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With 99% accuracy, we have managed over 700,000 cases.
Having successfully handled over 7 lakh cases to date with 99% accuracy, our expertise ensures error-free and timely claim filing. This in turn, leads to improved profit margins, reduced disallowances, and quicker claim settlements across all insurance providers, TPAs (Third Party Administrators), CGHS (Central Government Health Scheme), ECHS (Ex-Servicemen Contributory Health Scheme), Ayushman Bharat, and other credit schemes.
We specialize in delayed and denied cases. Our dedicated team of doctors helps you with query resolutions, delayed or denied claims, and represents you at arbitrations and other relevant forums whenever required. We understand the importance of securing your rightful reimbursements and work tirelessly to safeguard your interests.
By entrusting your Revenue Cycle Management to us, you can focus on delivering exceptional healthcare services, while we take care of the financial aspects with precision and expertise.
A leading 200-bedded hospital of Trivandrum faced challenges related to delayed submissions, inaccurate query handling, and coding errors. The hospital was facing major cash flow issues leading to delayed salary and vendor payments. Our RCM services brought changes in billing software, Process streamlining, Billing enrichment, Internal marketing, and New scheme affiliations. A separate team of MBBS, and MD doctors worked on Disposed off claims.
We successfully improved Cash Flows, recovered 70% of the disposed-off amount within 6-7 months, and increased revenue by 100% to 5 crores per month within a year.
The credit Scheme Revenue of the hospital has doubled to 2 crores per month with the same resources and their regulatory requirements have been fulfilled. Their average capacity utilisation has now increased to 80%.
A reputed trust hospital in Bangalore was operating at nearly 100% capacity but revenue was low. Average deductions in Mediclaim were in the range of 10% and the settlement cycle was around 60 days. The staff was unable to handle discharge beyond 2 p.m. Discharge delay was the major reason for patient and consultant dissatisfaction.
GMoney worked on billing and claim process optimisation and started facilitating discharge till 10 p.m. We streamlined multiple processes and introduced evening discharge in package cases to create additional capacity and save a day’s cost.
Within 12 months, the disallowances have come down to less than 1%. The additional capacity created innovatively is mostly used by Consultants for day procedures, where admission is facilitated at 6 a.m.
The claim settlement cycle has come down from 60 days to less than 15 days. The discharge experience of the Patient/Consultant has improved significantly. The credit Scheme revenue has increased from 1.2 crores to 2 crores per month. Revenue has increased from 30 lakhs to 70 lakhs per month with the same resources.
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Mumbai HO
GMoney Pvt. Ltd.
315, 215 Atrium,
Next to Courtyard by Marriott,,
A.K. Road, Andheri East,
Mumbai - 400093
Ph : +91 86570 00105, +91 72089 60444
Bengaluru
GMoney Pvt. Ltd.
Oyo Work Spaces,
Umiya Emporium,
Opp. Forum Mall, Hosur Rd,
Koramangala, Bengaluru,
Karnataka - 560029
Ph : +91 72089 60444
Pune
GMoney Pvt. Ltd.
91 Spring Board, Sky Loft,
Creaticity Mall, Airport Rd,
Opp. Golf Course, Shastrinagar,
Yerawada, Pune,
Maharashtra - 411006
Ph : +91 72089 60444
Delhi
GMoney Pvt. Ltd.
Berry Co Works, 1E/3,
Jhandewalan extension,
Gate no. 2 Barakhambha Road,
New Delhi, Delhi - 110001
Ph :
+91 72089 60444
Chandigarh
GMoney Pvt. Ltd.
SCO No. 292,
First Floor, Sector 35D,
Chandigarh - 160022
Ph : +91 72089 60444
Hyderabad
GMoney Pvt. Ltd.
Dwaraka Pride,
Plot no. 4/1, Survey No. 64,
Huda Techno Enclave, Madhapur,
Hyderabad (Telangana) - 500081
Jaipur
GMoney Pvt. Ltd.
CODESKK Civil Tower,121 122,
Pandit TN Mishra Marg,
Santhosh Nagar, Nirman Nagar,
Jaipur - 302019
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GMoney Pvt. Ltd.
DBS Business Center, 31A,
Cathedral Garden Rd, Badrikari,
Tirumurthy Nagar,Nungambakkam, Chennai,
Tamil
Nadu - 600 034
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