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SYNAPSE SYSTEM: How the System Works
A summary of how we handle a typical billing cycle:
1. Charges
and payments are batched in the US office in a manner appropriate
for a data entry clerk.
2. Batches
are scanned into a PC and sent over to the Philippines via the internet
in encrypted form to protect patient privacy.
3. The
Philippines reviews the data and keys in the charges and payments
into the host computer, flagging for statements and secondary insurance.
4. The
Philippines send reports with copies of EOBs and charges that may
be questionable. These reports are reviewed by the local supervisor
for corrections.
5. Typical
turnaround, which also depends on the volume of work, is usually
12 hours. Our staff in the Philippines operates 16 hours a day.?
Due to the 12- 15 hour time difference between the United States
and Manila, work that is submitted for data entry at the end of
the business day here is usually almost immediately processed over
there, where their day has just began.
6. Based on Aging Analysis Reports
and other report tools, open insurance claim status and outstanding
patient payments are followed up through phone calls.
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