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EMR

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Medical Coding

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Payment Posting

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MRA

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FPG Healthcare - We are committed to the care and improvement of human life. In recognition of this commitment, we strive to deliver high quality, cost effective healthcare in the communities we serve. In pursuit of our mission, we believe the following value statements are essential and timeless. We recognize and affirm the unique and intrinsic worth of each individual. We treat all those we serve with compassion and kindness. We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives. We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect and dignity.
We survive in this competitive world Since 2004 with FPG Healthcare, Florida, U.S.A. High Quality healthcare provider services provided from our end. We are certified under Protected Health Information of HIPAA. It has been renewed yearly, also we conduct Internal Audit to adhere the Compliance.
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Nature of Business

Service Provider

Annual Turnover

Rs. 5 - 10 Crore

EMR
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EMR

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EMR Document management allows the medical institution to store all vital clinical documents as an organized collective data in a systematic manner. This enables easy viewing and access.

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Medical Coding
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Medical Coding

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Our elite team of Certified Professional Coders implement the principles of Correct Coding Initiative and medical necessity parameters in accurately coding CPT-4 Procedure Codes and ICD-9 CM Diagnosis Codes to prevent Compliance Risks or Revenue Loss. We are well-equipped for smooth transition into ICD-10 CM

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Demo Entry & Charge
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Demo Entry & Charge

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Patient demographics are duly verified thereby resulting in creation of accurate patient accounts, which ultimately benefits during Collections. All rendered services are captured accurately and efficiently and the Charge Description Master (CDM) is reviewed for correctness of Revenue Codes and CPT Codes for the services listed.

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Payment Posting
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Payment Posting

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Apart from manual payment posting we also specialize in electronic payment posting. Our Electronic Payment Posting methodologies and Regular Audits are instrumental in proper posting of payments by both insurances and patients with proper measures taken for excess payments and offsets.

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Account Receivables
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Account Receivables

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Efficient rejection handling helps to identify any loop holes in the electronic billing system faster & enhances the effectiveness of electronic claims submission. We identify trends in billing leading to reduced denials and appeals are completed keeping a close eye on AR Outstanding Days for accelerated reimbursements.

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Claim Review
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Claim Review

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We provide solutions for claims re-pricing & adjudication which includes members eligibility verification, provider contract verification required for claims processing, verification of codes to spot bundling issues & duplicate claims. We also audit claims to ensure adherence towards compliance.

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MRA
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MRA

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Medicare Risk Adjustment (MRA) model is a method used to adjust Centers for Medicare & Medicaid Services (CMS) payments to the plan based on the age, sex, and county of an enrollee, known as the demographics. CMS in the past made payments based on member demographics. The new model is intended to provide more money for less healthy members and less money for healthy members based on the diagnoses submitted.

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Member Enrollment
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Member Enrollment

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We developed a strong methodology and best practices surrounding Medicare beneficiary enrollment. As subject matter experts in the field of healthcare payer business systems technology, we achieved a market presence in the enrollment processing. We bring expertise, customer service, best practices, innovation and exceptional people adding value to everything that we do with our clients, as well as a long and well-managed relationship history.

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