Supporting Documentation · Dec 6, 2022
318-22 Exhibit A-Coronis Health for Emergency Transport Third Party Billing - 2022.pdf
22917c468ae5dc231fa435ee07e379e6e38a1c8bc0680bc37d9c55dd37aae2fdIndexed text · page 50
Show all pagesC@RONIS HEALTH CAPACITY TO PERFORM SERVICES WE HAVE A STREAMLINED AND EFFICIENT ELECTRONIC CLAIMS PROCESSING MODEL. With decades of experience in ambulance billing services, Coronis Health’s upper management has developed a proprietary and streamlined claims processing model that efficiently and effectively manages hundreds of thousands of medical claims for our customers. For example, with only 65 employees, we process 350,000 claims per year. The difference is our efficiency and drive. We work hard for clients. A brief overview of our EMS claims processing model is as follows: e@ Pre-Billing Function: We begin with a robust pre-billing function that makes sure we get the correct insurance information to create an initial clean claim the first time around. When insurance isn’t provided by the patient, we investigate and exhaust all measures to find insurance information whenever possible. 85% of the time, our highly skilled pre- billers find missing insurance information, allowing a clean claim to be sent out as quickly as possible. Traditionally when the patient doesn’t provide insurance information, the provider sends out an RFI (Request for Information) and invoice to the patient then awaits a response, which creates weeks of delay in sending out a clean claim. Coronis Health is different. We hustle for our clients to find the insurance on our own using available databases that enable us to send out clean claims quickly and efficiently. e@ Signatures: We ensure all proper signatures are obtained as required by CMS as well as independent insurance carriers. e Coding: Our Certified Ambulance Coders ensure all claims are properly reviewed and coded with the appropriate ICD-10 codes for each diagnosis. e@ Technology: We use a dedicated dashboard for each client that allows them to constantly monitor our performance in real-time. e@ Training: We train our staff as well as client staff in industry trends and compliance issues. e Collections: Our focus on optimizing per transport revenue is the single most important function Coronis Health employs for our clients. Our collectors search for primary and secondary insurance and communicate regularly with patients to assist them in receiving the insurance benefits they have paid for and deserve. e@ Compliance: We promote a culture of strict compliance with CMS, HIPAA, Office of Inspector General and
h patients to assist them in receiving the insurance benefits they have paid for and deserve. e@ Compliance: We promote a culture of strict compliance with CMS, HIPAA, Office of Inspector General and Medical Necessity as well as reducing RAC Audit Liability. 10
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