Why Sharp info

Sharp Info Solutions Private Limited

Customer Delight is the uniqueness of Sharp Info Solutions Pvt. Ltd. We ensure that our clients are unperturbed and stress-free. We offer complete RCM services under one roof. Some of our unique features are given below,

1. Experience in Provider Enrolment & Insurance Credentialing:

We understand the credentialing process really well and we are aware of the rules and regulations of different payers as well as complex provider requirements. As a result, we are able to save providers’ time and money on what could otherwise be a lengthy and cumbersome process, which can only be done by specialists who have expertise in it.

2. Practice Collection Assessment – Free of Cost:

Give us the information we ask for, and we will hand you a free analysis of your current billing status, identify bottle necks, and provide revenue opportunities.

3. Eliminate Provider-Patient Payment Hassles:

Imagine a doctor or the doctor’s office attending phone calls of irate patients on billing enquiries and repeated follow-ups on patient payments. We can save you time, by taking up all these responsibilities, sending monthly statements, and attending to patient queries, thereby saving you a lot of time and hassle.

4. Out-of-Network Billing Expertise:

If you are on the lookout for a change from in network, we can be of great assistance. There’s much more.

5. PIP (Personal Injury Protection) Claim Billing:

Auto claims are notoriously difficult for medical providers seeking payment. Auto insurers have a completely different set of rules for claim submission and benefits coordination. Often times, multiple auto insurers are responsible for paying a single bill and providers end up having to negotiate with personal injury attorneys and claim adjusters. We have been maximizing auto claim cash flow for medical providers in Florida (The No Fault State).

6. Adherence to ICD-10 using Certified Coders:

Our Certified Coders code right, avoid denials, and accelerate the billing process. This has a real impact on improving revenue and cash flow. Sending clean claims in the first place is the key.

7. Increase in Net Collections by 10%-15%:

  • We take good care of all your billing needs
  • We ensure claims are paid on first submission by sending out clean claims
  • Drastically reduce denial rates
  • Bring down the outstanding AR
  • Reduce overheads and cost to collect.

8. We Double Up as Advisors:

We are not only the answer for your billing challenges, but we also provide suggestions and double up as advisors. Doctors would benefit by receiving multiple thought-provoking reports which we would generate by using our Super Stats Team.

9. Onsite Deputation & Seamless Transition:

We are just a phone call away. We can depute billing experts to your office for on-site requirements and can pave the way for a seamless transition.

Quality Department

Quality process plays a vital role in ensuring that clean claims are being transmitted / forwarded to the Insurance carrier. Quality check is done based on internal guidelines and client specific guidelines regularly. Quality check is performed in all departments of Medical Billing by laying down rules for each department and thereby eliminating errors completely.

Softwares

We work on a wide range of billing softwares. Listed below are some well known softwares that we have expertise on,

  • Medisoft
  • EclinicalWorks
  • DocuTAP
  • ZirMed
  • Kareo
  • Office Ally
  • Centricity Practice Solution
  • Availity
  • Nextgen Healthcare
  • PrognoCIS
  • Genius Solutions
  • Advance MD
  • MediTouch
  • Chirotouch
  • NaviNet

Our specialties include

  • Anesthesia
  • Cardiology
  • Chiropractic & Physical Therapy
  • Internal Medicine & Family Practice
  • Radiology
  • Urgent Care
  • Home Visits
  • Emergency Medicine
  • Pediatrics
  • Surgery
  • Podiatry

We function as providers’ extended office.

Our path to success

  • Qualified Doctors, Nurses, and Healthcare professionals used as core team
  • Unlimited STAT Coverage
  • 24×7 Telephone/Online Support
  • 99% Compliance on Turnarounds
  • Client-Ready Quality
  • HIPAA and HITECH Compliant
  • Dedicated Account Manager
  • Single Point of Contact
  • In Healthcare Services since 2000
  • HIPAA-Compliant Archival On Demand
  • In-House Training Facility
  • Seamless Scalability on Demand
  • Strong IT Team
  • Healthcare related IT Support
  • Competitive Rates
  • Huge Infrastructure
  • Multiple Specialties
  • Exposure to Various Industry-Leading Platforms

HIPAA/HITECH Compliance

Sharp Info Solutions is 100% HIPAA and HITECH compliant.

We completely understand the sensitive nature of patient data. We also recognize the consequences that may arise due to breach of protected health Information. We have a robust security system that encompasses physical, network and process safeguards.

Some of the mechanisms that are followed at sharp are

  • Unauthorized entry restricted by security personnel
  • 24 hours video surveillance
  • Most modern access control devices are used to allow entry only to employees
  • Data transfer is encrypted and password protected to ensure privacy and confidentiality
  • Firewalls, antivirus and other security software are used to protect data
  • Employee credentials and individual verifications are carried out
  • Our workforce is periodically trained on HIPAA and HITECH compliance thereby creating awareness on compliance. Awareness programs are conducted for the entire workforce including production and administration teams.

Challenges that affect RCM and our answers

Sharp Info Solutions understands the criticality of financial management and the consequence of great work. Revenue cycle management involves various tasks, processes and procedures from the time a patient account is created to the time money is collected.

As a revenue cycle management company, we understand that the core job of the provider is patient care and not office administration. However, we also understand the criticality of ensuring optimal revenues to the provider.

Therefore, Sharp Info Solutions meticulously manages end-to-end revenue cycle management to maximize collections. Beginning from Insurance Verification to Payment Posting, every job is handled proficiently by highly experienced staff. We are certain that our clients are assured and are relaxed.

Challenges that affect collections

For example, payers that we deal with and the information pertaining to whether the client is In-Network or Out-Of-Network would determine how a claim has to be submitted to maximize collections and avoid rejections. With experience and attention to details, incorrect categorization may be easily avoided. However, many associates do not categorize information properly before submission leading to rejections.

With time, charge entry jobs could turn out to be a routine job. This routine nature most often causes associates to incorrectly enter charges. Most often than not, these are inadvertent and due to negligence. However, such errors could cost the provider time and money.

Revenue Cycle Management involves large amount of information, procedures, and updates. All of this information has to be recorded and organized so that they form the knowledge base for the organization. If this piece of valuable knowledge is not reviewed periodically and if it goes unused, it is as good as no knowledge. This kind of omission could lead to errors and affect collections.

This is one major issue most providers face regardless of whether they have their billing offices in-house or outsourced. While errors cannot be completely prevented, it is always possible to pay attention to and comply with client requirements. Failure to do so will eventually affect efficiency and lead to client frustration.

The primary reason for aged claims is incorrect submission of claims or lack of negotiating skills. This leads to rejections. If appeals are not made on time it further increases the operational costs and bleeds the finances of the providers.

Understanding and following legal guidelines is very important in Revenue Cycle Management. If systems are switched without proper thought, guidelines changed, or if administration standards are compromised, one may end up attracting audits. It is always better to comply than to end up facing undesired consequences.

Most Issues with Revenue Cycle management affect the providers in three significant ways

  1. Loss of Revenue
  2. Loss of time
  3. Additional stress

Our primary objective is to eliminate all of these issues for the providers. We will do any kind of negotiation with the payer. We will function as the billing consultants allowing the providers to focus on medical care without worrying about the hassles of collections.

Providers have a choice of either doing their Revenue Cycle Management in-house or outsourcing it to professional companies. While errors cannot be eliminated the question really is how much is acceptable?

When RCM is done in-house, it involves managing an efficient team. Office administration and operations management will consume too much of doctors’ time. The real question is, “Is it worth the time and effort when there are professional companies who will carry out Revenue Cycle Management for you?”

If the challenges of in-house revenue management are hitting you hard and if you are considering outsourcing your Revenue Cycle Management Services, there are plenty of professional billing companies that you can choose from.

What makes us different is that we do RCM differently and so are our offerings. We pledge to the saying “It’s not the years, honey; it’s the mileage.” – Indiana Jones, Raiders of the Lost Ark

Over the years, we have learnt so much that we precisely know what works and what does not. We continue to learn each day and our understanding of various functions within RCM is very clear. Our principled workforce gives utmost importance to work ethics and the derivative is customer delight.