Healthcare & RCM Services
Comprehensive Healthcare Coding & Revenue Cycle Management
At Neelam Enterprises & Infotech Solutions, we deliver end-to-end Healthcare and Revenue Cycle Management (RCM) services designed to improve accuracy, compliance, and financial performance for healthcare organizations worldwide. Our teams specialize in every aspect of medical coding, billing, and RCM consulting, ensuring precision, HIPAA compliance, and seamless integration with your existing systems.
Medical Coding Services
Our certified medical coding professionals ensure accurate and compliant coding using the latest ICD-10-CM, CPT, HCPCS, and ICD-10-PCS standards. We manage multi-specialty coding projects with deep domain expertise and a focus on accuracy, turnaround time, and compliance.
Specialties Covered:
IPDRG (Inpatient Diagnosis-Related Groups):
IPDRG (Inpatient Diagnosis-Related Groups):
Comprehensive coding for inpatient charts based on ICD-10-PCS and ICD-10-CM, ensuring correct DRG assignment for optimal reimbursement.
HCC (Hierarchical Condition Categories):
IPDRG (Inpatient Diagnosis-Related Groups):
Risk-adjustment coding based on RAF (Risk Adjustment Factor) models for payers and Medicare Advantage organizations.
E&M (Evaluation & Management):
Level-specific documentation and CPT coding for physician and outpatient services.
Surgery:
Dental Coding:
CPT and modifier coding for complex surgical procedures, adhering to NCCI and CMS guidelines.
Radiology:
Dental Coding:
Dental Coding:
Accurate CPT/HCPCS coding for diagnostic and interventional radiology services.
Dental Coding:
Dental Coding:
Dental Coding:
ADA-compliant coding for dental procedures and insurance claims.
Pathology & Laboratory:
Pathology & Laboratory:
Pathology & Laboratory:
ICD-10 and CPT mapping for diagnostic testing and lab-based services.
Home Health Coding:
Pathology & Laboratory:
Pathology & Laboratory:
Specialized coding using OASIS data and ICD-10-CM for home healthcare agencies.
Medical Billing Services
Our medical billing team ensures a complete and compliant revenue cycle from charge capture to payment posting. We help healthcare providers maximize reimbursements and reduce claim denials.
Our billing services include:
Charge Entry:
Claim Submission:
Claim Submission:
Accurate entry of charges with proper CPT, ICD, and modifier mapping.
Claim Submission:
Claim Submission:
Claim Submission:
Clean claim creation and electronic submission to payers for faster reimbursements.
Payment Posting:
Claim Submission:
Denial Management:
Systematic posting of payments and adjustments in EMR/PM systems.
Denial Management:
Denial Management:
Identifying, analyzing, and resolving claim denials with corrective actions.
Patient Billing:
Transparent and accurate statements for patient responsibility collection.
We work with multiple EMR and billing platforms (Epic, Cerner, Meditech, eClinicalWorks, etc.) to support clients globally
AR Calling & Follow-Up
Our Accounts Receivable (AR) calling specialists ensure timely follow-up on unpaid or denied claims. Our team maintains professional communication with payers to resolve issues efficiently and improve cash flow.
AR Process Highlights:
Claim Status Inquiry:
Aging Reports Monitoring:
Claim Status Inquiry:
Contacting insurance carriers to verify payment or denial reasons.
Denial Follow-Up:
Aging Reports Monitoring:
Claim Status Inquiry:
Submitting corrected claims or appeals with supporting documentation.
Aging Reports Monitoring:
Aging Reports Monitoring:
Aging Reports Monitoring:
Daily and weekly tracking of outstanding claims.
Escalation Handling:
Aging Reports Monitoring:
Coordination with clients and payers for high-value or long-pending claims.
Our proactive approach ensures reduced Days Sales Outstanding (DSO) and improved collection rates.