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Is your business requiring to extremely benefits of cost saving and time consuming solution? Are you searching to increase profits and productivity, reduce collection times and successfully process claims? If yes, then you are at right place. Today, most of medicare billing companies provides a wide range of services. Electronic medical billing is the process of billed and the payments which submitted to the insurance medical billing companies and the claims to insurance companies is followed up. Medical billing is one of the fastest growing and most dynamic sectors of the health care industry. The process of medical billing is follow below steps: • Claims Transmission: The hospital forwards the medical claim to billing companies. • Retrieval and Checking of Medical Claims: Companies team checks all documents. • Medical Coding: Fixed the diagnosis code for patient. • Charge Creation: Company create claim based on billing rules. • Medical Claims Audit: Check for ...

When member service goes wrong, think “damage control”. A good recovery process can turn angry, frustrated members into loyal ones. It can create more goodwill than if things had gone smoothly in the first place. On the other hand, the failure to resolve the problem results in the member spreading their dissatisfaction to many other people. Think about the last time you had a complaint that was not resolved. How many relatives, friends and co-workers did you tell? Studies have shown that for every 100 dissatisfied members, 4 will formally complain, 91 will tell 8-10 others, and 5 will tell 20 others. That turns into over 800 people receiving a negative view of the credit union! Five Steps to Service Recovery 1. Apologize. Start by telling the member, personally and sincerely, “I’m sorry.” Members don’t care whose fault the problem was – they want someone to champion their cause. So sincerely apologize on behalf of the credit union and take resp...

As outsourcing becomes an indispensable part of corporate business strategy, especially during economic downturns, BPO (Business Process Outsourcing) has emerged as an important driver of IT Enabled Services. In very recent years, it has progressed from being considered for limited peripheral activities to encompassing very critical business activities that contribute to strategic advantage. Though traditionally cost reduction has been the key driver for all outsourcing activities, other drivers such as speed of development, flexibility, expert skills and political maneuvering are equally important, if not more. To succeed with Business Process Outsourcing (BPO), you must first research and determine if outsourcing should be pursued at all – an initial understanding of the expected size and nature of the deal is a must at this stage. This phase is known as the Assess phase as the involved parties try and establish senior stakeholder expectations at this stage. At the end of this p...

If you’re in the business of changing your ideas into profitable products, you know it can be a lot of work! Here are five techniques that can help. 1. Choose wisely. You probably have 15 ideas in your head – any of which could become a profitable revenue stream for you. The trick is to determine which of those ideas has the best potential for becoming a product NOW. 2. Know where it fits. It is always easier to sell a product to a market that already knows you; one that already wants what you are offering. Knowing where this product fits before you start development ensures your success. 3. Set standards. If you’ve taken the time to format a document exactly the way you want it, never repeat that effort again. Instead, establish standards that you or someone you hire can use to replicate the look and feel of the document. 4. Create templates. Whether it’s a document or an entire website, it’s faster and easier to open the template, then “save as...

Distance, time zones, culture and language no longer limit where companies of any size have customers, suppliers or service providers in this age of seamless commerce between continents. One key to success – and survival – is finding a reliable, experienced business partner who performs essential back-office services at reduced cost but not reduced accuracy, speed or security. Global economic changes and technology advances make it vital for companies in a diverse array of industries to examine the benefits of transferring specific businesses processes to a responsive, knowledgeable provider who re-engineers and executes the functions according to each client’s standards at a guaranteed cost. As Business Process Outsourcing (BPO) partnerships become increasingly common, companies lose their competitive position unless they trim expenses by letting domestic or offshore specialists administer routine support functions. Motivations for Action BPO solutions let organiza...

This TQM article provides an insight of a typical Strategic Planning Process that was used in several organizations and proven to be very practical in implementation. the key processes of this typical Strategic Planning Process are lined up into 7 steps. Detail of each steps are illustrated below:- Step 1 – Review or develop Vision & Mission Able to obtain first hand information from various stakeholders (Shareholders, customers, employee, suppliers communities etc). You may use templates to evaluate how the stakeholders think about your organization. To find out whether their action are aligned with the organization’s objectives. To review or develop company’s Vision and Mission with the involvement of other stakeholders to ensure it is still current with the business changes and new challenges. Also use this session as a mean for communication. Step 2 – Business and operation analysis (SWOT Analysis etc) One of the key consideration of strategic planning is...

An investor, banker or lender will demand a plan before they make any financial commitment. Besides being a prerequisite to getting finance for your business, a plan also is a blueprint for efficient management of your new business. It can be argued that in a fast-changing market, a business plan may quickly become obsolete. However, the insight gained from the planning process can prove to be an invaluable experience and come in handy to deal with the various challenges your business throws up from time to time. A Plan Creates Tactics and Objectives A plan describes the long term vision of your venture and the objectives you aim to achieve during a given time frame. It will also detail the tactics and strategies deployed to reach those objectives. A well structured plan will provide the basis for operational budgets, business procedures and management controls. It must be remembered that no two plans are exactly the same, ever. Every plan is tailored to meet the specific needs of a bu...

The key to the efficiency and success of any organization or business is its processes. These processes are those actions or steps which must first take place in order to achieve a particular outcome. When such processes occur slowly, don’t work or simply go wrong, the organization fails to succeed. Just as these processes are essential for the success for any company, business process management, (BPM), is vital for making all those processes work efficiently. Therefore, understanding the basics of BPM is the first step in understanding as to how this concept can positively impact a business. Business Process Management Applications This process can be described in terms of 3 different application levels: Software Suite System Each level impacts BPM in a totally different way, expanding its depth and breadth as it spreads wide within an organization. Let’s look at each of these levels in detail. Software – At this level, software tools are used for improving the busi...