Get a FREE Demo today!

Fill the form and we will contact you right away

*We respect your privacy.



  • Grow Your Annual Revenue By 15% !!! Reduce Your Total Cost By 30% utilizing our unique Hybrid WorkFlow Model.

Why people choose Clinicspectrum?

Clinicspectrum is a healthcare services company providing outsourcing/back office and technology solutions for 17+ medical billing companies, 600+ medical groups/healthcare facilities including hospitals, and hospital medical records departments.

The company is promoted by technical experts from diversified industries. In a span of 12 years, we have been able to transform several billing companies and healthcare facilities nationwide into efficiency engines.

Our strategy is to build productivity through the use of technology, highly trained personnel who deliver results in a timely fashion, and customized consulting services. With resources composed of 52+ employees nationwide and 350+ back office employees overseas, we have found a solution for all the problems in running a medical billing company and medical practice resulting in better clinical records, revenue cycle, and administrative task management.

Our back office expertise is in providing claims follow-up, credentialing, eligibility verification, appointment scheduling, filing of scanned medical records, claims entry, and payment posting.

Due to rising costs for all billing companies, healthcare providers and reduced insurance reimbursement rates offices should not burden their staff with tasks that can be performed by our team for a lesser fee along with better results. We use the strictest auditing methods to insure optimal outcomes for our clients and always guarantee confidentiality.

We are the sole proprietors of the medical billing back office, data entry, and call center services we provide. This allows us to streamline all our respective services into one effective solution for running a medical billing company, medical practice and a hospital billing department.

By using automation technology, Clinicspectrum is able to offer its customers Invoice, Credentialing, Messaging and Productivity Spectrum product suites. These patent pending product suites enable our clients to automate invoices, manage credentialing and re-credentialing activities for providers, monitor and enable employee productivity and performance enhancement tools, as well as apply secure channel for communication via email, fax and text messaging.





» Account Receivable Follow-up
» Scanning & Indexing
» Appointment Scheduling
» Eligibility Verification with Payers
» Referral Submission & Tracking
» Payment Posting
» Demographics & Claim Entry
» Credentialing
» Medical Transcription Services
» InvoiceSpectrum
» CredentialingSpectrum
» ProductivitySpectrum
» AutoCollectSpectrum
» MessageSpectrum





Services

ACCOUNTS RECEIVABLE FOLLOW-UP
$6.5 per hour* and onwards or $2.25 per follow-up based on workflow plan

Our A/R Follow Upservice is designed to increase Revenue Collection for Physician offices.

The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up:

Read more...
SCANNING & INDEXING
$6.5 per hour* and onwards or 20 Cents per scan image based on workflow plan (HALF OF YOUR STAFF COST)

Documents scanned in at the doctor’s office are categorically filed into the patient charts as per the requirements of the clinic. Clinical Reports will be given a time and date stamp to allow for more organized indexing.

Other types of images which can be filed include Insurance card scans, inbound faxes, and hand written medical notes.
Read more...


No-show Rescheduling & Appointment Scheduling
$6.5 per hour* and onwards or 45 Cents per live appointment confirmation based on workflow plan 15 Cents per automated appointment confirmation

The Appointment Scheduling service is offered to provide doctors a convenient way to book more patients on a consistent basis.

Scheduling is done as per the requirements of the office which include working hours, total providers, procedure type, locations, etc… The actual appointments are scheduled directly into the provider’s Practice Management system.

Read more...
Eligibility Verification with Payers
$6.5 per hour* and onwards or $2.50 per Benefit Verification based on workflow plan

Eligibility checking is the single most effective way of preventing insurance claim denials.

Our service begins with retrieving a list of scheduled appointments and verifying insurance coverage for the patients.

Once the verification is done the coverage details are put directly into the appointment scheduler for the office staff’s notification.


Read more...


Referral Submission & Tracking
$6.5 per hour* and onwards

For Specialists who requires a referral or a pre-authorization form the process starts with retrieving the patient demographic information, insurance coverage, procedures to be authorized, and details of the provider to which they will be referred.

Once the referral is submitted tracking will be done to insure that the patient will be authorized to see the specialist on their designated appointment. This service also allows for emergency referrals on the date of service as needed by the office.





Read more...
Payment Posting
$6.5 per hour* and onwards or $3.5 per $1000 posting based on workflow plan

Explanation of Benefits (EOB) payment posting is done as a service using two methods described below:

Manual Posting - EOBs are sent to the posting team by scanning them in at the doctor office level, shipping them in pre-paid envelopes, or having them picked up directly at the provider's location.

Auto Posting – EOB payments come in the form of ERA (Electronic Remittance Advice) files which are downloaded directly into the provider's Practice Management system. All posting is done directly in the system so the provider can audit at any time.

Read more...


Demographics & Claim Entry
$6.5 per hour* and onwards

For Claim creation the process starts with Demographics entry and insurance verification. Either through scanning documents to our billing team or having it shipped in packages we collect all the information necessary to generate an encounter: demographics, insurance information, and icd/cpt codes.






Read more...
Credentialing
Option 1:

$16 per hour* and onwards for initial submission
$6.5 per hour* and onwards for follow up


Option 2:

$100 per provider per payer enrollment
Credentialing is the process of review and verification of the information of a health care provider who is interested in participating with Various Insurances in their County.



Read more...


Products

CredentialingSpectrum


Management of Credentialing and Re-credentialing activities and reminders.

Complete Cloud based Documents Management.

Facility Credentialing Management.

Extensive Report and/or analytics Module.

Read more...

InvoiceSpectrum
Billing and/or EHR subscriptions.

Payment Plans and/or Membership Processing.

Template creations, data interfaces through HL7, CSV files and SFTP.

Auto-generation of invoices with external source synchronizing.

Read more...

AutoCollectSpectrum
Automates the traditional collection methods to cost effective auto collection process.

communication channels such as Text, Secure Text, Email, Secure Email and automated voice calls.

Customizable decision rules for selection of communication channels.

Automated reporting of non-responsive debtors to Credit Bureaus.
Read more...

ProductivitySpectrum


Time Clock functionality.

Benchmarking and Compliance.

Self-Benchmarking and Performance Analysis.

Daily Reporting and comparison with Benchmark for performance.

Web monitoring for productivity management and Skills enhancements.
Read more...

Get In Touch



 

New Jersey
2222 Morris Ave. 2nd Floor,
Union, NJ-07083

Phone : 908-834-1608
Fax : 877-600-9390

Sales
Ph: (908)-834-1608
Email: info@Clinicspectrum.com

 

Fast Workaround

24/7 review and verification of a healthcare provider’s all Documents.

Experienced Company

We have 17+ medical billing companies, 600+ medical groups/healthcare facilities including hospitals, and hospital medical records departments on-board!

Latest Technology

Leader in credentialing with Patent pending Technology platform for access of update.

Best Price

We provide Credentialing services starting at $50/provider/app! Yes, you heard me !