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Medical Billing SolutionsMedical Billing Solutions
Case Studies

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Case 1: Patient billing solution with clinical system
integration
PROBLEM TO BE ADDRESSED:
Client requires a solution that provides efficient charge creation and timely payments with
integration to clinical systems
OUR SOLUTION:
Binary Spectrum developed an integrated billing solution that comprises of the following:
 Patient Demographics and Charge capture
 Claims generation and Submission
 Cash Posting / payment entry
 Complete Collections, EOB Follow up and Denial Analysis
 Receivables Management
 Ageing Analysis
 Service Fund Management

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Workflow

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Case 2: Electronic Claim and Member Management for
Health Management Office
PROBLEM TO BE ADDRESSED:
Client requires a solution that enhances efficiency of the claim processing process and also
aids in growth plans
OUR SOLUTION:
Binary Spectrum developed an automated billing solution that comprises of the following:
 Support for multiple integration mechanisms for Vendor interactions
 Compliance checks and acknowledgement generation
 Parsing and Validation mechanisms
 Automated Workflow and Rule Management
 Support for Real-time Messages
 Loads the claims into HMO’s database (No claim will be loaded into it, until all errors are
fixed).

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Workflow

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Case 3: Patient Billing and Coding Solution for Practice
Management Software
PROBLEM TO BE ADDRESSED:
Client requires a comprehensive billing solution that meets CMS, NUCC, HIPAA regulatory
standards and Insurance company’s policies and processing requirements.
OUR SOLUTION:
Binary Spectrum developed a comprehensive billing solution that comprises of the following:
 Charge Capture
 New claim
 Find claims
 Paper claims conforming to NUCC
 Electronic Claim Transmission
 Payments Recording
 Patient statements
 Rebilling
 Apply transactions

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Workflow

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OUR KEY DIFFERENTIATORS IN WORKFLOW
Under the Billing and Coding services, there are multiple ways of creating a final
charge for a patient.
Flow 1 :
At the time of booking an appointment, an encounter can be started, treatment
plan details can be captured and the encounter can be ended which takes the user
to charge creation screen & for creating the charge for the encounter.
Flow 2 :
Another flow is from the book appointment page. There is the option of super bill
which starts the charge creation process, imports all the services that are captured
in the super bill to the charge creation screen & creates the charge, associating the
appropriate prices for the services.

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WHY BINARY’S BILLING SERVICES?
We deliver,
• Significant system and personnel designed software
• Superior 24 / 5 customer services
• Technical expertise for cost effective robust solutions
• Solution centric approach

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Contact For Billing Services
New Jersey
Binary Spectrum Softech pvt. Ltd
140 E Ridgewood Ave Suite 416
Paramus, New Jersey -07652
USA
Tel : +1-813-359-8990
+1-201-474-8224
+1-813-902-2396
Fax: +1-813-200-1004
India
#2/10, Ajay Plaza, 1st Main,
NS Palya, Bannergatta Road,
Bangalore - 560 076 India
Tel: +91-80-4057-6000
+91-80-4115-2069
+91-80-2520-5452
Fax: +91-80-4148-0862

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THANK YOU!!THANK YOU!!