OUR SERVICES

Trinvent will work as an extended arm to your organisation by providing value addition
through the services rendered.

Our Medical Billing Services

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Appointment scheduling

Appointment scheduling process involves communication with patients using multiple methods of communication i.e. phone calls, text messages, emails to schedule and remind the patient of their appointment. We help reduce patient no show rates and helps physicians use their time more efficiently and reduce long wait time for patients. On the appointment calls we take patient name and address, contact number, email address, date of birth, social security number, primary insurance name, policy and group numbers and guarantor name and address.

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Eligibility Verification

Appointment scheduling process involves communication with patients using multiple methods of communication i.e. phone calls, text messages, emails to schedule and remind the patient of their appointment. We help reduce patient no show rates and helps physicians use their time more efficiently and reduce long wait time for patients. On the appointment calls we take patient name and address, contact number, email address, date of birth, social security number, primary insurance name, policy and group numbers and guarantor name and address.

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Claims transmission

Claims Submission involves submitting completed claims through the practice management system. The claim is submitted via a clearinghouse to a payer. Some cloud-based revenue cycle systems have direct interfaces with most leading insurance companies. We submit claims daily on behalf of the healthcare providers and combine them with any re-bill or secondary claims. Rebills are claims that are being resubmitted because there was an error on the first submission. We analyse the issues with first submission and strive to ensure that the issues do not recur. Secondary claims are claims that are submitted to secondary payers. This occurs when the patient has another insurance carrier in addition to a primary insurance carrier, and the practice has agreed to submit a claim to the patient’s secondary insurance company after it has received a portion of the payment from the primary insurance company.

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Charge Entry

While the charge entry process appears to be relatively straight forward, the process is prone to errors - errors in developing fee schedules, auditing the processes charge entry transactions, and lack of clear work instructions for the process are some of the issues typically encountered in charge entry transactions. Our proficient charge entry professionals capture charges within 24-48 hours from the date of visit. We review and/or enter information from the scanned images of superbills, charge tickets and medical records in the EHR/EMR system. We enter charged for all services provided – office, inpatient visits, consultations, procedures, surgeries and all other services. We audit entered charges prior to submission.

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Payment Posting

Trinvent Healthcare Solutions offers accurate and timely payment posting services. Our well-defined payment posting process not only ensures efficient processing but also helps you identify opportunities to increase revenue by watching for trends of payments, and denials. We meticulously capture the data from EOBs, lockboxes, and ERAs, ensuring a high degree of accuracy of payments posted on the revenue cycle system. We examine each denial to identify issues such as denial for medical necessity, non-covered services and prior authorization to provide constructive feedback to the entire chain of physicians, front office staff, billers and coders to avoid such errors in the billing cycle and improve reimbursements. We rework each denial and resubmit the claim to responsible payers in an efficient manner to enable recovery of as much reimbursement due as possible.

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AR and Denial Management

1.A/R: Accounts Receivable follow-up process involves the pursuit of an outstanding claim to ensure that the healthcare provider receives payments for the services rendered. This requires the investigation of where the claim is in the cycle, get the correct status of the claim and taking steps to ensure that the claim is adjudicated and paid.

2.Denial Management: Healthcare Providers are getting impacted on account of falling reimbursements rates and shift to value-based care. A strong denial management process can help providers recover more money and shift focus to preventing denials. Each claim denial is posted on the patient’s account in the revenue cycle system. Errors are reported to the front office and billing staff so that the errors are not repeated.

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Our Pharmacy Billing Services

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Admission

Admission is the first step in the medical billing process and involves recording the details of the patients like their name, age, blood group, medical history, diagnostic reports, previous prescriptions, known allergies, etc.

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Triage

Triage is an area which requires greater attention and quicker action. We sort the documents arriving in the document management system as they are received. The documents are sorted based on priority and department.

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New Orders and Refills

We will review arriving orders, and enter them according to the rules and protocols specific to the pharmacy. That includes Priority, Run-Time, and Cut-Offs. Medication orders are entered into your Pharmacy Information System precisely as your staff is doing currently. system as they are received. The documents are sorted based on priority and department.

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Census

Census maintenance is a very important function from a medical billing point of view, as it involves creating proper records of the patient and the payee. It involves recording information of patient discharges, change of physicians, etc. All this is essential especially if your customers plan to make a medical claim.

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End of month billing

End of month billing allows claims to be the billed to correct payer

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