Our Services
Globally healthcare and hospitality industry has been struggling to cope up with the revenue margins due to increased work pressures of new standards and facing huge hurdles to manage the current business operations to generate positive ROI.
KERDOS’s business model assist you to focus more on the core activities of business where KERDOS team would support all your non-core business operations – true CPA – Critically Pain Areas.
Labour arbitrage is not anymore focus in the local as well global services in any sector. Revenue enhancement is achieved through separating Chores vs non-chore business activities where quality of the service is the key focus.
KERDOS Team, duly certified through appropriate certifying bodies, helps customers to share the workloads which involvemore analytics and reviews to generate accurate revenues which otherwise would have missed due to lack of resources or overburdened resources and process controls.
Knowledge Management and Skill Maintenance is the key to Success of any Organization
Medical Coding
“Code what is recorded” is the basic guidelines followed by Coding Team. It ensures accurately capturing medical services required and delivered to Patients. Team also follows the LMRPs and Medicare Guidelines of coding. This ensures providers are paid accurately without any discrepancies or denials.
KERDOS Team is expert in Coding of Medical Charts for
- Individual Providers – all major specialties
- Hospitals – Inpatient & Outpatient Services
- Provider Groups
- Home Health Services
- Skilled Nursing Facilities
Medical Billing
“Claim what is Coded” ensures, claim is prepared only for the services rendered to the patient during the medical treatment. It eliminates all other hassles of claim getting rejected due to inappropriate use of Codes – Procedure & Diagnosis Codes, Modifiers if any along with Place of Services. This helps claims to get adjudicated in auto mode and realize demanded payments quick.
KERDOS Team executes tasks such as
- Preparation and Submission of reimbursement claims, paper or electronic
- Collection Carrier specific details from Patients either before or at the time of services
- Clarifications on covered and non covered services
- Timely filing of claims to carriers as per the submission norms
- Appropriate attachments if any for justification of services rendered
Management of Account Receivables
“Chase what is Claimed” – KERDOS Team meticulously follows with Insurance Carriers for legitimate payments due to provider for their services. Rigorous follow ups with Insurance carriers ensures claims gets processed with time limits and payments are realized on time. KERDOS Team also deals with claims which are denied by the carrier and resolves every discrepancy so that claims is reprocessed and paid
- Timely follow up with carriers for claims status
i. Through portals when possible
ii. Through phone calls when necessary - Resolution over phone for missing claims through re-submission
Payment Reconciliations
“Reconcile what is paid” – Timely reconciliation of Payments receipts helps to know the status of the business accounts and also helps to initiate corrective & preventive actions if any for better realization of Payments. Payments received through EFTs and Checks are reconciled against the each service provided to Patient which helps to understand outstanding amounts if any from Patients or other responsible parties.
We, the Kerdos, play a very vital role in assisting with the appropriate methods to follow for accurate reimbursement of services rendered.
- Reconciliation of received payments from Payer against claimed amounts
- Follow up for denied claims with corrections or appropriate documents if any or appeal for the right of payment to Carriers and get reimbursements