Revenue Cycle Redefined

Explore and experience services which will have quantifiable business outcomes.

Why NobleServe Healthcare

Customer-Centric Operational Design

An agent along with a delivery manager will own the relationship and will achieve the goals that are aligned to meet the client’s vision. With our philosophy to a customer-centric approach, we engage with pioneering models that include advanced technology based on the requirements given.

Operated With Analytics & Technology

Tailored workflow along with reporting solutions with advanced technology for Coding, AR, and Cash Posting will create a smooth transition. With Business Intelligence, Performance Metrics & Benchmarks we improve in productivity and accuracy.

Quality & Security

Committed to the highest levels of security and quality. We are HIPAA compliant and ISO 27001: 2013 Certified for information security management system. NobleServe is also SOC-2 Type II certified - which ensures Security, availability, processing integrity, confidentiality and privacy. We ensure to protect the interests and the privacy of our client organizations.

Delivery Approach & Strong Transition

To deliver better business outcomes we focus on continuous improvement and innovation by incorporating our learnings along with balanced operations. A toll gate-based transition approach designed to avoid risk and ensure effective governance and client experience.

Extensive Regulatory Compliance Structure

Strong emphasis on and dedication to compliance and integrity that helps our commitment to excellence. Team of qualified experts trained to take utmost care of information security and inspire confidence in our clients.

Disaster Recovery Support

A thorough evaluation and tactics to lessen risks and business impact. Business continuity planning to manage projects in case of constraints or emergency. Accessibility to critical Technology and applications across locations which we have as one of our pillars to success.

Our Key Services

01

Coding Services

NobleServe Healthcare coders have 7 plus years of experience in providing medical coding services to physicians and facilities in the US healthcare business. Coders are experienced in multiple specialties and credentialed from different organizations like AAPC, AHIMA and PHIA. We provide a wide range of services in medical coding and consulting. Our coding clientele include providers and medical billing companies from many states in US, hence understand different payer rules, policies and guidelines. We deliver high quality services with proficiency in following correct coding initiatives, and coding manuals & guidelines like ICD-10-CM Volume 1, 2 & 3, CPT-4, HCPCS, LCD, MSDRG, etc.

Experts In

Professional and Hospital charts

Review of medical records to identify up-coding & non-compliance issues

Reviewing medical records for down-coding resulting in loss of revenue

Consulting to improve medical record documentation which would substantiate the service offered

Auditing hospital charts for complying with MSDRG guidelines, avoiding DRG creep, potential areas to increase revenue

02

Revenue Cycle Management

NobleServe’s billing experts are well versed in all Medicaid state plans, managed care plans, government-funded programs, third-party insurance, and Medicare billing rules. We follow industry-standard key performance metrics to measure success and integrate best practices, so that you get the value of our proven experience and expertise.

Appointment & Scheduling

Eligibility Verification & Pre-Authorization

Patient Registration

Medical Coding

Charge Entry

Payment Posting

Denial Management

Account Receivable Management

Credentialing For Physicians

One of the most critical elements of delivering high-quality healthcare is the efficient Patient scheduling and appointment management process. The key to efficient patient scheduling begins with understanding the patient requirements by asking the right questions and determining the right strategies for the delivery of care.

While proactive engagement with patients through an online portal and automated reminders can reduce the patient no-shows, on the other hand, appointment management helps providers to better manage their schedule to minimize the long wait-time. Leverage NobleServe’s Patient Scheduling and Appointment Management services to streamline your revenue cycle performance.

The procedure of verifying a patient’s insurance coverage to determine its coverage and eligibility is known as eligibility and benefit verification. This process is crucial to prevent denials and avoiding delays in payment, which results in increased revenue and enhance patient satisfaction. Our eligibility verification specialist checks and verify following information for each patient at the time of service:

Demographic information
Coverage Information
Benefit Information
Prior Authorization requirements

Getting complete and accurate information from patients at the point-of-service, and accurately capturing the information into your revenue cycle system is not only a key to the success of your revenue cycle, but also enables multivariate population health analytics.

Inaccurate capture of demographic information of the patients could potentially cause claim denials, and consequently, and delayed payments. Studies show that medical practices lose as much as 7% of their annual revenue due to errors in demographic data capture. Utilize NobleServe’s Patient Registration Services to improve accuracy optimize your revenue cycle

Error-free and accurate medical coding is a critical process of RCM. At NobleServe, we are committed to quality & to meet our rigorous quality standards, all our coding assignments are handled by AAPC certified coders. Their precise coding enables your practice to accelerate your payments.

Failure to efficiently document care information can often lead to revenue leakage and to prevent that every claim is double verified to check: DOS, POS, Provider Info, Units, Modifiers, CPT code, Facility billed from, Referring Doctor in order to reduce the chance of claim rejection by 99%. All bills are raised as per facility specific fees schedule. Our robust quality system in place, ensures 100% clean claims submission in first time itself.

Insurance Payment posting is a crucial step in billing process. Accurate and efficient payment posting process is indispensable for any Physician’s office. Our cash posting specialists are highly efficient and analytical in payment posting from EOBs and handling ERAs.

Their expertise lies in working on the all-possible scenarios of remittance advice including underpayments, overpayments, denials, multiple adjustments, automatic cross-over, secondary remittance, reversals etc. information.

Denial management is a critical element to a healthy cash flow. The process of Denial Management has only one key – ANALYSIS, once the root cause of denial is figured, correcting it and getting paid for it is not a task. Insurance companies in general have an approved list of procedures or diagnosis combinations that they would pay for.

Our denial analyst team has extensive experience of denial management, right from beginning they start analysing the root cause for the non-payment and simultaneously they start updating rules and strategies to prevent their occurrence in future.

Account Receivables is an integral part of the medical billing process. Revenue stuck in various aging buckets clearly shows the financial health of any physician facility or the hospital. The key to efficient AR management is timely follow up based on payer specific adjudication time period and swift action on all unpaid claims.

AR specialist in our consortium run reports on account 21 days past due and start following up with insurance companies to check claim status, re-file, or gather additional information. This allows us to keep the average age of account receivable at 25 days or less.

We can assist you with provider enrolment and becoming an in-network provider so that you can receive reimbursements from each carrier. Just a few years ago physicians used to consider medical credentialing service “optional” for building a practice but today it has become more necessary than ever for providers to be in-network with insurance companies.
The credentialing team delivers a knowledgeable and comprehensive service to assist you in becoming an in-network provider with the insurance carriers that you want to participate with. We can give you recommendations by performing analysis for your specialty and service area if you require assistance. Credentialing physicians is an ongoing process and must be redone every 3 to 5 years. At NobleServe we provide all credentialing services including maintaining CAQH profile, fresh credentialing, re-credentialing, sending you notification of expiring documents etc.

Our Strength

NobleServe Healthcare professionals have diversified experience in the Healthcare business spanning across medical billing, coding and claims processing. We strongly believe in the statement ‘People are our Assets’ and make constant stride to enhance their skills to meet the growing challenges. Leadership team with over 20-man years of experience in the US Healthcare business, both in the provider and payer space knowledge. Transition managers with Operation experience and exposure to the best practices of the industry.

Our Specialities

We have separate teams of certified coders with specific training, skill sets, and expertise in individual medical specialities. We have teams assigned for (but not limited to) the following Specialities.

Chiropractic

Dermatology

Radiology

Pulmonary

Neurology

Pediatrics

Cardiology

Other Services

Testimonials

Accreditations

Let’s Engage, Embrace and Evolve Together.

NobleServe offers ‘extensive’ and ‘personalized solutions’ for the Mortgage, Healthcare, and IT service industry with a quality and systematic approach; supported with advanced technology and a hybrid delivery model.