Company Profile

1) Anion is a service oriented practice management company with a commitment to quality, accountability, compliance, and personal service to each of its clients; bridging high-end technology and experienced personnel working together in an efficient and cost effective manner with a goal of optimizing revenue and maintaining the highest level of compliance

2) “Anion” provides Billing and AR management services for the Healthcare provider community. We create operational excellence for our customers through people, process & technology. This has resulted in improved bottom lines, predictable cash flows, and better process efficiencies for our clients.

We have systems in place to demonstrate consistency and scalability in our process without compromising on any patient transaction. This simple philosophy has given confidence to our customers and they have entrusted their business process to us for growth. We cater to the requirements of Physician Groups, Billing Companies, Health Insurances which require Transaction processing, Accounts Receivable Management and Claim processing.

3) Since 2004, Anion Medical Billing has been successful at maintaining a 98.9% claim reimbursement rate vs. the published Insurance fee schedules for our clients. Our staff is fully trained, and knowledgeable of the continuously changing billing guidelines and requirements, that cause Providers to receive claim denials, which in turn effects their cash flow.  It is our mission to provide our clients with professional service, clean claim submission, continuous claim follow-up, and ultimately the maximum allowed, to increase cash flow rapidly.

We recognize that our continuous training proves to be the key ingredient for the recipe of successful claim submission and rapid reimbursement that our clients have come to rely on.
The end of month process can be a very stressful time for providers and their staff. We understand the need for immediate and accurate reports to complete this process. We provide the customized reports that fit each provider’s needs, within the time frame that they request.

4) In this day and age, obtaining reimbursement has become a full-time job.  There are so many obstacles that make it difficult to perform this task.   Staying on hold with insurance carriers for long periods of time only to hear, "We're sorry, your claims were never received" or "I'm sorry, this patient doesn't have coverage".
With a waiting room filled with patients waiting to be seen, you and your staff don't have time to verify benefits, file your claims, verify their receipt, perform patient accounting, find out why claims aren't getting paid, file appeals for denied claims and tend to your patients at the same time.  Insurance companies aren't available to talk to you after your office closes. This all has to be done during your working hours.  During the time you need to spend with your patients.

What's your solution?  A qualified HealthCare Billing Center like ‘Anion’.  The whole focus of Anion is to obtain your reimbursement.  The rules and regulations in this industry are constantly changing.  It is our job to keep up with those changes.  These changes can affect your reimbursement and worsen your practice.  Do you remember the days when you could just send in your superbill and the insurance carrier would just pay you?  Not anymore.  The insurance industry has strict regulations and put up more barriers.  Obtaining reimbursement is a full-time job and if you want your cash flow to be steady, let Anion professional perform your reimbursement tasks.

5) Anion is the leading provider of human resource solutions for medical billing receivables, claims processing, revenue cycle management, collections Processes for healthcare service providers and payors, using our proprietary, proven, remote process, workflow knowledge management technologies.

6) Our highly trained associates, proprietary workflow technology, quick ramp-up, and meticulous compliance processes will free you to focus on business-building core capabilities. And increased patient and physician satisfaction means more business for you.
Concerned about lagging revenues? Plagued by staffing issues? Worried over quality control and regulatory compliance?

7) Anion Business Process Services can help.  We're a leader in offshore transaction-processing services for healthcare providers and payors.
We can help you significantly reduce payroll costs, accelerate revenue cycles, assure transaction-processing accuracy and regulatory compliance, and enhance patient and physician satisfaction.

8) Since 2004, Anion has been establishing the standard for quality practice management and support, specializing in optimization of physician practice income through reimbursement expertise, and efficient billing and accounts receivable management.  Management's commitment to a highly qualified workforce and leading-edge technological capability offers clients a unique opportunity for optimization of practice income and significant cost reduction.  We are confident this partnership of expertise, commitment and capability is your advantage in meeting the challenges of the competitive medical marketplace of the present and the future.

9) Anion provides onshore, offshore, or blended shore business process outsourcing (BPO) and technical services to U.S. healthcare organizations including HMOs, TPAs, insurance payers, medical providers, managed care organizations. Anion provides these organizations proven methods to increase efficiencies and reduce administrative costs. With BPO and technical services from Anion, healthcare organizations can improve their bottom line and increase their overall competitive advantage.

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Welcome to Anion Healthcare BPO Services

At Anion we are geared to provide you the most accurate billing solutions outsourced with essentially no set up costs. Our team of experienced professionals provide medical billing outsourcing, medical insurance accounts collection outsourcing, medical Insurance electronic billing outsourcing, management of old accounts receivable collections, medical coding outsourcing and verification and authorization outsourcing.

We can even help you to get enroll in insurance company plans. And on payer side we do claim entry, claim processing, provider configuration, claim status and agent verification. We utilize state-of-the-art fiber networks, comprehensive and quality medical billing and other software and provide both paper and electronic claims. We are HIPAA compliant and set up to provide support for all Major Medical Insurance. We are set up to maximize your reimbursements. Our billing and collection specialists have several years of experience in their fields. We can provide you with service in every state.

Our advantages include:

• Flexibility in using medical billing software, we can use your current medical billing software.
• Medical billing can be done remotely, using the software of your choice.
• We provide daily, weekly and monthly reports.
• We provide full financial cycle solution from demographic information gathering to AR follow up.
• We are fully HIPAA compliant.
• Every staff that handles your claim will have a minimum of bachelors degree.
• 24/7 customer support.

How do we do it?

Using our resources we are able to bring highly qualified individuals and the best talent in the business. Our service is very much solution oriented and our intent is to provide you with the solution that you require. We can create a system which can take care of any specific need that you may have in your billing cycle or we can provide a full cycle billing solution. Our solutions can be customized for any type of medical facility. Some of the medical establishments that we have the expertise to support are:

• Individual physicians
• Physician groups
• Multi specialty groups
• Free standing diagnostic facilities

By taking advantage of our healthcare back office services, you can enjoy several benefits such as accurate data entry, enhanced collection rates, fewer days in AR (Accounts Receivables), a reduction in the rate of denied claims, and more time and money in your hands. We are equipped to handle varying turnaround times, especially in the case of urgent, voluminous projects.

Anion is supported by advanced infrastructure, and makes optimum use of its resources (manpower and technology) in the US, and in its offshore centers in India. The following are some of the healthcare back office services that we offer to the medical and healthcare fraternity:

• Medical data entry/Claim Entry
• Member Enrollments/Policy change requests
• Claim processing
• Provider Configuration
• Claim Status
• Credentialing – Provider & Facilities
• Medical billing and collections
• Collections on medical accounts receivable management

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HIPAA Compliance

• All employees sign confidentiality agreements
• Access to software via password control
• Network protected by Sonicwall firewall
• HIPAA awareness programs run on the floor

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Implementation Methodology

Anion's implementation methodology is based on the experience of successfully migrating more than 50 healthcare-related remote and onsite processes to date.

This proven service implementation platform, detailed in the document to the right, is designed to ensure process integrity and minimize inherent migration risks.

It captures critical client documentation and incorporates an extensive knowledge base that assists the transition team in understanding, duplicating and migrating mission critical business processes.

Service delivery occurs through four integrated migration phases

Pre-Analysis

The first phase, Pre-Analysis, helps identify and prioritize processes to be migrated. The transition team from Anion works with you to determine the sequence of migration, based on resource availability and risks associated with the process.

Analysis

Analysis is a critical step and the transition team must have the necessary skills to make it a success. During this phase, cross-functional resources from Anion, experts in process transition and migration methodology, operations, technology, training, quality and mapping of HR requirements, work with your project team to familiarize themselves with the existing process and the packages used.

Transition

The Transition Phase focuses on implementing the analysis blueprint. During this phase, cross-functional transition resources from Anion work with your representatives on-site at your location and/or off-site at our facility to ensure the high-level Analysis Plan is drilled down to provide a detailed Operating Plan.

Operation

On completion of the Transition phase, with the migrated process operating as specified, the operations group accepts the project and assumes performance accountability. A regular feedback and communication mechanism is set up for reviewing operations performance with key client managers through conference calls, meetings and formal reviews.

A robust tracking mechanism is established to collect appropriate data, validate assumptions (e.g., system response times), and to continually improve performance of SLA metrics and improve process capability, maturity and efficiency.

Result

Anion’s experience and demonstrated capability to execute a transition process quickly results in a shorter implementation period and enhanced ongoing support.

Historically, Anion has met SLAs from day one and has ramped up to near 100% accuracy on statistical, procedural and financial metrics within 90 days of the ‘Go-Live’ date.

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Our Focus

Low-value, low-margin accounts that make it difficult for you to profitably recover your revenues
Generate cleaner, faster claims with extensive healthcare business process knowledge, multiple layers of quality control and compliance checks, and quick turnaround in upstream billing processes such as coding and charge entries
Attain better yields at lower cost through our efficient payer follow-up and denial/rejection processes

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Vision

 “We run our business for our customers” is the underlying principle of Anion’s vision.

What is Vision?
It is important for every company to begin with the end (milestone) in mind! You succeed, when you put forth your ideas and make them realities.

• To transform the company from being efficient to effective
• To spot changes and respond quickly, before it is too late
• To conceptualize and implement new methods of work

To be a Bigger and Better company

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Case Studies/White Papers

FMA/HFP: 

Previous billing company unexpectedly stopped rendering services and billing was on halt for about 6 months in 2006.  We took over the project in Oct 2006 and with in 3 months we cleared off the entire backlog.  And combined collection is increased to about 300K by end of 2009, from only 150K down then.

"Anion does outstanding work when it is really needed"

Global TPA:
We started off with 10% of work, back in 2006 for Global TPA with just one project; by end of 2009 we were given 3 projects based on the quality and the speed we picked up in short time. Now we do about 70% of the work for them. Anion’s quality and ability to scale up fast per clients requirements, enabled us to get 3 projects pipelined for 2010.

"Anion does exceptional good job under pressure"

Prime Dx:
With our expert knowledge in pathology billing, we could to get Prime Dx project. Prime Dx was struggling with immature software and feeble collections. There were lot of delinks in every process result of which is huge AR.

We took over billing part on Oct 2009 and with in 3 months we could streamline a lot of processes on billing side and improved the collections.

"They are available 24X7 and put extra efforts to comfort the client"

FIPA:
IPA functions mostly depend on reports; huge data which need to be formatted in excel to make the data useable. Anion is best at excel and formatting the reports per our requirements.

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Medical Billing Training

We are planning to start medical billing in 4th quarter of 2010. Please check out for date and time on internet and newspapers.

Medical Billing Workflow
The medical billing process involves these simplified processes. For the intent of explanation, the functioning on one whole unit that takes place in Medical Billing. Here is how it happens...

The Doctor's Office
A patient visits a doctor and explains the problem. The doctor diagnose and draws out a chart about the treatment to be rendered, for example if a patient named John Doe has stomach ache, then a sequence chart would be drawn up by the provider to explain the treatment pattern.

Documentation at the Front Desk
The patient hands over a copy of his insurance card; let us assume that the carrier is Humana Gold Plus. With the copy of the card the office manager needs to verify if a referral or pre-authorization needs to be obtained and then contact the respective Primary care physician (gatekeeper) and get that documentation in place.

Scanning
Demographics, super bills/charge sheets, insurance verification data and a copy of the insurance card i.e. all the information pertaining to the patient, is sent to the billing office.  The Billing office scans the source documents and saves the image file to an Secure FTP site or on to their server under pre-determined directory paths.  Scanning department retrieves the files and are then sent to the appropriate departments with the control log for the number of files and pages received. Illegible/missing documents are identified and a mail is sent to the Billing office for rescanning.

Coding
The Coding team assigns the Numerical codes for the CPT (Current Procedural Terminology) and the Diagnosis Code based on the description given by the provider.

Charge Team
In this department, competent individuals who would first enter the patient personal information from the Demographic sheets. They would also check for the relationship of the Diagnosis code and CPT. They then create a charge, according to the billing rules pertaining to the specific carriers, client and specialty. All charges are accomplished within the agreed turnaround time with the client, which is generally 24 hours.

Audit
The daily charge entry then needs to be audited to double check the accuracy of this entry, in other words, this is the check and balance to ascertain that the billing rules are being followed accurately. Also, this department is responsible for verifying the accuracy of the claims based on carrier requirements to attain a clean claim.

Claims Transmission
The Claims are filed and the information is sent to the Transmission department. The Transmission department prepares a list of claims that go out on paper and through the electronic media. Once the claims are transmitted electronically, confirmation reports are obtained and filed after verification.
Paper claims are printed and attachments done, if necessary, we put them into envelopes and sent them to the US for postage and mailing. Transmission rejections are analyzed and appropriate corrective actions are taken.

Carrier Adjudication
The carrier Utilization Review department would then review the claim and after their checks, the claim would then be adjudicated on and processed for payment. Later on, a cheque and an Explanation of Benefits are sent to the provider.
 
Cash Application
The Cash Applications team receives the cash files (Check copy & EOB) and applies the payments in the billing software against the appropriate patient account. During cash application, overpayments are immediately identified and necessary refund requests are generated for obtaining approvals. Also underpayments/denials are informed to the Analysts.

Analysis
AR analysts are the key to any group. The claims are researched for completeness and accuracy and work orders are set up for the call center to make calls. The AR analysts are responsible for the cash collections and resolving all problems to enable the account to have a clean AR.
They also research the claims denied by the carriers, rejections received from the clearing house, Low payment by the carriers and appropriate actions are taken. Analyst reviews for global patterns and bulk problems are solved at one instance.

Calling
This is the hub of activity around which Medical Billing operates, where we place a call to the Insurance and verify if the claim is with the carrier and what the current status of it is? Whether it is being processed for payment or denial? Based on his inputs the analyst gets to work, and gets all the pre-requisites needed, in case of payment he would compile a list of payment details or if the case is denied, the corrective action needs to be initiated.
The Calling team receives work orders from the analysts and initiates calls to the insurance companies to establish reasons for non-payment of the claims. All reasons are passed on to the Analysts for resolution.

Compilation
This scenario is then compiled in Excel, for future use when similar problems occur in any other specialty. This information needs to be made available to anyone who needs to review past records to identify solutions to any particular scenario.

Month End Reports
End of the month we would need to run Doctor Financials and other procedure code usage reports, aged summary reports so that we would asses the momentum that has been achieved this month, and if not see where there is a pattern of non payment.
In this way we tackle any bulk or pending issues. Any claim pending beyond the 60th day needs to be acted upon. If it has been pending for clarification then this has to be communicated to the respective account manager at the center so that remedial steps could be initiated.