Utilization Management
In today’s complex healthcare scenario at KPC Techno Vision we strive hard to streamline each step of medical system to impart best facility to our chain of hospitals. This is the very reason we embraced Utilization Management solutions for our healthcare facilities. But why utilization management?
Utilization Management helps healthcare facilities reduce hidden costs by streamlining expenditures. Our proven approach, combined with expertise in healthcare automation, allows our hospitals to optimize resources and maximize reimbursements efficiently.
How we assist our hospitals to deliver efficient patient care service?
- Understanding patient history and analysing patient data with aid of advanced technology plays a crucial role. We cater appropriate medical treatment to a patient after thoroughly analyzing a patient’s history thus, cutting any irrelevant expenditure offering patient care.
- Our multidisciplinary teams work together to design personalized care pathways, treatment protocols, and surgical interventions tailored to each patient.
- Shorter hospital stays boost patient turnover, driving increased profits while expanding the facility’s capacity to treat more patients. This creates a win-win: enhanced efficiency and the ability to provide care to a larger number of individuals.
- By curbing the overuse of healthcare resources, we help reduce unnecessary spending while ensuring that each intervention delivers maximum benefit. This smart allocation leads to cost-effective care without compromising outcomes.
- At KPC Techno Vision we follow the recommended three-fold path for utilization management – Prospective review, Concurrent review as well as Retrospective review.
Appropriate use of The Evidence Based Guidelines Such as Milliman Care and InterQual of change healthcare to justify patient’s inpatient medical necessity.
- Pursuing inpatient appeals for inappropriately denied cases for authorization or claim approval post billing.
KPC Techno Vision delivers RCM, it is the process of managing patient registration, billing, insurance verification, coding, reimbursement, and collections. Its goal is to optimize revenue while minimizing costs and compliance risks.
Key RCM Steps:
- Patient Registration
- Insurance Verification
- Medical Coding (ICD-10/CPT)
- Charge Capture
- Billing
- Claims Submission
- Reimbursement
- Denial Management
- Collections
- Other Services
Health Information
Effective healthcare hinges on managing medical data well. KPC Techno Vision’s HIM system ensures
secure, accurate data, streamlines hospital operations, enhances care, reduces errors, and complies with
HIPAA for optimal outcomes.
Utilization Management
At KPC Techno Vision, we streamline healthcare with Utilization Management to cut costs and boost efficiency. By analyzing patient data, optimizing resources, and reducing unnecessary spending, we deliver personalized, cost-effective care while maximizing hospital capacity and profits.
Medical Coding
KPC Techno Vision ensures accurate medical coding to optimize patient care and revenue cycles. Our certified coders streamline processes, reduce errors, and minimize claim denials, delivering efficient, cost-effective solutions for our healthcare facilities.
Accounts Receivable
With a team of professionals we tackle denials and underpayments by optimizing revenue cycles. Our A/R specialists use analytics to prevent future denials, recover underpaid claims, and strengthen financial health through proactive strategies.
Information Technology
KPC Techno Vision empowers its hospitals with cutting-edge IT solutions, streamlining operations, enhancing data security, and driving efficiency to deliver exceptional patient care through seamless technology integration.
Accounts Management
KPC Techno Vision elevates hospital financial health with expert Accounts Management services, optimizing cash flow, reducing denials, and streamlining reimbursements to ensure smooth, efficient operations across its healthcare network.
Release of Information
KPC Techno Vision delivers a seamless, secure Release of Information (ROI) process, safeguarding patient privacy, adhering to HIPAA standards, and ensuring timely access to records, empowering informed decisions and continuous care.
Data Management
Our data management solutions ensure accurate, secure, and organized patient information. We harness advanced technology to streamline data flow, empowering healthcare providers with insights for better decision-making and enhanced patient outcomes.
Get In Touch
We’d love to hear from you!
Contact us on :
contact@kpctechnovision.com
+91 8100107724