Founder & Director : D. Suresh Murthy
Whats App: + 91 - 888530866, UAE: 521334374

IAFISO

UAE-MEDICAL BILLING

One of our business strategies is flexibility. We understand that each medical center is unique. Even medical centers belonging to the same specialty may have a different number of practitioners offering a variety of services. We will assess the needs of each medical center and provide our assistance to help them become more efficient.

• Pricelist Mapping
• Medical Billing
• Medical Coding
• Remittance Advice Analysis
• Denial Management
• Timely Resubmission
• Tracking of Outstanding Receivables
• Reconciliation

Once the patient receives their treatment and the insurance bill is generated, we handle the rest of the process till the retrieval of the payment from the insurance payer. We provide a complete analysis of the revenue cycle management and provide customized reports for each medical facility which reveals data critical to the management to efficiently run their medical center and to take necessary steps to avoid internal inaccuracies and for the growth of the medical facility.

Covering All Aspects
• Extensive Experience in Implementing Solutions
• Excellent Knowledge of Healthcare Industry
• Ability to leverage Our Vast Resources of Healthcare Products, Services, & IT

Medical Transcription Services
• Transcription Services for All Specialities
• Excellent TAT (Turn-Around Time)
• Best Quality - Quality Check at Three Levels
• Various Dictation/Delivery Options
• Autofax (Region Specific)

Healthcare IT Solutions
• EMR(On-Demand and On-Premises)
• Hospital Infromation System
• Enterprise Scheduling Software
• Custom Software Development
• Secuirty Audit, Risk Assessment & Implementation

Exceptional Customer Service
• Provide Customized Reports
• Dedicated Account Representative

Medical Coding Services
• ICD - Coding, HCC Coding, ICD-10 CM Coding
• CPT - Coding, E&M Coding, ER Coding
• Inpatient and Outpatient Coding
• Follows HAAD/SEHA/DHA Guidelines

Healthcare Consulting Services
• ICD-10 Conversion/Implementation
• ICD-10 Training

Healthcare Staffing Services
• Provide Doctors, Nurses, Coders, Billers & Medical Transcriptionists

Billing Services
• Charge Posting
• Claim Submission
• Payment Posting and Adjustments
• Claim Re-Submission & Accounts Reconciliation

Reporting Features
• Customization of Report
• Account Receivable Aging
• Collection Report
• Change Submission Report

Accounts Receivable Services
• Account Receivables Follow-Up
• Denial Management

Payer/ Insurance Services
• Provider Database Maintenance Services
• Eligibility, Benefit and Authorization Support Services
• Claims Processing
• Claims Adjudication, Claims Repricing

Trainings
• Physician Training
• Coding Training
• Compliance Training

Extraordinary Collection Rates
• Collection Rate as High as 98%
• Fast & Clean Submission the First Time.
• Very Low Denial Rate
• Minimal Payment Cycle
• Immediate and Persistent Follow-ups
• Most Reasonable Pricing
• No Fixed Cost; Flexible Pricing Models
• Price Match Guarantee
• Low Cost for Service & Products
• Pay as you go Only for the Services Used

Exceptional Products
• Best in Industry Features.
• Web-based EMR, HIS and other Systems.
• Modules Customizable to Meet your Need

Healthcare Consulting Services
• Zero Fixed Employee Costs
• Less Office Space Required
• Increased Accountability
• Dramatically Reduced Office, Personnel and Software Expenses.

Revenue Cycle Management (RCM)
• In mature markets such as North America, RCM has become one of the most popular functions for healthcare providers to outsource, mainly due to its critical importance in managing providers’ internal functionalities in an efficient and cost-effective manner1. The market potential of RCM outsourcing in this region is projected to reach almost USD9.9 billion by mid-20162

Revenue cycle management in the Middle East
• In the Middle East, RCM remains at a nascent stage. However, its prospects are bright as the region’s healthcare market holds untapped potential. According to industry estimates, healthcare spending in the wider Middle East and North Africa (MENA) is expected to reach USD144 billion by 20203.
• Middle East healthcare market is also evolving with new regulations, laws, systems, processes and financial dynamics, making RCM a cornerstone in the healthcare industry.
• At APEX, we serve as your representative, effectively taking the burden off your shoulders by diligently following up claims-related issues with payers. Through our efficient client relationship team, we act as your centralised point of contact for solving RCM challenges.
• We support you, as a healthcare facility, in enhancing your financial performance through change management, business process improvement and innovative technology. We are your partner in the preventing fraud and abuse within the system and in ensuring that regulatory compliance requirements are met.
• All in all, we help you transition from implementing an extremely time-consuming, error-prone and costly process to embracing one that is more efficient, manageable and financially viable.


The market
• In mature markets such as North America, RCM has become one of the most popular functions for healthcare providers to outsource, mainly due to its critical importance in managing providers’ internal functionalities in an efficient and
cost-effective manner<sup>1</sup>. The market potential of RCM outsourcing in this region is projected to reach almost USD9.9 billion by mid-2016<sup>2</sup>.

Medical Coding and Billing
• The Billing Process represents the heart – the most integral portion – of the entire revenue cycle management value chain. It greatly benefits from accurate data capture in the early stages of the Revenue Cycle Management.

Contracting & Pricing
• In mature markets such as North America, RCM has become one of the most popular functions for healthcare providers to outsource, mainly due to its critical

Consultancy
• We take a complete end-to-end approach to revenue cycle management.

Technology
• Apex prides itself on having an RCM-focused billing platform and business processes that are specifically designed with the GCC healthcare market in mind.

Revenue Cycle Analytics
The Revenue Cycle Analytics (RCA) team/advisors offer a unique set of revenue optimization services to help client’s organization move from a “Revenue Comes” to a “Full Revenue Realization” mindset.


Revenue Management Optimization
RCA assists providers in re-engineering revenue management processes through a multi-step process:
• A preliminary diagnostic appraisal in the form of a quantitative, transactional-supported organizational Revenue Management Assessment and Evaluation.
• Delivery of an Executive Briefing that provides a business plan that defines the size and composition of revenue management staff as well as a budgetary forecast with projected ROI.
• Human Resource assistance: RCA provides all job descriptions and then assists with recruiting, screening and co- interviewing of candidates.
• Facility planning and on-site implementation.
• Continuing long-term support and guidance with Best Practice focus.


Revenue and Cash Discovery
Utilizing our sophisticated, proprietary software edits, RCA can find hundreds of thousands of Dirhams for our typical clients.
Areas of focus include:
• Medical Education add-on billing for teaching facilities
• Policy number & insurance information for:
o Self pay open balance accounts
o Zero balance accounts (Bad debt & charity care)
o Secondary billing
• Inpatient retrospective DRG changes
• Ambulatory surgery billing opportunities
• Discharge Disposition error billing opportunities
• Radiation and Chemotherapy billing opportunities
• Un-posted, billable charges
• Inpatient Time of Admission billing opportunities
• “Silent PPO” reviews
• Outlier Reviews
• DRG Add-ons
• I&R counts
In addition, our clinical and financial experts provide outsourcing solutions related to cost report preparation, clinical appeals, DRG validation, third party cost outlier reviews and denial responses, and Medicare Recovery Audit Contractor (RAC) denials. We also offer specific consulting services related to strategic pricing, transparent pricing, and chargemaster reviews.


Benefits of Using APEX Revenue Cycle Analytics
Knowledge dissemination and targeted solutions all of our projects provide objective, data driven ideas for recurring revenue.
• Share specific findings with you
• Pinpoint sources of lost revenue
• Diagnose system setup issues and offer solutions
• Determine process breakdowns and recommend improvements


Rapid Results
Our clients are amazed at the speed in which RCA produces revenue and cash results. Upon receipt of data from our straight-forward data request, we can generate billable findings for your review in a matter of days! Due to the strict time limitations of third party payers for corrected billings, RCA provides extra speed to identify those missed billing opportunities and re-submit before those $$$ are lost forever.