Services Overview

Healthcare Financial Management Services

Being a medical practitioner is not just about providing medical care. The complexities of healthcare claim and AR management, over and above the pressures on providers in the form of increased paperwork, lower insurance re-imbursements or denials, follow up - add up to a huge administrative overhead.

Pharmacists are confronted with delayed re-imbursements even after submitting claims. To begin with the claim re-conciliation is a complicated issue. All this adversely affects cash flow.

Our Healthcare AR services combined with our powerful technology ensure expedited payment, reduce claim rejections and minimize your administrative overhead besides total cost of ownership (TCO).

Services

Technology, Processes and TQM

Healthcare industry domain knowledge

HIPAA, Sarbanes Oxley Compliance

Compliance

Our compliance framework, integrated into our software and service model, ensures compliance readiness for HIPAA, Sarbanes Oxley and SAS. We also offer onsite consulting in this area.

Benchmarking to Measure Improvements

Tranquilmoney benchmarks a new client account by the following standard metrics and demonstrates improvements every month.

  • DSO
  • Provisional vs. actual bad debt
  • Amount of unbilled & held revenue
  • Actual collections
  • Write offs & Unapplied cash
  • CMN tracking by # outstanding
  • Aging by days
  • Data Capture accuracy

Key Facts

Services offered since 1996

  • Client Base

    40 hospitals/ physician practices, 400 pharmacies including a large pharmacy chain, Insurance/ payers and banks.

    White paper: Emerging from the black hole - perfecting pharmacy claim level reconciliation, 45 Kb

    Services backed up by proprietary technology and processes

    ONC –ATCB certified electronic health record software

  • Processes

    ISO 9001:2008 certified back office in India for transitioning, service delivery, claim submission, denial management

  • Compliance

    HIPAA, Sarbanes Oxley, SAS

    Total Quality Management Proven delivery capabilities Dual Shore outsourcing