Entre estas estrategias, la clave está en afinar los procesos de prestación de servicios de salud y las soluciones de administración para gestionar y prestar servicios de salud de manera eficaz. Con el fin de maximizar el valor de sus procesos de negocio, las compañías globales de salud están aprovechando cada vez más el modelo de externalización de procesos de negocio de salud.
Le invitamos a asociarse con De Lune Health para ayudar a optimizar el rendimiento de los ingresos, al tiempo que gestiona los costes y los riesgos. Con una cultura altamente orientada a los resultados, eficiencia organizacional y más de una década de experiencia y conocimientos combinados en la industria, proporcionamos soluciones integrales de externalización a empresas de cualquier tamaño.
DE LUNE HEALTH RCM SOLUTIONS
From Patient Demographic Entry, to Accounts Receivable Follow-up, to Payment Posting, De Lune RCM Solutions covers the full spectrum of Revenue Cycle Management. We help you streamline your billing functions cost-effectively by reducing payer denials, eliminating undue hassles and costs, and by offering a fully standardized service.
Our team of qualified billing professionals with decades of combined industry experience will assist you with streamlining your billing functions in conformity with your requirements and will help you identify crucial areas warranting corrective measures.
Benefits of Outsourcing to De Lune Health
- Help you achieve increased collection rates up to 20% while working on ways to improve cash flow.
- Help you improve your revenue recycle management by reducing cost on administrative functions.
- Make sure that performance efficiency is achieved by analyzing every aspect of billing equirements.
- Ensure total confidentiality of your information, thus safeguarding secrecy and non-disclosure of your vital data.
- Huge cost savings as opposed to staffing new employees for handling billing processes. We give you our own dynamic team of expert billing operators to carry out your billing functions efficiently.
Our Services
Our Services – Solutions
Patient Demographic Entry
The medical billing specialists enter patient demographic details such as name, date of birth,
address, insurance details, medical history, guarantor etc. as provided by the patients at the time of the visit. For established patients, we validate these details. Necessary changes, if any, are done to the patient records on the practice management system.
Charge Entry
The fee schedules are pre-loaded into the practice management system. CPT and ICD-10 codes are
entered into the system. The billing specialists ensure that all details have been provided in the claim and are ready to be filed.
Claims Submission
Claims are submitted electronically via the practice management system. However, we can process paper
claims as well. A thorough quality check is done by a senior billing specialist before submission.
Payment Posting
Scanned EOBs and checks are sent to our team for Payment Posting. All payments are entered into the
system. The amounts from EOBs/checks and amounts posted in the system are reconciled on a daily basis. A daily log is updated with these data.
Account Receivables Follow-up
All claims in the system are examined and prioritized. Claims are given priority based on the age of the claim. Periodic follow-ups over phone, email and/or online are done to update the status of each claim submitted to the insurance company.
Denial Management
Denial management, including analysis of denials and partial payments, is done by our senior medical billing specialists. Payors, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system.
HIPAA Compliance
HIPAA Compliance
Rest assured that the privacy and security of your data is our highest priority. We ensure that our policies, processes and workforce strictly adhere to the regulatory requirements of the Health Insurance Portability and Accountability Act (HIPAA). Some of our policies designed to assure HIPAA compliance include:
HIPAA Compliance Points
A dedicated Compliance Officer overseeing the adherence to privacy and security policies at all levels
All employees being required to sign a Confidentiality and Non-disclosure Agreement
Access to computer systems being restricted by unique logins and passwords
Regular HIPAA compliance training for employees
Data encryption to ensure data is unreadable by unauthorized entities
Up-to-date firewall protection and anti-virus software
Completely paperless environment
Partner with us
Partner with us
Thank you for your interest in partnering with De Lune Health. Click the button below to connect with us!
© 2025 De Lune Corp. All rights reserved.