2. Confidential
Seyyone Software Solutions - A brief profile
Seyyone is a offshore Medical Billing Company with delivery center providing healthcare
billing solutions and transcription services.
We take pride in utilizing global resources to cover physician practices and offshore
delivery centers for cost effective solutions.
We do billing for all specialties across United States of America.
We take pleasure in delivering quality services with high caliber to maximize the Practice
revenue.
We are fully equipped in Revenue Cycle Management.
4. Confidential
Corporate Overview
Focus on excellence driven by Accuracy, Confidentiality and Turnaround Time
Highly skilled and experienced specialists and dedicated follow up teams
Consistently demonstrating the highest levels of commitment, competency and professionalism
One stop solution-End to End process from dictation to accounts receivable – 24/7 Support
Management team has Over 11 years of experience in the area of Medical Transcription
Strict compliance with all HIPAA standards to maintain integrity and confidentiality of our client’s records
5. Confidential
Corporate Overview
Scalability, Reliability with improved quality
End to end services and all kinds of financial reports.
Quick response to the client needs as we are always able to fully staff each and every project
24/7 operations and customer support
Highly Cost Effective Solutions - up to 40% cost reduction
7. Confidential
Financial Reports Maintained by Seyyone Software Solutions
In Seyyone Software Solutions, you can request for specific reports based on your requirements.
Aged Accounts Receivable Reports
Collections Reports
Daily Activity Reports (Demo/Charges/Payments)
Collection Ration Statistics and Trend
Cash Log
Daily Activity Report (EDI and AR)
Client Update Tracker
Claims Transmission and Rejections Tracker (EDI
Team)
Denials Tracker
Exception Handling and Escalation matrix
8. Confidential
Expertise
Radiology
Pathology
ENT
Surgery and Allied
Medicine and Allied
Obstetrics
Obstetrics and Gynecology
Ophthalmology
Radiation Oncology
Nuclear Medicine and Psychiatry
Allergy and Immunology
Emergency Medicine
Internal Medicine
Pediatrics
Dermatology
Family Medicine
Urology
Anesthesiology
Physical Medicine and Rehabilitation
Podiatric
The Team has expertise to handle any of the specialities
9. Confidential
Medical billing and coding services
Charge EntryCharge Entry
On-line entry of patient details directly into Health-Nautical billing software
Separate Audit team for compliance and accuracy
CPT-4 and ICD-9 match performed before completing charges
Electronic submission of bills to all carriers accepting the same/Paper billing if
necessary
CodingCoding
Remote Coding for CPT-4 and ICD-9 across all specialties
Coding team includes certified coders
24 to 48 hour turn-around time for both office based and hospital based
specialties
A/R ManagementA/R Management
Following up aggressively with almost all carriers for denied or outstanding
claims
Following up aggressively with patients on self pays & Co-pays
System automatically generates outstanding reports for follow up
Payment PostingPayment Posting
On-line entry of checks as per Explanation of Benefits received from the carriers
24 to 48 hour turn-around time for most files
100% accuracy guaranteed on the SLA’s
Working on Denial management and forwarding the same to the follow up team
Eligibility Verification &
Pre-Certification
Eligibility Verification &
Pre-Certification
Done both on-line and telephonically
Done 24 to 48 hours before patient visit to ensure reimbursement & reduce
denials
Value Added ServicesValue Added Services
Migration from Manual to Electronic
Billing
Cleanup of OLD AR
Hospital Billing Support
Enrollment and Credentialing
Mailing
EMR Implementation Support
10. Confidential
Value added services
Credentialing
Services
Compile initial provider information file
Compile information required for CAQH
Initiate enrollment and data entry on CAQH
Complete of applications as required by credentialing entities
Resolve requests for additional information
Coordinate communication with payer during approval process
Follow-up with payers to expedite the application process.
Completion, submission, and follow up on all payer applications
OLD Receivables
Follow-up
We provides you with a customized solution to collect every possible
dollar out of your old AR (> 90 days)
Practice
Management
Consultancy
Financial & Operational Analysis & Improvement:
Performance Assessment & Benchmarking
Performance Improvement
Revenue Enhancement
Payer Reimbursement & Contracting
Turnaround Plan & Management
Medical Practice Management:
Operations
Overhead Control
Revenue Cycle & Business Office
11. Confidential
Quality Standards @ Seyyone Software Solutions
Multi-checks
Improvement
Training
Performance evaluation
Quality control workflow
Dynamic QC sampling
Root cause treatment
Development
Automation
Cause analysis
Effectively maintaining the quality management system
Benchmarking for continuous improvement
Ongoing training and development
Quality calibration sessions are held to evaluate performance against SLA
Rigorous quality control (QC) through every step of the workflow process
Granular tracking of error rates and production efficiencies
QC to achieve an internal accuracy levels which consistently exceed the set SLA’s
Dynamic QC sampling rates based on an historical view of accuracy fluctuations
Treating repeated errors as “red flags,” and identifying and effectively treating root causes
12. HIPPA compliance
We comply with HIPAA, trained in regulations related to Medicare,
Medicaid, managed care, third party liability, workers compensation,
Preferred Provider organizations and indemnity insurers and will follow
latest HIPAA updates.
We will also maintain written policies and procedures by documenting
compliance of HIPAA rules and making these available to all personnel.
We will also implement chain of trust agreements with partners with
whom the practice exchanges healthcare information.
Our security standards for health information will include training to all
practice staff members about privacy and security procedures.
Our quality process involves auditing all entries to ensure 100% quality
compliance.
Confidential