Medical
Billing
Services Company |
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Medical
Billing
Services
Outsourcing medical billing is a popular option
in today's highly competitive healthcare industry.
Outsourcing your medical billing process to us
ensures that you get high quality services in
addition to cost benefits.
If you are a healthcare service provider, a medical
billing company or an insurance company, Relyservices
can provide medical billing services to you by
using your existing process and software. Thus
giving you prompt turnaround time on your data
processing functions with assurance of a high
quality service.
Like most of Rely's Services,
we are looking for effective ways to implement
Medical Billings solutions and reduce overall
operational costs. To be a long-term partner Rely
Services has had the opportunity to look to provide
high quality and cost effective complete billing
solutions.
Rely along with Healthcare-IQ
is a health information company that enables health
care providers to manage cost-effective health
care delivery and reimbursements.
Rely's
Unique Products
Services leverage our proprietary database, Rules
Based Engine and artificial intelligence to decrease
costs, increase revenues and improve the quality
of service you provide.
Our unique Practice Management and Additional
Services make Rely the ideal solution for large
and small healthcare providers.
RELY’s dynamic Rules-Based Engine (RBE)
tracks, updates and maintains a comprehensive
knowledge-base specific to the health industry
on both the local and national level.
The RBE applies a series of sophisticated, clinical
and financial based edits analyzing the following
relationships:
• Insurance company
• Coding edits
• Coverage issue
• Financial outcomes, i.e. Reimbursements
• Clinical policy
• Utilization guidelines
• Employer sponsored benefit plan provisions-exclusions-limitations
• Line-item information contained in insurance
claim or remittance statement
All benefit plan provisions, including clinical
and financial rules are directly aligned with
the following edit criteria:
• Single medical bill
• Single patient
• Provider specialty
• Place of service
• Same date of service
RELY’s Artificial Intelligence maps directly
to the clinical, financial and business rules
that impact insurance companies, managed care
organizations, health care community and employers.
The intelligence is our Rules-Based Engine identifies
and automatically updates the edit criterion used
to establish public and private sector benefit
plan adjudication rules.
Our
Expertise
in this Field
We are trained in regulations pertinent to Medicare,
Medicaid, blue products, managed care, third party
liability, workers compensation, Preferred Provider
organizations, indemnity insurers and have a complete
understanding of CPT, HCPCS, ICD-9 coding Level
I, II, III. They also have the ability to identify
data as related to submitting a clean insurance
claim for reimbursement by insurers.
Technically
Speaking
We use secure networked Medical Billing
& document routing with advanced auditing
process for the dictation, correcting and training
you speech files and documents are returned, formatted
and ready to print or insert into your electronic
medical record.
Sounds good
to you ?
For our client's satisfaction, we offer free pilot
project that helps our client experience the benefits
of working with Rely before going live.
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