TABLE OF CONTENTS
COMPANY OVERVIEW HOW WE DO
WHY WE DO OUR TEAM
WHAT WE DO HIPAA COMPLIANCE
WHY CHOOSE US OUR PRICING
COMPANY OVERVIEW
We are a dynamic startup with a collective industry
PEOPLE experience of over 30 years. Our mission is clear: to
rescue private practices from the pitfalls of billing errors
and alleviate the productivity burden faced by major
corporate billing companies in the USA.
CORE With a uniquely structured operational team, we are
PHILOSOPH equipped to adapt to the ever-evolving landscape of
Y
healthcare billing procedures. We automate processes
where possible, ensuring efficiency, while also delivering
PROCESS TECHNOLOGY
the personal touch that every claim deserves.
VISION & MISSION
VISION MISSION
Our mission is to build a team of
"Our vision at GetMax Healthcare industry experts dedicated to
Solutions is to be the provider's most delivering innovative and customized
trusted partner, simplifying processes, Revenue Cycle Management solutions.
maximizing revenue, and reducing By leveraging cutting-edge technology
Accounts Receivable, fostering long- and best practices, we strive to
empower healthcare providers,
term success for healthcare providers."
optimize financial outcomes, and
enhance patient care through our
commitment to excellence and client
satisfaction.
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WHY WE DO
At Getmax Healthcare Solutions, our passion drive stems from the understanding of the challenges
healthcare providers face. We are committed to making a difference by streamlining billing processes and
maximizing revenue for providers.
Frustration and Losses Fair Compensation
Identifying Troubles
We firmly believe that every doctor
We witness the frustration Through our extensive experience,
deserves fair compensation for
and direct losses we have identified the critical issues
their invaluable services. By
experienced by physicians that hinder revenue cycle
optimizing billing processes and
when payments go missing management (RCM), such as a lack
maximizing revenue, we strive to
or patient visits remain of operational strategy and
ensure healthcare providers receive
unpaid, and we aim to organizational culture. We are
the financial recognition they
alleviate these financial dedicated to addressing these
deserve.
burdens. challenges head-on.
WHAT WE DO
BACK END SERVICES
PRE REGISTRATION
● REFERRALS
● APPOINTMENT SCHEDULING
● PATIENT STATEMENT
● ELIGIBILITY & BENEFIT
● CREDENTIALING
● VERIFICATION
REVALIDATION
● PRIOR AUTHORIZATION
CAPACITY TO
HANDLE END
TO END RCM
PAYMENTS & AR MEDICAL CODING
● PAYMENT POSTING ● ICD 10 CODES
ACH/CHEQUE ● CPT CODES
● DENIAL MANAGEMENT ● MODIFIERS & CORRECTIONS
● ACCOUNTS RECEIVABLES
FOLLOW - UP
BILLING & REJECTIONS
● CHARGE ENTRY
● CLAIM TRANSMISSION
● CLEARINGHOUSE REJECTION
FIXING
WHY CHOOSE US
3 Step Resolution Resolve billing issues faster with our efficient 3-step
resolution process.
Proven Expertise Extensive experience and knowledge in medical
billing industry
Experience our services with a risk-free 7-day
7 day Free Trial trial.
Cost Effective Offering competitive pricing and value for
money.
Streamlined Efficient processes for improved
Operations workflow and productivity.
HOW WE DO
Analysis Action Plan Execution Monitoring Evaluation
We conduct a thorough Based on the analysis, We execute the action We continuously monitor We evaluate the
analysis of billing issues we develop a strategic plan, implementing the implemented effectiveness of the
and challenges, action plan, outlining necessary changes, changes, tracking their resolution process,
identifying root causes specific steps and process improvements, impact on billing gathering feedback from
and potential areas for solutions to address the and system optimizations performance, identifying clients and stakeholders,
improvement. identified issues. to resolve the billing any further areas for and making necessary
issues effectively. refinement or adjustments to ensure
adjustment. ongoing success.
TEAM ORIENTATION
Level 1: Leadership Team
1 CEO/Founder: Sriram Raghavan
COO: Venkat
Level 2: Department Heads 2 CBDO: Shiva (US Healthcare recruitment)
Director of Client Relationship
Director of Operations Level 3: Managers
3 Account Manager:
HR Manager:
IT Manager:
Level 4: Team Leaders 4 Business Client Relations:
Team Lead RCM
Team Lead Accounts Receivable
Team Lead Billing & Payments Level 5: Team Members
5 Operations Team of GETMAX
Team Lead Coding
Team Lead Human Resources 1. Charge Entry Executive
2. Eligibility Verification Callers
3. Medical Coding Executives
4. Payment Posting Executive
5. AR ANalyst & Calling Associate
6. Credentialing Agents
7. Patient Calling Executive
8. Prior Authorization Executive
HIPAA COMPLIANCE
At Getmax Healthcare Solutions, we recognize the paramount importance of protecting sensitive healthcare
information and ensuring compliance with HIPAA regulations. We are pleased to present this proposal, outlining
our comprehensive approach to HIPAA compliance and addressing legal issues. Our goal is to provide you with
a cost-effective solution that meets all legal obligations while safeguarding patient data.
1 2 3 4 5 6
DATA ACCESS USER TRAINING SYSTEM DATA BACKUP & INCIDENT
ENCRYPTION CONTROL & AWARENESS MONITORING RECOVERY RESPONSE
All PHI stored on our Strict access control Regular training to Robust monitoring & Regular data backup Rapid response to
systems are encrypted measures to limit PHI employees on HIPAA, auditing to detect & & disaster recovery security incidents and
for maximum access to authorized data privacy, security fix unauthorized plans, to ensure the data breaches,
security. employees. best practices, and access attempts or availability and including timely
incident reporting. suspicious activities. integrity of PHI. notifications as
required by HIPAA.
SOFTWARE EXPERTISE
Expertise in Multiple Systems:
1. Experienced in working with
different billing software
platforms, commonly used in the
healthcare industry, allowing us
to tailor our services to meet
your specific needs.
2. We adapt to your existing
system, leveraging its
functionalities and enhancing its
performance to maximize
efficiency.
SPECIALITIES WE HANDLE
- Ambulatory Surgery - Mental Health - Pathology
- Anesthesiology - Multi-Specialty - Pediatrics
- Audiology - Neurology - Physical Therapy
- Cardiology - Neurosurgery - Podiatry
- Dental - Obstetrics - Psychiatry
- Dermatology & Cosmetic Surgery - Oncology - Radiology
- Gastroenterology - Ophthalmology - Urology
- General Surgery - Orthopedics - Urgent Care
- Internal Medicine - Pain Management - Vascular
OUR PRICING
6% $1699/-
COLLECTIONS REVENUE PER BILLABLE FULL TIME
CYCLE MANAGEMENT/pm EQUIVALENT/pm
END TO SERVICES including PER FTE for AR Calling and other
Eligibility Verification, to AR Virtual RCM based services
collection and patient statements
● END TO END RCM ● 3 Step AR Follow-up
● FREE Eligibility check ● Assured increase in monthly
● Unparalleled assessment Insurance collections
● 99% guaranteed increase in ● Insightful AR Reports
your revenue ● Continuous improvement
THANK YOU
[email protected]And book your free Revenue
Health Check up for your 24/7 support line:
practice +1 (516) 927 3768
+91 867-891-0338
www.Getmaxhealthcare.com
