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ABOUT US

We are all about Medical Billing, viz. offshore billing, coding, AR follow up services and RCM
technologies. We help Medical Billing / RCM companies grow revenues and protect profitability.
We are the new Your RCM outcome partner. Utilizing our deep knowledge of best practices in
revenue cycle management, we deliver high-quality and cost-effective solutions for our clients. Our
highly specialized teams work to streamline operations, decrease insurance claim denials and
maximize revenue while maintaining compliance with industry regulations. With turnaround times
between 24-48 hours, our clients are assured of accurate, timely, and balanced results.
Offering customized revenue cycle solutions
tailored to each client:

 Credentialing
 Scheduling & pre-registration
 Eligibility & benefit verification
 Patient demographic entry
 Transcription
 Medical coding
 Charge entry
 Claims edits
 Claims rejection management
 Payment posting
 Credit balance review
 Correspondence & denial management
 Order confirmation
PAYMENT POSTING & RECONCILIATION
• After an insurance claim has been processed, an EOB or electronic remittance advice is generated that describes the
benefits that have been paid or denied for a medical procedure or claim. AAKIRA INFO TECH team of experienced
payment posters possesses an incredible ability to decipher payer remittance, contracts, and payer trends, which
enables them to preserve the integrity of the financial data and accurately distinguish how to proceed with the claim.
• Whether the payment was received through electronic or paper format, the information is analysed, appropriate steps
are taken, and the payments or next steps are posted in the clients’ medical billing system accurately and thoroughly. 
• Our payment posting services include:
• Verification of payment according to contractual obligations.
• Verification of incorrect claims denials.
• Immediate actions are taken to rectify inaccurately processed insurance payments.
• Identification and verification of trends that affect large numbers of claims to rectify payer issues.
• Accurate and error-free payment posting.
ACCOUNTS RECEIVABLE & DENIAL
MANAGEMENT
• Healthcare providers experience long receivables cycles that delay revenue, destabilize cash flow, fatigue billing teams and
frustrate financial management. These elements are further compounded by accurate and inaccurate claims denials. This process
can be significantly improved through AAKIRA INFO TECH’s accounts receivable (A/R) and claim denial management
services. Our team deploys a systematic and meticulous approach that ensures accurate reimbursement of claims.
• A/R management is a vital function that ensures unpaid or unprocessed claims for physicians, ambulatory surgery centres, and
hospitals are addressed in a timely and efficient manner. Taking a strategic, analytical approach to accounts receivable
management is a decisively swift way to achieve significant, tangible, and accurate returns.
• Our accounts receivable and denial management services are structured to:
• Utilize automation and process improvement to avoid an inflation of A/R.
• Employ workflow optimization tools.
• Use a focused approach toward account resolution & collections to minimize unnecessary follow-up.
• Utilize key performance indicators to identify operational nuances that can be used to streamline revenue cycle operations,
minimize denials, and increase revenue.
• Provide timely follow-up and resubmission of claims to avoid timely filing limit scenarios.
PATIENT ACCESS MANAGEMENT

• Providing high-quality care means much more than just treating a patient. Ensuring that a patient can access the care they
need, when they need it, quickly and efficiently is an important part of the patient's overall satisfaction. Our patient access
management solutions provide the necessary tools that ensure the patient information is accurate and readily available at
the time of visit so that you can do what matters most, concentrate on care.

• Scheduling and pre-registration

• Eligibility and benefit verification

• Referral and authorization management


SCHEDULING & PRE-REGISTRATION

• The process of collecting demographics and patient information, validating the accuracy of the information, verifying
records, and then scheduling appointments is often time-consuming and takes valuable time away from other necessary
responsibilities. Our scheduling and pre-registration services allow our clients to reallocate valuable resources towards
other core functions that have a direct impact on their business and operations.

• Optimizing this part of the revenue cycle process ensures that the patient information is entered correctly and efficiently
while verifying that the medical claim contains all the information.
ELIGIBILITY & BENEFIT VERIFICATION

• A patient's eligibility and benefits can change at any moment. Lack of follow-up with insurance carriers before seeing a
patient could lead to an increase in claim denials and a significant loss of revenue. Maintaining a consistent and accurate
verification process is essential to maintaining a healthy revenue cycle. Our eligibility and benefit verification specialists
routinely follow up with the insurance carriers to ensure that patient information is up to date and accurate at the time of
the visit.
We verify a wide range of data:
Effective date and coverage details
• Individual patient eligibility
• Type of plan
• Payable benefits
• Non-covered procedures
• Co-pay
• Deductibles Co-insurance
• Claims mailing address
• Referrals & pre-authorizations
• Pre-existing clause
• Max-daily benefits
• Lifetime maximum
• Our verification process checks procedure-specific coverage and benefits along with all out-of-pocket costs so that patients are
aware of what is due before their visit. This process provides on-time patient payments and prevents unnecessary back-end
collections, effectively increasing patient satisfaction and maximizing revenue.
REFERRAL & AUTHORIZATION
MANAGEMENT
• When auditing a healthcare organization, one of the greatest contributors to lost revenue is the
failure to obtain a referral or authorization before performing a procedure. Not all services and
procedures require a referral or pre-authorization, but if a referral or pre-authorization is required
and is not obtained, reimbursement for the procedure is put at risk. While some insurance carriers
may allow a retro authorization or referral, most do not.

• As daily tasks begin to build up, this part of the revenue cycle process is often missed and is the
costliest. Utilizing our referral and pre-authorization services confirms that the patient is approved
for the planned service or procedure before arrival, ensuring that the first stage of the revenue cycle
is completed accurately. Doing so sets the rest of the claims process up for success.
There are plenty of good reasons to outsource your DME billing to Aakira Info Tech, but the biggest one
is setting yourself free to do what you do and worry less about billing matters.
PLAN OF WORK
• Focusing on over 120 days bucket first

• Moving forward to 60 days bucket

• Then over 45 days bucket

• Finally working on current data

• After a month we can plan according to the performance of the team and work according to the
high priority so that the claim wont move towards the adjustment.

• According to the data we can bring the process within 30 days bucket and keep the team in the
current bucket
WORK FUNCTION

• Maintaining Regular database

• Work according to clients requirement

• Achieving target in regular bases

• Quality checking on regular bases to avoid errors

• Completing work before the TAT

• Regular touch base with client to know the client requirement and also to improve the production

• Refreshment once in every week to know about the updates

• Regular assessment for process knowledge

• Giving 100% quality and quantity


HEALTH INSURANCE PORTABILITY AND
ACCOUNTABILITY ACT
(HIPPA)

• Ensure the confidentiality, Integrity and availability of all e-PHI.

• Systems protected with securities software to avoid access of social websites.

• Only authorised employee are allowed inside the premises to maintain confidentiality.

• Mobile phone , Electronic items strictly prohibited.

• Make sure systems are locked and logged out of credential once work is over.

• Sharing credentials is not allowed.


Contacts

Director Executive Director

Deepak Sridhar Sridhar Arumugam


Email: deepak@aakirainfotech.com Email: a.sridhar@aakirainfotech.com
Mobile No:+91-8754633375 Mobile No:+91-
9843542224

Office address : No:105, 3rd floor Sri vel towers,


Tatabad 11th street , coimbatore-641012.
THANK YOU

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