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payers solution
StellarRCM believes the traditional distinctions between payers and providers are evolving to embrace new models of delivering and paying for healthcare services. We believe that, with the right evidence, analytics, and methods, payers and providers can transform healthcare. Our passion is applying our experience and technology to expand the data available to payers so they can improve the outcomes, enhance the experience, and reduce the cost of healthcare for their members. We don’t believe that payers and providers harbor a resistance to sharing data. Instead, we recognize that there are technical challenges in aggregating data due to interoperability between a myriad of sources. StellarRCM’s Analytics Platform resolves these challenges and provides an adaptive warehouse of data complimented by a library of analytical applications to help payers improve efficiency. These applications define populations, stratify risk, analyze PMPM costs/payments, support care management, and deliver a host of other uses for these aggregated data sets. Care/Disease Management Claims Management Cost Management Edi Modernization Health Insurance Exchange / Marketplaces (Hix) Icd-10 Compliance (Remediation) Predictive Analytics
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revenue cycle management
Our end-to-end services focus on the entire revenue cycle, including validating demographics and billing, to patient calling and reporting. With a proven track record in annual collections, StellarRCM is equipped with expertise across the spectrum of healthcare. Provide us the software platform and clearing house and we do the rest, making Stellar RCM your go-to partner for any revenue cycle management needs. How does the process go? Revenue cycle management begins once a patient visits a healthcare provider to seek medical services and ends once all claims and patient payments have been collected. While the process may seem straightforward, organizations will have to follow these bsic steps Scheduling/pre-registration Point of service registration counseling collections Encounter utilization review and case management Charge capture and coding Claim submissions Third party follow-up Remittance processing and rejections Payment posting, appeals and collections
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Medical Billing Services
Our Medical Billing Services provides a professional, expert medical billing, collection and administrative services for medical practitioners. Whether you need a complete billing service from start to finish or just require temporary staffing our best in class billers and collection team is sure to impress you. Our expertise working keeps us on top of the latest changes in procedures and codes. In Stellar we have years of experience in generating optimum denial management processes with the right inputs to get all your applicable departments working together, using common data and employing industry standards to provide reliable benchmarks and achievable aims. Process Flow: Medical Coding Patient Demographics Eligibility Charge Capture Payment Posting Accounts Receivable Patient Demographics Timely and maximum reimbursement is a critical factor totally relies on accurate entry of demographics and charge information. Critical error caused due to clerical lapses is given utmost priority in order to tackle issues at the onset using six sigma methodologies. At Stellar, our team of dedicated personal enters information quickly and accurately which is highly essential in ensuing that this critical issue is timely solved for the fulfilment of ensuring clean claims and high productivity. Eligibility Insurance: Verification becomes the most important part of the RCM cycle as it could avoid denials relating to COB which affect the reimbursement within the 30 to 60 cycle. Our team of experts use internally developed applications, and if require physical calling to determine the eligibility of the patient avoiding rejections and denials forefront.
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US Healthcare
Our certified coding specialists who perform our medical coding services are extensively trained and experienced. These coders trend along a current knowledge of altering regulations in order to accord to accurate results. Therefore, using our medical coding services results in improved assets. Its leading-edge technology, customer friendly solutions, best-in-class quality and commitment to service brilliance allows MIR to focus on driving favourable outcomes and success for our healthcare clients.
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business process outsourcing services
Software Application Development Services
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