SERT GLOBE specializes in offering comprehensive services in medical billing and coding. We provide expertise in translating healthcare services into standardized codes for accurate billing and reimbursement. Our services include coding for diagnosis and procedures, claim submission, denial management, and ensuring compliance with regulations such as HIPAA. Additionally, SERT GLOBE offers training and support for healthcare providers to optimize their billing processes and maximize revenue. Our focus is on accuracy, efficiency, and up-to-date knowledge of industry changes to support smooth financial operations in healthcare settings.
We help health systems, hospitals, and provider practices optimize their revenue cycle processes, reducing costs, enhancing patient experiences, and improving overall outcomes. Our solutions streamline operations and accelerate cash flow, enabling your organization to focus on delivering quality care.
Our services support payers in managing risk adjustment coding, improving quality reporting, and streamlining provider and member communications. We help enhance Star ratings and ensure efficient management of administrative tasks, allowing you to better serve your members.
We handle the full spectrum of claims management, from submission and EDI response review to status tracking. Our services include efficient ERA management and EFT enrollment to ensure seamless payments from payers. Additionally, we specialize in managing complex workers' compensation, encompassing the printing and mailing of claims and medical records.
At Sert Globe, our dedicated team of A/R specialists is committed to reducing aging receivables and boosting collections. Leveraging our analytics-driven technology and efficient workflow solutions, we expedite collections and swiftly resolve disputes, ensuring that you receive payments faster and with greater accuracy.
Payers are entities that finance or reimburse the cost of healthcare services. They can include:
Providers are individuals or institutions that deliver healthcare services. They include:
In addition to supporting hospitals and health systems, SERT Globe brings extensive experience in managing revenue cycles for primary and specialty physician group practices. Our expertise helps these practices accelerate cash flow and enhance net patient revenue. Leveraging the SERT Globe Digital Platform, our revenue cycle management solutions optimize medical coding efficiency, compliance, billing, reimbursement, and collections. We empower provider practices to remain independent and excel in today’s value-based care landscape.
We at Sert Globe have an advanced A/R workflow solution designed to streamline claim classification and deliver real-time insights into productivity, quality, aging, and trends. This solution simplifies A/R management, enhancing overall efficiency and accuracy in your claims process.
AI/ML-Powered Denial Prediction: Our Dynamic Denial Predictive Solution harnesses AI and machine learning technologies to identify and flag potential denials proactively. This predictive capability helps prevent claim denials before they occur, optimizing your revenue cycle management.
Reduce coding backlogs, rejections, and denials with our mid-cycle solutions, including coding, auditing, charge capture. Our services help improve compliance, efficiency, and reimbursement outcomes.
Boost staff efficiency and improve patient outcomes with our clinical enablement solutions. Our remote patient monitoring and telephone triage services are designed to enhance care quality and patient satisfaction.
Support your registry, clinical research, and bioinformatics needs with our scalable and sustainable solutions. Our services provide the necessary tools and expertise for managing and analyzing clinical data effectively.
SERT GLOBE’s Suggestive Coding Augmented Routine
SERT GLOBE’s offers a cutting-edge solution for fast, accurate coding, significantly reducing the claim-to-cash cycle time. Leveraging advanced AI and machine learning, provides predictive coding for radiology and emergency department professional fees. This not only streamlines workflows but also ensures real-time monitoring with alerts for service level agreements.
Batch Management System and Coding Interface
Our Batch Management System efficiently tracks batch-based work across all stages, including coding, demo charges, and payments. Complementing this, our Manual Coding and Billing Interface (CBI) supports coding and charge entry functions, with a specialized module for Hierarchical Condition Category (HCC) coding.
Workflow
SERT GLOBE’s Workflow delivers a flexible coding and audit solution, offering effective inventory management with real-time productivity and quality tracking across specialties and facilities. The system also includes random quality assurance sampling to ensure accuracy and compliance.
Partner with Sert Globe to experience the difference that expertise, technology, and a client-focused approach can make. Together, we can achieve excellence in healthcare delivery and drive meaningful change.
