Redefining & Transforming Operating Models in Medical Claim Management
Healthcare services especially in the pandemic time are of vital importance. The focus of healthcare services is on managing various aspects of patients’ requirements. The professionals have little to no time for addressing the ever-growing regulations. For this, hospitals and medical facilities require healthcare compliance professionals to ensure that facilities are on par with guidelines.
ELATE RCM Pvt Ltd is an HIPAA & ISO 9001:2015 Compliant Organization and among such fine service providers who are making compliance easier. It offers its services to hospitals and firms across the US and India. Its expertise lies in providing solutions that improve revenue cycle metrics. It is a one-stop solution in healthcare services that assures increased efficiency at reduced costs, thanks to her domain knowledge, operational capabilities, and quality service.
ELATE retains a highly skilled workforce that constantly works by reducing Account Receivable days improves profitability by increasing the client’s collection ratio. This unique approach drastically improves the performance and profitability of the client’s business.
By understanding client’s demands and expectations, ELATE offers tailored solutions by using excellent analytics and its vast expertise in the niche.
Directing the operations of the company is Rita Chaudhury – Founder & Director of ELATE RCM. An alumnus of the Indian school of business (ISB) for Advanced Management study and also the alumni of NSRCEL, IIM Bangalore for Goldman Sachs 10000 – woman entrepreneurship program, she has more than 20+ years of experience in the International Healthcare Industry. Rita has vast knowledge in the fields of computer programming, Machine Learning (ML), and Artificial Intelligence (AI).
Rita achieved gold standard Professional Certification from the American Academy of professional coders, USA as CPC. Along with this, she is also Six Sigma Black Belt Certified from Anexus Denmark Se Pvt Ltd. She is also ‘Advanced HIPAA Policy and Procedure Development’ Certified from American Health Information Management Association (AHIMA), USA. A tech genius, Rita often offers her expertise at various hospitals in the US and India. She has authored several articles addressing medical errors and gaps.
A VISIONARY LEADER
Before Rita founded her company, she served as AI programmer at Jawaharlal Nehru University, New Delhi. Later, she went on to become a senior leader in multinational organizations in the healthcare domain, holding positions like Manager, Business Development, Vice President – Operations, and many more. With her experience and zeal to work in the healthcare industry, she understood the ins and outs of USA Healthcare Compliance and Medical Coding.
After the in-depth study of the USA Healthcare Compliance and Medical Coding, she established ELATE. Her company soon gained a reputation and today, under her leadership the company serves multiple clients.
PROPELLING ELATE TO NEW HEIGHTS
“With the rise of digitization and increased client demands, there is a raising need for skilled professionals for the implementation of healthcare compliance, which is an impetus to the growth of the healthcare industry around the globe. “I do believe that due to this challenge the healthcare industry will create various job opportunities for the seekers. Coding Education will benefit the young generation with sound knowledge on medical coding, Federal rules, and regulations including healthcare compliance and reimbursement procedure. A trained medical coding professional can better handle issues such as medical necessity, claim denials, bundling issues, and charge capture,” states Rita.
By 2025, Rita aims to touch the lives of youths, by developing Industry ready skills in medical coding and enhancing their employability in the Healthcare Industry of India and abroad.
She believes that the Indian healthcare industry will soon follow compliance similar to HIPPA compliance because medical record data confidentiality and patient identity protection are crucial for everyone. Therefore, she wishes to contribute by sharing her unparalleled knowledge in creating better patient care opportunities and data protection and security.
HELPING THE MEDICAL FRATERNITY
The Covid19 pandemic has left hospitals and physicians grappling as the surge in patients is mounting. ELATE is doing its bid by assisting hospitals and physicians by being available 24X7 for any type of backup supports on coding, billing, and compliance issue.
The company is keeping abreast of new medical codes and billing compliance rules constantly and helping physicians and hospitals by handling the denied claims to get the reimbursements.
“We do the Compliance Analysis and onsite Clinical Documentation Improvement (CDI) training to the Providers and PAs (Onsite on Request by the Providers). This training helps the providers to document the patient charts properly so that their services are billed as per the Compliance rules and regulations,” says Rita.
For More Details: https://elatercm.com/