Appistoki ensures class of service when it comes to medical coding to its client including healthcare providers, hospitals and Emergency Ambulance services. Our teams are fully compliant with all of the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRPs). Backed by an excellent team of Certified and experienced medical coders from various Medical science backgrounds such as Doctors, Physiotherapists, Pharmacists, Microbiologists, etc.,We provide our clients with the highest level of quality medical coding services available. Our coding teams, who are CPC, CPC-H and CPC-P, have the, efforts supported by our clients to provide maximum and accurate reimbursement. Our BAs and OA team actively follow standard delivery model and enjoy the Agile CIP Models for Delivery. Our continuous endeavours to improve our coding and compliance initiatives through continued AAPC standards too. Expert teams and COE teams and expertise in most major specialties. Education programs, audits, and industry updates, class us from the competition.
Our Development Team:
• CPT, ICD-9, and HCPCS coding across
• Various specialties
• Efficient Coding for PQRI
• Insurance and governmental regulatory requirements
• AMA documentation Requirement
• Payer- specific coding requirements
• ACR, CMS and other official Coding Guidelines
SECURITY & HIPAA
Appistoki is committed to HIPAA Compliance, has all the required procedures and policies in place and has taken utmost care to ensure and safeguard Data and Personal Health Information (PHI). Our process is not just written up for viewing but we ensure that we follow and ensure continuous Improvement and adhere to standards on information control including Data and Personnel security, Risks, Incident Management and Responses and Critical Disaster Recovery.
Takeaways we follow:
• Regulatory Compliance and Mapped Policies
• COBC and Ethics Standard Adoption
• Effective Employee Education and Awareness – Initial and Ongoing
• Employee Background verification in OIG Exclusion List
• Comprehensive Physical and Access Controls with Validation Procedure
• Best in Class ITaaS – Secure Server, Anti virus Software, Firewall, Role Based File permissions with intrusion detection system, Email Scanning Policy
• Strong Adoption of IT Policies including Usage, Password, Data,
• Adoption of Best and Compliant Billing Practices, Data Integrity and Record Control System
• Compliance Monitoring, Auditing, and Reporting System
• ITIL V 2.0 Compliance on ITSM and Sanction Policies
• Red Flag Rule Compliant
Data and Information Security Policy:
Appistoki is committed to protect from all threats including unauthorized access, modification, disclosure or destruction whether internal or external, deliberate or accidental the company’s information. The Policy covers Physical and all forms of Information Security. All employees and consultants are obligated to this and is his/her responsibility to adhere to the policy. Disciplinary policies in place for non-compliance.
Advanced Firewall features, Role based and user defied Data Access, secure logins, restricted website access and other features helps secure our data and information system.
Backup Security Policy:
The backup server is DAT 72 tape device. All of the associated SYNC BACK software provides us with disk-based backup on a daily basis, which are checked for successful completion on all servers daily. Log Verification Policies and Process in Compliant with SOP.
Physical Site Security Policy:
Every entry is accessible to authorized personnel only, use of electronic doors with Fob ensures authorized entry or exit with precision data capture.
Network Security Policy:
Dedicated customer VPN / VLAN for each client, network driven data management through the internet and only client authorized personnel is allowed to access. Kaspersky Scheduled and Auto updates policies in place, Junk and Spam Filters and protection installed for desktops and servers and periodic maintenance in place.
REVENUE CYCLE MANAGEMENT
Tailored Medical Billing Services including Claims, In Depth Patient Support and Reporting. Adoption of Best practices combined with At of technology service, Appistoki is fully equipped to provide professional customized solutions that can fill specific needs and/or completely revive our client’s revenue cycle.
Services Offered Include
• Charge Entry
• Medical Coding
• Posting for all Payments and Adjustments
• Accounts Receivable Analysis and Management
• Insurance and Patient Follow-up
• Old Accounts Receivable Clean-up
• Insurance Verification
• Provider Enrollment
• Managed Care Assistance
Appistoki has a specialized accounting services team offering different accounting services to our US based clients. A core team who understands the US accounting system (GAAP). We also specialize in Transaction Processing and Analytics related work.
Services Offered Include:
• Payroll processing (Daily and Weekly) and Administration.
• Account Receivables & Collections
• Account Payments
• Fixed Assets
• P&L and Balance sheet
• Filing of various tax returns
ACCOUNTING & RECEIVABLES
At Appistoki, one critical area of business is to ensure optimum revenue recovery. Valued key personnel skills aided with class of technology services support this critical business area. Standardized adoption of customers, vendors and payments. Well defined flow for follow up process with payers, patients, and reduced administrative overheads. This group enables and manages increase in overall profitability of the organization. Formal Process established and is well defined for Collections and medical AR. We realize it with quick TATs and Data and aim to improve our client’s cash flow and improving profitability by reducing days in A/R, and increasing collections ratio.At Appistoki, one critical area of business is to ensure optimum revenue recovery. Valued key personnel skills aided with class of technology services support this critical business area. Standardized adoption of customers, vendors and payments. Well defined flow for follow up process with payers, patients, and reduced administrative overheads. This group enables and manages increase in overall profitability of the organization. Formal Process established and is well defined for Collections and medical AR. We realize it with quick TATs and Data and aim to improve our client’s cash flow and improving profitability by reducing days in A/R, and increasing collections ratio.
A formal Continuous Improvement Process (CIP) is in place for improving efficiency at each to improve efficiency at each step of the revenue cycle while working to exceed and excel the industry best practices.
Standard Audit trails on collections to ensure an audit of all the accounts is undertaken to reconcile unidentified and duplicate payments. Enabled Technology aids to ensure Insurance Companies and Patients are contacted to identify unidentified payments and duplicate patients. Necessary refunds to the insurance companies and individual payers are made. This enables proper settlement and accuracy of collection process.
DATA ENTRY SERVICE
Appistoki has a dedicated and expert team to ensure Data gets to system accurately. We value and recognize that simple data entry functions into practice management software systems may not always be so simple.
Our teams work on various areas of which the key and critical being:
• Demographic Information Charge Entry
• Payment Posting
• Data Validation