Welcome to SUNSHELLS

Medical Transcription

	History
	Physical Reports
	Clinic Notes
	Office Notes
	Operative Reports
	Consultation Notes
	Discharge Summaries Letters
	Psychiatric evaluations
	Laboratory Reports
	X-Ray Reports
	Pathology Reports

Capturing Demographics

Capturing Patient’s Name, Home Address, City, State, Zip Code, Social Security Number, Employer Details and Insurance Details (Primary, Secondary and Tertiary including Guarantor’s information. )

Charge Entry

Super Bills/Encounter Forms are used to capture data like Date of Service, Referring Physician, Rendering Physician, Place of Service, Type of Service, CPT Codes, ICD Codes, Modifiers, Authorization/Referral details and also Co-pay information.

Claims Transmission – Electronic/Paper

After the charges are captured these are transmitted to different payor’s electronically. Paper claims where required are printed remotely or shipped to our U.S. offices. High priority will be given to claims that encountered transmission issues/problems.

Quality

	Quality Department verifies that demographics, charges and payments are entered correct.
	Senior Quality executives verify date one more time.
	New hires are trained on Medicare, Medicaid, Managed Care, 3 rd Party Liability, Worker’s Compensation, Preferred Provider Organizations (PPO) and Indemnity Insurers.

Cash Posting

EOB/Private checks or scanned credit card statements are used to capture data like Patient Account Number, Patient Name, Date of Service, Procedure Code, Billed amount, Allowed Amount, Adjustment (Contractual) Amount, Paid amount, Denial Reasons, Deductibles, Refunds, Offsets and Reconciliation of the differences.

Revenue Cycle Management

A/R Analysis

	Denials / Rejected Claims are Analyzed and Re-billed
	Claims follow-up with Insurance / Patients
	Collection Agency Reporting
	Reporting – Daily / Weekly / Monthly

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