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Like most of Bokharis's Services, we are looking for effective ways to implement
Medical Billings solutions and reduce overall operational costs. To be a long-term
partner Bokharis Services has had the opportunity to look to provide high quality
and cost effective complete billing solutions.
Bokharis along with Healthcare-IQ is a health information company that enables health
care providers to manage cost-effective health care delivery and reimbursements.
Unique Products
Services leverage our proprietary database, Rules Based Engine and artificial intelligence
to decrease costs, increase revenues and improve the quality of service you provide.
Our unique Practice Management and Additional Services make Bokharis the ideal solution
for large and small healthcare providers.
Bokharis’s dynamic Rules-Based Engine (RBE) tracks, updates and maintains
a comprehensive knowledge-base specific to the health industry on both the local
and national level.
The RBE applies a series of sophisticated, clinical and financial based edits analyzing
the following relationships:
• Insurance company
• Coding edits
• Coverage issue
• Financial outcomes, i.e. Reimbursements
• Clinical policy
• Utilization guidelines
• Employer sponsored benefit plan provisions-exclusions-limitations
• Line-item information contained in insurance claim or remittance statement
All benefit plan provisions, including clinical and financial rules are directly
aligned with the following edit criteria:
• Single medical bill
• Single patient
• Provider specialty
• Place of service
• Same date of service
Bokharis’s Artificial Intelligence maps directly to the clinical, financial
and business rules that impact insurance companies, managed care organizations,
health care community and employers.
The intelligence is our Rules-Based Engine identifies and automatically updates
the edit criterion used to establish public and private sector benefit plan adjudication
rules.
Our Expertise in this Field
We are trained in regulations pertinent to Medicare, Medicaid, blue products, managed
care, third party liability, workers compensation, Preferred Provider organizations,
indemnity insurers and have a complete understanding of CPT, HCPCS, ICD-9 coding
Level I, II, III. They also have the ability to identify data as related to submitting
a clean insurance claim for reimbursement by insurers.
Technically Speaking
We use secure networked Medical Billing & document routing
with advanced auditing process for the dictation, correcting and training you speech
files and documents are returned, formatted and ready to print or insert into your
electronic medical record.
Sounds good to u For our client's satisfaction, we offer free
pilot project that helps our client experience the benefits of working with Bokharis
before going live.
For more information on this contact us
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