Dot World Technology incorporated with a mission of providing clients with proficient solutions across the globe by means of state of the art BPO solutions.

Outsourcing medical billing services to experts is one of the most effective ways to improve the profitability of a small-to-medium-sized medical practice

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The following is a brief definition of each domain which forms a part of the entire Medical Billing process.

Demographics & Charge Entry

Dot World Technologies provides you with services in the areas of patient account creation, charge entry and demographics entry. We can work off scanned images as well as data in electronic format. We provide services like:
• Patient Registration
• Eligibility Verification
• Demographics and Charge Entry
• Claim Generation and Submission
• Expertise in multiple specialties, multiple hospital and management systems of physician.
- Surgical and non-surgical specialties like ER, Internal Medicine, Cardiology, Radiology,
Anesthesia, etc.
- Medicare, Medicaid, Blue Cross Blue Shield, Federal Programs and Veterans, Managed Care, PPO and Indemnity Insurers


Coding of Procedures and Diagnosis

This is a process whereby the procedures and diagnosis given in the charge sheet are coded. The most common coding systems used for procedures and diagnosis are CPT-4 and ICD-9 respectively. Based on the doctor’s medical impressions and the indications in the super-bill we need to fix a proper code for the procedure and diagnosis. This is a complicated, lengthy and time-consuming process and involves lot of thinking and analysis. Since incorrect coding leads to breach of compliance. Payment Posting

Once the claims reach the carriers and they complete processing, they issue a check and prepare an Explanation of Benefits (EOB). With the EOBs and the check copies and the deposit statement from the bank, the process of payment posting is done. Payments are not only received from the insurance carriers but also from patients which are also posted during this process.

Denial Processing

We take steps to avoid denials are:

1 . Continuously update denials database
2 . Identify root causes of denials and address these denial trends
3 . Provide feedback to the Coding & Billing team
4 . Provide you with inputs to review managed care agreements to prevent denials
5 . Identify opportunities to collaborate with payers to avoid denied claims
6 .Consult with your key team members to collect substantiating information for filing      appeals
7 . File Appeals with Payers