Elate RCM: Revolutionizing Healthcare Revenue Cycle Management with Innovative Approach
The healthcare industry is witnessing a rise in lifestyle-related diseases, and technology is playing a vital role in shaping its future. Artificial intelligence (AI) is enabling predictive and preventive medicine by analyzing patient data. Smart devices, such as smart watches and wearable medical devices, are providing valuable data for personalized treatments. Telemedicine has gained popularity, particularly during the COVID-19 pandemic, with over 40 percent of Medicare Primary visits in the US being conducted remotely.”By embracing cutting-edge technology & industry expertise, elate rcm is at the forefront of transforming revenue cycle management in the healthcare industry”
Advancements like gene editing, genomics, prosthetics, lab-grown body parts, robotics, and nanobots are expected to have a significant impact on healthcare. The Internet of Things (IoT) is also driving the shift towards proactive and personalized medicine. However, these technological advancements present unique challenges for the healthcare industry, as it adapts to new technologies and ensures interoperability.
The healthcare sector is projected to grow from $12.7 billion in 2020 to $20.3 billion by 2030, with telemedicine and medical tourism contributing to this growth. However, the challenge of interoperability arises due to data silos created by electronic health record (EHR) systems. To enable effective data exchange, institutions must have a willingness to share data, use efficient standards and interfaces, protect patient data, and have the ability to identify patients across different locations.
AI and blockchain are expected to play a crucial role in overcoming these interoperability challenges, particularly in the context of increased telemedicine adoption during the pandemic. Efficient data exchange is essential to improve patient outcomes, especially for individuals with chronic conditions or those who see multiple physicians.
ELATE RCM is a leading healthcare revenue cycle management company, recognized for offering comprehensive solutions to healthcare providers. The firm’s range of services encompass various crucial aspects such as coding, billing, claims management, denial management, and accounts receivable management. Leveraging advanced technology and automation, ELATE RCM enhances efficiency, accuracy, and speed in revenue cycle management processes. The firm provides healthcare providers with comprehensive reporting and analytics, empowering them to gain valuable insights into their revenue cycle performance and identify areas for improvement.
“ELATE RCM understands that each healthcare provider has unique requirements, and they tailor their solutions accordingly, catering to the needs of small practices, large hospitals, and healthcare systems alike. With a steadfast commitment to delivering high-quality services and maximizing revenue for their clients, ELATE RCM offers innovative and reliable revenue cycle management solutions. By embracing cutting-edge technology and industry expertise, ELATE RCM is at the forefront of transforming revenue cycle management in the healthcare industry”, speaks Rita Chaudhury, CEO, ELATE RCM.
Range of Offerings
ELATE RCM transforms Medical Claim Management by redefining traditional operating models and processes to create extraordinary value for Medical Billing Companies and Hospitals. With over 18 years of rich domain expertise and robust technology, ELATE offers end-to-end revenue cycle solutions for organizations in the healthcare industry, including hospitals, midsized provider organizations, and Medical Billing Companies in the USA. Each solution responds to clients' unique needs and delivers sustainable value. ELATE's Coding Services ensure a compliant coding policy of every claim that boosts physicians'/hospitals' revenue. The Billing and Accounts Receivable team actively follows up with unresolved claims issues and appeals denied claims. ELATE's ICD10 Clinical Documentation Improvement policy helps physicians document the EMR according to CMS compliance standards. All team members are AAPC and AHIMA certified, ensuring the gold standard of certification, education, and experience.
ELATE RCM is HIPAA and ISO 9001:2015 Compliant Organization. Under HIPAA’s Privacy Rule, ELATE falls under the extension of Business Associate. A Business Associate(BA) is any person(s) or entity, which performs a function or activity on behalf of a Covered Entity (CE) and involves the use or disclosure of Protected Health Information (PHI). “We, at ELATE very serious about compliances.
We have undertaken various steps and designed our process to ensure the same. Our entire network is very secure. All clients’ office records are kept behind a secure firewall and all electronic claims are securely encrypted for transmission. Client’s privacy and security are given the highest priority at ELATE”, says Rita.
Promising Unique Range of Services
. Revenue Cycle Management
. Patient Registration/Demographic Entry
. Insurance Eligibility Verification
. Medical Coding
. Payment Posting
. Accounts Receivable Management
. Denial Management
. Downcoding Analysis and Report Generation
. ICD10 Clinical Documentation Improvement
"ELATE is also compliant with Medicare, Medicaid, HIPAA, and HITECH requirements. Our stringent adherence to PHI and confidentiality affords our client’s the ability to meet regulatory requirements. We use Virtual Private Network (VPN). The VPN secures the private network, using encryption and other secured mechanisms to ensure that only authorized users can access the network and that the data cannot be intercepted. This type of network is designed to provide a secure, encrypted tunnel to transmit the data between the remote user and the private, corporate network”, speaks Rita.
The healthcare compliance is essential for patient care, with HIPAA prioritizing patient data security and privacy. Medical coders and billers must maintain compliance criteria to ensure the reimbursement of claims. Certified professional coders are crucial for physicians' livelihood, with extensive education and experience in handling claims. ELATE RCM is an 8+ year old business with competitive service quality, TAT, and charges while specializing in various areas of healthcare.
A Notch Ahead In Following Specialties: :
. Emergency Room
. Ambulance
. Orthopedics
. Physical Therapy
. Chiropractic
. Ophthalmology
. Neurology
. Cardiology
. Gynecology
. Pain Management
. Psychiatry
. Endocrinology
Navigating through Clients’ Challenges
In the face of ever-evolving healthcare industry challenges, ELATE has positioned itself as a dedicated partner for healthcare providers. The firm understand the difficulties providers face in keeping up with compliance regulations and clinical documentation improvement. During the COVID-19 pandemic, ELATE supported hospitals and physicians by providing round-the-clock assistance on coding, billing, and compliance issues.
The firm helped in staying updated on new compliance rules and educated themselves to ensure accurate billing for COVID-19 services. ELATE's services focused on addressing deficient documentation, collaborating with physicians and physician assistants to clarify and verify information for compliance and reimbursement purposes. Proactively preventing claim denials, ELATE conducted online meetings with healthcare professionals to discuss reimbursement pitfalls, documentation deficiencies, and new COVID-19 regulations. Additionally, ELATE's expert professionals engaged with patients to communicate payment responsibilities, insurance eligibility, and payment options to manage increasing out-of-pocket expenses.
Path Ahead
ELATE is an organization aiming to ad¬dress the shortage of healthcare professionals worldwide, which has been exacerbated post the COVID-19 pandemic. The firm plans to bridge this gap by developing the skills of 2,000 youths in areas such as Medical Coding, Billing, Compliance, Auditing, and Risk Management by 2025. The goal is to enhance their employability in the healthcare industry. ELATE recognizes the importance of accurate data in the future of healthcare. The firm emphasize the implementation of highly effective clinical documentation improvement (CDI) programs using AI and blockchain technology.
CDI is crucial in every stage of the claim management cycle, ensuring privacy and security. With¬out accurate data collection and recording, patient data cannot be guaranteed, which poses challenges to both current healthcare organizations and the future of data-driven medicine. “Your Brand Reputation Depends on Accurate Data. It’s imperative to create a culture within the organization to be focused on critical thinking that empowers both staff and clinicians to be strategic in their documentation”, signs off Rita.
Promising Unique Range of Services
. Revenue Cycle Management
. Patient Registration/Demographic Entry
. Insurance Eligibility Verification
. Medical Coding
. Payment Posting
. Accounts Receivable Management
. Denial Management
. Downcoding Analysis and Report Generation
. ICD10 Clinical Documentation Improvement
"ELATE is also compliant with Medicare, Medicaid, HIPAA, and HITECH requirements. Our stringent adherence to PHI and confidentiality affords our client’s the ability to meet regulatory requirements. We use Virtual Private Network (VPN). The VPN secures the private network, using encryption and other secured mechanisms to ensure that only authorized users can access the network and that the data cannot be intercepted. This type of network is designed to provide a secure, encrypted tunnel to transmit the data between the remote user and the private, corporate network”, speaks Rita.
The healthcare compliance is essential for patient care, with HIPAA prioritizing patient data security and privacy. Medical coders and billers must maintain compliance criteria to ensure the reimbursement of claims. Certified professional coders are crucial for physicians' livelihood, with extensive education and experience in handling claims. ELATE RCM is an 8+ year old business with competitive service quality, TAT, and charges while specializing in various areas of healthcare.
A Notch Ahead In Following Specialties: :
. Emergency Room
. Ambulance
. Orthopedics
. Physical Therapy
. Chiropractic
. Ophthalmology
. Neurology
. Cardiology
. Gynecology
. Pain Management
. Psychiatry
. Endocrinology
Navigating through Clients’ Challenges
In the face of ever-evolving healthcare industry challenges, ELATE has positioned itself as a dedicated partner for healthcare providers. The firm understand the difficulties providers face in keeping up with compliance regulations and clinical documentation improvement. During the COVID-19 pandemic, ELATE supported hospitals and physicians by providing round-the-clock assistance on coding, billing, and compliance issues.
The firm helped in staying updated on new compliance rules and educated themselves to ensure accurate billing for COVID-19 services. ELATE's services focused on addressing deficient documentation, collaborating with physicians and physician assistants to clarify and verify information for compliance and reimbursement purposes. Proactively preventing claim denials, ELATE conducted online meetings with healthcare professionals to discuss reimbursement pitfalls, documentation deficiencies, and new COVID-19 regulations. Additionally, ELATE's expert professionals engaged with patients to communicate payment responsibilities, insurance eligibility, and payment options to manage increasing out-of-pocket expenses.
Path Ahead
ELATE is an organization aiming to ad¬dress the shortage of healthcare professionals worldwide, which has been exacerbated post the COVID-19 pandemic. The firm plans to bridge this gap by developing the skills of 2,000 youths in areas such as Medical Coding, Billing, Compliance, Auditing, and Risk Management by 2025. The goal is to enhance their employability in the healthcare industry. ELATE recognizes the importance of accurate data in the future of healthcare. The firm emphasize the implementation of highly effective clinical documentation improvement (CDI) programs using AI and blockchain technology.
CDI is crucial in every stage of the claim management cycle, ensuring privacy and security. With¬out accurate data collection and recording, patient data cannot be guaranteed, which poses challenges to both current healthcare organizations and the future of data-driven medicine. “Your Brand Reputation Depends on Accurate Data. It’s imperative to create a culture within the organization to be focused on critical thinking that empowers both staff and clinicians to be strategic in their documentation”, signs off Rita.