10 revenue reports, including aging, top errors, best-performing procedures and insurers, denials, and more.

Automated Payment Processing

Our system manages extensive communications with insurance companies, saving you time for patient care. Our AI-driven approach efficiently automates work queue creation and task allocation based on usage. HiPaaS Payment Posting streamlines the automation of routine payment entries and corrects persistent data inaccuracies.

Automated Claims and Payment Reconciliation

Automatically match 837 claims, 835 payments, ERAs, and self-pay transactions with ease. The system allows for immediate comparison and loading of claims data. Simplify self-pay and lockbox payment processing with our automated posting feature.

Prior Authorization Management

Ensuring that prior authorizations are submitted with all necessary information and documentation is essential. HiPaaS delivers a comprehensive workflow for managing prior authorizations, from submission through to follow-up, including the provision of supporting data.

Our Medical Billing in Numbers

50M

Claims Processed Per Year

100+

Billing Experts

10+

Working on Different EHRs

20+

Specialities

Request Quote

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