evolve

clarity,everytimeWelcome to ClarusOur vision will be accomplished when providers go paperless and spend much time on patients rather than working on claims.

healthcaresolutions for the next evolution

experience

engage

evolve

“Accurate and ReliableImprovements in paymentSignificant reduction in A/R days Operational cost reduction and enhanced coordination

Trust & Quality

Vision we live on Core value

Clarus provides services to healthcare professionals, hospitals and medical billing companies.

Clarus operates with six sigma level Quality management system.

Clarus supports to organize and maintain high standards in the competitive healthcare revenue cycle management arena.

Clarus maintains precise process excellence and deliverables within the stipulated timeframe.

To REVOLUTIONISE the healthcare industry with quicker turnaround time, transparency, bare minimum denials and cost effectiveness.

Integrity Quality Innovation Constructive Communication Mutual Respect Long Term Relationships

Themission statement

• Comprehensive, transparent RCM system

• Maximizing client’s revenue potential by reducing operational costs with best in class end to end services.

• Reduced backend professional Charges

• Credentialing and contracting services with 100% Quality Assurance

• High process efficiency

• Quicker turnaround time

• Efficient client co-ordination

• 100% customer satisfaction

Document Management

Provider ServicesReducing administrative cost

Coding ServicesFully compliant with ICD-10-CM

Payer ServicesUnparalleled attention to details

Documenting every single process

The turn key solutions

DMS

RCM

PS

End-2-End Billing Services

ProviderEnrollment

Authorization Request

and Tracking

Eligibility & Benefit Verification

Medicalcoding

ChargeCreation

Electronic & Paper ClaimsSubmission

PaymentPosting(Insurances& Patients)

Fee Schedule Review & Analysis

Denials & Accounts Receivable Management

AppealsManagement

Secondary Insurance

Billing

ExtensiveInsuranceFollow Up

Patient Statement Processing & Mailing

InboundPatient

call support

• Accurate and Reliable• Improved cash flow• Our clients benefit from our solid foundation and experience.• Remarkable improvements in payment per procedure • Significant reduction in A/R days • Operational cost reduction and enhanced coordination • Robust analytics and reporting • Denial reduction

Revenue Cycle Management

Revenue Cycle ManagementProcess Flow

Insuranceeligibility verification

1

Patient Demographicsdetails entered into the PMS

2

RetrieveMedical Records for Coding

3

Codeddocumentsare then sentfor Charge Entry

4

Electronic/Paper claimsubmission toInsurance payersand track Rejections

5

PaymentPosting and reconciliation of the claim

6

AR follow-up and Denial management

7

Customized reportssent to clientperiodically

8

ProviderServices

Eligibilityverification

Enteringpatient info,

codeddiagnosis and

procedure

PaymentPosting, denial

capture andappeals

Insurance, patientAR follow-up

andDenial management

Submissionto Insurance

payers and trackrejections

Codingdiagnosis and

procedure

CodingServices

Optimizing revenueby reducing

compliance risk

Compliance auditperformed by

AAPC certified coders

We follow Top levelSix Sigma QMSwhich makes an essential part inproject execution

Complete an amplereview of ICD-10 work flow,

strategies, action plansand initiatives.

Appropriate HCCvalue linked to related MRA

Diagnosis code

Improving cashflow by

accurate claimssubmission

ClaimsData Entry

Provider DataMaintenance

Pricing

AppealProcessing

ClaimsAdjudication

Services

MemberEnrollmentServices

PayerServices

Documents by adocument management

system are regulated

Capture avariety of file

Metadata

Periodically review the

storage capacity

Distribution& Security

Linking Records to Business Process

DocumentManagement

Why us ? Apart from the usual benefits that you get from offshore outsourcing, Clarus provides you more advantages:

• Management with over 15-Years of experience in Healthcare industry

• HIPAA compliant

• Dedicated Managers for every practise

• End-to-end RCM services

• Flexible pricing options

• Expertise in various number of specialties

• Experienced in vast EHR and Practise Management Softwares

• Disaster Recovery Centre and Business Continuity Plan for uninterrupted services

24/6CustomerSupportall round the year

Clarus RCM Inc., www.clarusrcm.comContact: 888 736 3611Email: info@clarusrcm.com