In general Physician Enrollment & Credentialing is a process of making a physician to be a part of Payer's network and authorized to provide services to patients who are members in the Payer's plans.

Patient Eligibility and Benefit Verification is an important task to ensure accurate and timely receipt of insurance coverage and determine the patient's responsibility to pay for healthcare services towards physician.

During Patient visit, getting accurate and complete information is a challenging task for front-desk. If gathered correctly it turns a key success for your revenue cycle system. In-correct information on patient data leads to claim denial and delayed payments.

Guhasolutions has the best work-model in place on this service when it particularly deals with “Charge ($$)”. When an individual physician,practice, group practices, hospital is on-boarded, we will confirm the fee value with the practice head, physicians on each charge value before the first claim transmission is done.

Medical Coding plays a vital role in HealthCare Industry and its one of the integral piece in Revenue Cycle. Guhasolutions Coding and Auditing services run your Revenue Cycle very smooth.

Guhasolutions process payment posting with experienced professionals who can provide critical insights on your Revenue Cycle. We understand each and every trend of remittances received either with Payments and Denials. Our team ensures accuracy and timeliness recording of financial data to PMS in following methods.

Account Receivable plays a vital role in RCM. We analyze each and every claim to collect the payments and to reduce the AR backlogs. The team works continuously and follows-up with insurance companies on all claims. Our trained professionals constantly keep in touch with insurance companies via - websites, fax, IVR and phone to ensure that claims are settled quickly.

Our denial professionals are dedicated to minimize the lost reimbursements and denials with highly efficient systems and services designed to meet our clients' needs. Most problems encountered by healthcare providers and medical billing companies are a large proportion of rejected claims go unattended and is never resubmitted. Guhasolutions Denial Management process includes

Patients balance invoice will be sent by Guhasolutions Team per physician advice - Weekly, Monthly twice or once in a month. Our professionals ensure the bill receipt holds the correct value. Queries raised by patients will be answered by our team professionals.

Everyone think it's a FUN task, but it's highly professional and technical to deal with Guhasolutions proceeds with special care on Credit Balance, Bad Address Check to maintain positive relationship with patients, insurance companies and other payers.

Management Information System provides information needed to manage organizations efficiently and effectively. Further, it is regarded as a subset of the overall internal controls procedures in a business, which cover the application of people, documents, Technology, and procedures used by management accountants to solve business problems such as costing a product, service or a business-wide strategy

A Medical Scribe Specialist is essentially a real-time personal assistant to the physician, performing documentation in the Electronic Health Record system, gathering information for the patient's visit, and partnering with the physician to deliver the pinnacle of efficient patient care and electronic payment processing.

Medical record review involves evaluating a patient's healthcare information for medical or legal purposes. It is the process where a reviewer reviews medical charts to ensure they are complete or accurate, or to collect important medical facts from those records.