Tausch Medical is a leading provider of Revenue Cycle Management and Medical Digital Marketing to the Healthcare Industry in the United States. Tausch provides Medical Billing Companies with Medical Coding, Eligibility Verification, Billing and Collections and AR Management services from an offshore facility equipped with world class infrastructure and connectivity. As every company is unique, we will review your needs and assist you to select the right service and offer you a customized package.
Tausch Medical has over 10 years of experience in providing medical billing services. Partnering with us has the following advantages:
A survey of 800 healthcare providers indicated that 75 percent of them verify eligibility before rendering services to the patients. If 5% of patients are ineligible, there is a loss of $19,800 annually considering 1.5 patients/day in 264 working days at an average of $50 every encounter. One can’t collect money from insurance company for an ineligible patient. Tausch serves to ensure that patient’s eligibility is verified before the appointment and hence all claims sent to the insurance company are clean. Eligibility Verification is a department of Tausch, which functions exclusively for the verification of a patient’s active coverage with the Insurance company, and also to check if patient has an eligible benefit for the procedure which is scheduled in the facility/Doctor’s office, and finally ensuring the patient that is about to walk-in for the procedure is thoroughly eligible for that service and Insurance Company is ready to pay for the same. Eligibility-Verification plays an important role in –
This department of Tausch is responsible for registering the patients in the system before entering the charges. The demographic details of the patients are received from the hospitals via scanning department.
Patient Demographics & charge entry is the first step of the billing process and an error here will prompt errors in the subsequent steps. In some cases this error can be discovered only after the claims reach the insurance carriers. This will result in lost accounts receivables time. Hence utmost care should be taken while entries are being made.
The registration details involves the patients name, address, social security number, birth date, sex, rendering & referring doctors name, phone numbers, insurance company details, employer details etc, and once these details are entered into the system the treatment charges can be entered into the particular patients account.
Tausch’s professional Cash posting Service delivers account creation and payment posting service for each individual patient record and effectively lowers the overall cost of Healthcare providers. Recording and managing of cash posting service requires expert and dedicated human skills and knowledge of billing software. Our highly skilled and experienced executives post payments and adjustments received from primary insurance, secondary insurance and patients.
Claims that need resubmission are checked for all necessary documents like Medical records, Referral, Authorization etc. and reprocessed to the insurance or forwarded to the AR management team for further processing.
Aggressive follow up on submitted claims is important for quicker reimbursement. Our accounts receivable specialists follow up with insurance companies by phone, fax or through online portals etc. Denials or partial payments are analyzed appropriately, corrected and the claims are re submitted to the insurance company. Our denial/ account receivable management team receives extensive training in AR follow up and constantly updated on latest in healthcare. Aggressive follow up starts in 15 days after claim submission. Our specialist are chosen for their analytical skills and provided with access to all documentation required to make sure that the claim is resolved to be paid in the very first call. E.g; When the insurance rep says that claim requires authorization number, Our specialist are trained to immediately retrieve the authorization number from our database and fax it while they are still on the call.
As soon as we receive explanation of benefits (EOB) denied claims are worked on, rectified and resubmitted. EOB is posted on the same day and all rejections that require additional information are sent to the doctor’s office. We are well versed in using correct appeal procedure in knowing healthcare laws and we specialize in working on old account receivables.
Healthcare credentialing plays a vital role in maintaining quality and ensuring competence in the U.S. healthcare system. It involves the verification of healthcare professionals' qualifications, experience, and adherence to industry standards.Our credentialing administrators, from the provider side do the below tasks:
Our medical transcription team is responsible for converting spoken medical reports, dictations, and other audio recordings into written documents. Their primary tasks include:
Our prior authorization executives are responsible for managing the process of obtaining prior authorization for medical procedures or services on behalf of patients for providers. Here's a brief summary of their role:
Our medical patient appointments scheduling team is responsible for arranging and managing healthcare appointments. It involves coordinating provider availability, assigning suitable time slots, and ensuring clear communication with patients. The goal is to enable timely access to care and enhance the patient experience. Their primary tasks include:
Scheduling: Coordinate patient appointments based on availability and urgency.
Communication: Serve as a primary point of contact for patients, providing information and instructions.
Coordination: Manage multiple providers' schedules and ensure a smooth scheduling process.
Patient Support: Assist patients in understanding procedures and address concerns.
Record-keeping: Maintain accurate records of appointments, cancellations, and updates.
Appointment Confirmation: Confirm appointments with patients to reduce no-shows.
Resolving Scheduling Conflicts: Address conflicts and find suitable solutions.
Prioritization: Determine appointment priorities based on urgency and medical necessity.
Collaborating with Insurance: Verify insurance information and coordinate coverage details.
Managing Waiting Lists: Maintain waiting lists and notify patients when slots become available.
Appointment Reminders: Provide reminders to patients to reduce missed appointments.
Adapting to Changes: Quickly adjust schedules and communicate changes effectively.
Utilizing Scheduling Software: Proficiently use software and EHR systems for appointment management.