Today all hospitals are working on two modes. First one is Cash Basis and the other one is cashless basis. In cash basis all patients pay a certain amount against their treatment and it may be very higher side but in cashless basis patients has health insurance and get cashless treatment in selected hospitals and they have not to pay any amount against their treatment.
According to a survey in all over India it 70% population has health insurance and only 40% hospitals have facilities for providing cashless treatment. Some hospitals do not go for providing cashless treatment just because they think it is very lengthy and difficult work, but it is not true. According to our experts if a hospital has proper setup with proper facilities they can go for providing cashless hospitalization and it is very favorable for those.
OUR SCOPE OF SERVICS (AS EMPANELMENT TEAM)
- Get empanelment with all major Govt./Semi Govt./PSU’s for providing cashless/reimbursement services to their cardholders.
- Gap assessment of hospital as per TPA Standards.
- Provide training about the TPA requirement for a hospital and IPD file management as per TPA Standard.
- Review hospital profile, Schedule of Charges and other docs and guide to developing documentation.
- Revision of rates in all cashless departments.
- Implementation in hospital stationary as per TPA Standards.
- Implementation in hospital software as per TPA Standards.
- Provide guidance to a patient for the reimbursement of a claim who will treat in your hospital.
- Apply for required licenses as per hospital requirement and keep all data’s with tracker.
- Maintain all documents including hospital records as per company policy.
- Prepare MIS report for pending payments as well as analysis about revenue generation.
- Involve in Hospital Business Promotion, and planning for the same as per institution demand.
