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We take care ofEnd-to-end Revenue Cycle Management Services -
We have experts inMedical Billing, Medical Coding and AR -
Vertex Billing SolutionsIs Unique & maintain patients information safe
Our Specialities
How
Prepare
Analysis And Preparation
Our tailored toolkits and questionnaire are designed to rapidly extract your process objectives so solutions can be promptly attended. Expect a smooth transition as our subject matter experts play an active role in your transition period, developing highly detailed policies, and procedures to accompany transfer of the knowledge base. Additionally, we engage in periodic calibrations to ensure 100% success in the transfer of knowledge.
- Gap Analysis
- Consultation
- Roadmap to implementation
Educate
We provide necessary education to maintain accurate and complete documentation, which will enable you and your staff to demonstrate knowledge in coding. The restructured educational will be detailed and comprehensive, covering in-depth areas of coding, compliance, and specific policies and procedures.
We include hands-on training in billing, coding and documentation. We emphasizes the importance of continuing education and training in coding and billing as a critical element in effectively managing practices. Coders are instrumental in keeping physician practice complaint by coding documentation accurately, properly reviewing medical records and staying up to date with code changes.
- Principles of reimbursement for both government and private payers.
- Correct medical record documentation.
- Accurate coding documentation.
- Coding, billing and documentation regulatory guidelines and requirements.
- Sequencing diagnoses accurately.
- Principles and guidelines for medical necessity.
- Confidentiality and privacy rules.
- Strategies for self-auditing charts.
Pilot
Change is necessary. Change is also expensive. It involves an investment of time and money. However, plans on paper do not always work out. Organizations must test their hypotheses. How do you know what is best for you before you take on a new initiative? Conduct a low cost, low-risk pilot. At Vertex, we will start the process, pilot it for a fixed or contingent price and help our clients adopt successful initiatives.
In our model, clients will have fast-track planning sessions, minimal changes to their in-house resources and let proven effort lead us to the results that test the hypothesis.
The goal is to give our clients an experiential understanding of what they can expect from their targeted initiatives.
- Client finalize scope of work
- Vertex Billing Solutions understand the client requirements, creates a process flow, training plan.
- Upon completion of training assessment test are followed and Employee moves to work floor after successful completion of training.
Deliver
When we commence service delivery on a client process, we establish a completely transparent working environment and the extranet modules to provide you complete insight into our operations. We also customize the Knowledge Management module and populate it with all the process rules by practice or specialty group. Even as you achieve complete transparency into VBS’s operation, our account management team engages with you on a daily, weekly, monthly and quarterly basis through established account governance framework to ensure that delivery is aligned to commitments and expectations.
- Project “Go Live” with pilot batch
- It goes through under strong supervision and monitoring with 100% Audit.
- Our experts also work with team to ensure new findings and make a strategy to cure it.
Improve
Delivering exceptional quality is not just a service level commitment but a consuming passion at Vertex Billing Solutions. Empowered leaders tackle challenges faced at an aggregate level as well as an individual level with all the right tools. Proactively addressed issues and improved overall productivity and quality are the end result.
- Dedicated account managers be assigned to every projects and followed by supervisors and mentors to achieve 100% success rate in the project.
- Account Managers are responsible to provide daily, weekly and month reports to Management.
WHY
At Vertex Billing Solutions, our philosophy and attitude of 'Customer First' ensures adherence to best practices by our employees to produce value for our clients through innovation and a great level of client engagement. Through our long-standing engagements, we have transformed organizations by reducing their operating costs continually and contributing effectively with industry expertise across various domains
With the changing landscape in the US Insurance and Healthcare industries, numerous successful businesses leverage offshore companies to handle most of their processes. While this definitely is a strategic move that brings in cost savings, choosing the right partner is key. Our unique consultative solutions methodology pre-empts common pitfalls which many mature businesses that offshore have learnt over time. Here are few examples of what you can expect to see, if you haven't yet.
Transparency
Vertex Billing Solutions approaches your business with a unique methodology - We rely on technology enablement and automation tools to harness the potential of our workforce and thereby deliver enhanced value every single time. Most of our services are delivered over our proprietary workflow engine which is cloud based. The engine provides real time visibility into process metrics including productivity, quality and turn around.
Metrics
One of the strongest areas of Vertex Billing Solutions is its reporting structure. Our ardent reporting structure ensures that reports incorporating said metrics are shared on a daily, weekly and monthly basis with our clients. This has enabled Vertex Billing Solutions to build and retain long term and highly satisfied client relationships.
Communication
We over communicate! We believe that communication is the key to the success of a relationship. We have a methodology to decide how many points of contacts need to be established at our side to communicate with client leaders. This is scientifically arrived at based on process complexity, number of departments in client companies and leaders etc. Apart from an escalation matrix that we provide upfront, daily communication follows a well thought out plan. Our clients are made aware that their staff should expect extensive communication from us during the first 3-6 months of the relationship. It starts at acknowledging every email, daily, weekly (ops review) and fortnightly (management review) calls, documenting and sharing takeaways from every call and sticking to commitments. We say "NO" when we can't do something and carefully assess a process to ensure we can do it better.
Knowledge Management
We take a strategic approach to Knowledge Management. Being pioneers in managing offshore service delivery, we aim to "attrition proof" our client processes. Apart from cross training and maintaining a stream of trained resources as backup, we leverage technology. Our Procedure Manuals are created with this in mind and are highly detailed to ensure that every step is documented in sufficient detail. The manuals are mix of both the application navigation steps and the logic applied to make decisions. We break down any process to the lowest degree of complexity, enabling minimum lead time in the case of replacement.
"As-Is" Phenomenon
Continual Innovation is imbibed deep into Vertex Billing Solutions's DNA. We rigorously scout for opportunities to innovate and improve the value we deliver. A dedicated Business Excellence team works on a charter to find ways to improve the key metrics through value stream mapping, process simplification and automation. We question not just on "what is to be done" but also on "why is it done" and "what if it is not done". All employees are encouraged and measured for their active participation in innovation drives that focus on "Doing More For Less" and getting things done "First Time Right".
Cultural Differences
Vertex Billing Solutions insists on frequent face to face interactions between key staff who are leading the offshore project. An onsite transition enables a strong bond between both teams reducing opportunities for conflicts. Follow up visits to our client locations are periodically undertaken. Clients are also encouraged to visit their offshore team to review and ascertain various processes. This system brings in empathy as there is a better understanding of each other's work culture and styles. Vertex Billing Solutions enables qualified client resources to take on more strategically important roles that truly matter to the organization. With this being clearly established, a cordial and successful partnership is for sure.
Flexibility
Our client service teams are very thoughtfully structured to ensure that all customers get what they need. Individual teams are allowed autonomous functioning enabling very high levels of agility and flexibility to meet client needs. Knowledge Management, Quality Control and Business Excellence practices cut across these client teams enabling effective mindshare without compromising on the ability to be flexible.
Opening Hours
- Monday - Friday
8:00am to 5:00pm EST
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Request an appointmentAbout
Vertex Billing Solutions unleashed
Vertex Billing Solutions is Healthcare Business Process Management Services Company. Meticulous professionals drawn from varied industries envisioned bringing an organization to life that focuses on knowledge intense processes delivering value to our clients. The company thrives on Business Excellence and leverages models such as Kaizen and Six Sigma along with technology enablers, to continually enhance value to customers.
Vision
To be the leader in offshore Business Process Management for Insurance & Healthcare businesses differentiating ourselves purely by the value we add to our clients and in turn their clients businesses.
Mission
Vertex Billing Solutions will strive to deliver business value beyond cost savings to our clients. We will work passionately, innovate continually and harness technology to build strong, long standing business relationships. Every relationship will be built on trust, integrity, accountability and transparency, while thinking from both our clients and employees standpoint at every opportunity.