De Lune Health – De Lune Corp

In an era of increasing complexity in the healthcare industry with increasing healthcare costs, advancements in technology, and evolving patient-physician-hospital dynamics, the focus of hospitals and health systems is clearly on looking at new strategies to fuel growth.

Fine tuning healthcare business delivery processes and administration solutions to effectively manage and deliver healthcare is key among these strategies. In order to maximize value from their business processes, global healthcare companies are increasingly leveraging the healthcare business process outsourcing model.

We invite you to partner with De Lune Health to help optimize revenue performance, while managing costs and risks. With a highly result-driven culture, organizational efficiency, and over a decade of combined industry experience and expertise, we provide comprehensive outsourcing solutions to companies of any size.

DE LUNE HEALTH RCM SOLUTIONS

De Lune Health RCM Solutions is a Revenue Cycle Management (RCM) service provider offering high-quality outsourcing solutions to RCM companies based in the United States.

From Patient Demographic Entry, to Accounts Receivable Follow-up, to Payment Posting, De Lune RCM Solutions covers the full spectrum of Revenue Cycle Management. We help you streamline your billing functions cost-effectively by reducing payer denials, eliminating undue hassles and costs, and by offering a fully standardized service.

Our team of qualified billing professionals with decades of combined industry experience will assist you with streamlining your billing functions in conformity with your requirements and will help you identify crucial areas warranting corrective measures.

Benefits of Outsourcing to De Lune Health

Help you achieve increased collection rates up to 20% while working on ways to improve cash flow.
Help you improve your revenue recycle management by reducing cost on administrative functions.
Make sure that performance efficiency is achieved by analyzing every aspect of billing equirements.
Ensure total confidentiality of your information, thus safeguarding secrecy and non-disclosure of your vital data.
Huge cost savings as opposed to staffing new employees for handling billing processes. We give you our own dynamic team of expert billing operators to carry out your billing functions efficiently.

Our Services

De Lune Health RCM Solutions offers a comprehensive set of medical billing outsourcing services aimed at providing you high quality budget-compliant solutions to your medical billing. These include:

Our Services – Solutions

Patient Demographic Entry

The medical billing specialists enter patient demographic details such as name, date of birth,
address, insurance details, medical history, guarantor etc. as provided by the patients at the time of the visit. For established patients, we validate these details. Necessary changes, if any, are done to the patient records on the practice management system.

Charge Entry

The fee schedules are pre-loaded into the practice management system. CPT and ICD-10 codes are
entered into the system. The billing specialists ensure that all details have been provided in the claim and are ready to be filed.

Claims Submission

Claims are submitted electronically via the practice management system. However, we can process paper
claims as well. A thorough quality check is done by a senior billing specialist before submission.

Payment Posting

Scanned EOBs and checks are sent to our team for Payment Posting. All payments are entered into the
system. The amounts from EOBs/checks and amounts posted in the system are reconciled on a daily basis. A daily log is updated with these data.

Account Receivables Follow-up

All claims in the system are examined and prioritized. Claims are given priority based on the age of the claim. Periodic follow-ups over phone, email and/or online are done to update the status of each claim submitted to the insurance company.

Denial Management

Denial management, including analysis of denials and partial payments, is done by our senior medical billing specialists. Payors, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.

HIPAA Compliance

Rest assured that the privacy and security of your data is our highest priority. We ensure that our policies, processes and workforce strictly adhere to the regulatory requirements of the Health Insurance Portability and Accountability Act (HIPAA). Some of our policies designed to assure HIPAA compliance include:

HIPAA Compliance Points

A dedicated Compliance Officer overseeing the adherence to privacy and security policies at all levels

All employees being required to sign a Confidentiality and Non-disclosure Agreement

Access to computer systems being restricted by unique logins and passwords

Regular HIPAA compliance training for employees

Data encryption to ensure data is unreadable by unauthorized entities

Up-to-date firewall protection and anti-virus software

Completely paperless environment

Partner with us

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