PYRAMIDS GLOBAL is a growing provider of Revenue Cycle Management and Practice Management solutions in the United States. Established in 2013, PYRAMIDS GLOBAL (Pvt) Ltd has been served several practices of different specialties and gaining trust day by day.
Pyramids Global helps doctors increase their practice revenues and streamline the billing processes by providing them a detailed insight into their business for financial decision-making.
𝐑𝐄𝐕𝐄𝐍𝐔𝐄 𝐂𝐘𝐂𝐋𝐄 𝐌𝐀𝐍𝐀𝐆𝐄𝐌𝐄𝐍𝐓
𝐚) 𝐅𝐫𝐨𝐧𝐭 𝐃𝐞𝐬𝐤 𝐓𝐚𝐬𝐤𝐬
• Eligibility and Coverage verification
• Prior Authorizations and Referrals Handling
• Verification of Benefits
𝐛) 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐂𝐨𝐝𝐢𝐧𝐠
• CPT and HCPCS Coding
• Diagnosis coding (ICD-10)
• Use of Modifiers
• NCCI Edits Verification
• Charts review for coding compliance
𝐜) 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠
• Charge Entry
• Payment Posting
• Clearinghouse/ Payer Rejections
• Denial Management
• A/R Follow-up
• Appeals management
• Analysis and Reporting
𝐝) 𝐂𝐫𝐞𝐝𝐞𝐧𝐭𝐢𝐚𝐥𝐢𝐧𝐠 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬
• Contracting with all Government and commercial payers
• EDI (electronic data interchange) / EFT (electronic funds transfer) setups/agreements with covered entities
• Payer Re-credentialing
• EDI (Claims / ERA) setups
• EFT setups
𝐞) 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐇𝐞𝐥𝐩 𝐃𝐞𝐬𝐤
• Patient Statements review
• Outgoing patient calls to obtain correct insurance or to update COB with payer
• Handle incoming patient calls to answer patient inquiries
• Outgoing balance reminder calls before moving accounts to the collections
agency.
• Emailing itemized bills to patients if requested by them while balancing reminder calls.
We as a company are committed to excellence and client success in the long run.
Pyramids Global Pvt Ltd earns an estimated $832/mo. That's 0.6× the typical agency and more than 98% of everyone we track.