engage
experience
evolve
clarity everytime Welcome to Clarus Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat.
engage
experience
evolve
“
healthcare solutions for the next evolution
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Trust & Quality
since 1979
the value
Integrity Quality Innovation Constructive Communication Mutual Respect Long Term Relationships
vision we live on
Our vision is to build our presence as a recognized, revolutionized, superior, accurate and reliable organization with quicker turnaround time, transparency, bare minimum denials and cost effective. Our vision will be accomplished when providers goes paperless and spend much time on patients rather than working on claims.
Clarus is a provider of innovative healthcare revenue cycle management solutions that transform the administrative and clinical operations of healthcare organizations of all sizes. Clarus operates with six sigma level Quality management system which supports to organize and maintain high standards in the competitive healthcare revenue cycle management arena, also helps to maintain precise process excellence and deliverables within the stipulated timeframe. Managed by more than 15 years of revenue cycle management experienced people in the healthcare industry, Clarus proudly states, it is the best solution for any healthcare professionals (individuals, groups, hospitals, billing companies etc‌) which alleviate cost and hassle.
Clarus is keen in providing physicians / Groups / Hospitals / Medical billing companies with the best possible revenue cycle management services available. Clarus seek to attain full and reasonable financial reimbursement for our healthcare service professionals to whom they are legally eligible for services rendered. Clarus mission is also to maintains • 15-30 days insurance turnaround (depending on the insurance) • 24/7 access to financial report • 100% client retention • Increased service capacity • Enhanced productivity • Minimize claim rejections • Eliminate errors • Expedite payments • Ensures compliance • Improved patient satisfaction
the mission statement
Clarus achieves this with the utmost altitudes of reliability, acquiescence and virtuous standards and through our proficiency in: • ICD-10-CM and HCPCS coding through utilization of patient charts, medical records and superbills. • Ample and precise preparation of all claims with respect to patient details so as to eliminate claim rejections for incomplete or incorrect information. • Precise and quick transmission of claims to insurance carriers including Medicare, Medicaid, Blue Cross Blue Shield, Commercial payers, Workers Comp, and other managed care plans. Whenever possible all claims are transmitted electronically. • Careful and persistent follow-through on all delinquent payments or rejected or downwardly adjusted payments. • New clients have steadily experienced reasonable collection ratios increasing, better payment cash flows, and better managed AR.
RCM
the turn key soultions
DMS
E2BS
End-to-End Billing Services
RCM Revenue Cycle Management
PS Payer Services
DM
Document Management
PS
Electronic & Paper Claims Submission
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Payment Posting (Insurances & Patients)
Charge Creation
Medical coding
Eligibility & Benefit Verification
Inbound Patient call support
Authorization Request and Tracking
Patient Statement Processing & Mailing
Extensive Insurance Follow Up
Fee Schedule Review & Analysis
Denials & Accounts Receivable Management
Secondary Insurance Billing
Appeals Management
E2BS
End-2-End Billing Services
Provider Enrollment
RCM
8 Customized reports sent to client periodically
Revenue Cycle Management
Clarus team with vast revenue cycle management knowledge and experience, 7 AR follow-up works around the clock to enhance the and Denial revenue and expedite collections. We in management Clarus ensure follow ups on unpaid claims, while helping healthcare professionals have an close watch on their financial health of the practice through comprehensive reports such as A/R Aging (Insurance and Patient Balance) reimbursement by carrier, provider/resource specific productivity reports and more. 6 Payment • Accurate and Reliable • Our clients benefit from our solid foundation and experience. By partnering with ClarusRCM, our clients see: • Remarkable improvements in payment per procedure • Significant reduction in A/R days • Operational cost reduction and enhanced coordination • Robust analytics and reporting • Denial reduction • Improved cash flow
1Insurance eligibility verification
2 Patient Demographics details entered into the PMS
Revenue Cycle Management Process Flow
Posting and reconciliation of the claim
5 Electronic/ Paper claim submission to Insurance payers and track Rejections
3 Retrieve Medical Records for Coding
4 Coded documents are then sent for Charge Entry
Claims Data Entry
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Claims Adjudication Services
Pricing
PS
Payer Services
Appeal Processing
DM
Document Management
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documents by a document management system are regulated
Linking Records to Business Process
Capture a variety of file
Distribution & Security
Metadata
periodically review the storage capacity
Operation Model
Clarus RCM functioning model is the operational strategy that makes it potential to deliver the business plan. Operational plan follows strategy, but the relationship also works the other way around, which means that ideas for operating model enhancements can lead to changes in business plan. This programme is about the joining of business strategy and operational design.
elements RCM ‘S fivemaking up the acronym PILOS
Clarus
Each portion of the operating model needs to be designed to subsidise to the success of the organisation, and will have an influence on both the income report and the balance sheet. This programme will present tools and frameworks that help clients understand and communicate the existing operating model as well as challenge the status quo.
1
Processes &
Activities the work that needs to be done
2
Information & Information Systems needed to support the work
3
Locations,
Buildings & other assets housing and further supporting the work
4
Organisation & People the people who do the work & how they are organised
5
Sourcing &
Partners those outside the organisation supporting the work.
Infrastructure & Security: Clarus combines proven technologies and industry standards to ensure your infrastructure remains: • Secure • Scalable • Always Available • Disaster recovery and Business Continuity Clarus hires progressive security and licensed commerce stability systems that prevent data loss while keeping your information secure, private and accessible. • Access Authorization • Role Based Access Control • Release of Information • Activity Monitoring • Audit Trail
Physical Security: Our premises are manned 24/7 with security personnel. Biometrics access screening and Closed Circuit (CCTV) have been installed across the premise which is continuously monitored by the security personnel. Access to the servers has an additional layer of access restrictions and can be accessed by authorized personnel only.
Technology: We use Cisco Routers for the connectivity. Cisco and Sonic wall firewalls ensure that the network is protected and handle multiple encrypted VPN's. Dell and IBM Servers ensure optimal performance.
Connectivity: We work with more than one Internet Service Providers (ISP) for our Internet connectivity. This ensures redundancy if there is a failure of connectivity at one ISP. Sufficient Internet bandwidth has been made available to prevent congestion. Encryption is used for connectivity between our office and the clients office.
Security: Various steps have been taken to ensure data protection and network security. Confidentiality and Non-Disclosure Agreements, which are legally binding formal agreements. Individual employee login for accessing the systems. Antivirus Protection.
Network Security: Folder level security access in the Servers ensures availability of data only to the resources that need to have access to it. USB ports are disabled to ensure external media such as pen drives are not used to copy data. Internet access is restricted. Anti-virus software are configured for Automatic Updation.
Power Backup: We have installed UPS to ensure uninterrupted power supply in the event of power disruption. Standby generators are also installed to further guarantee consistent operations.
why us ? Apart from the usual benefits that you get from offshore outsourcing, Clarus provides you more advantages: • 14-Years of experience in Healthcare industry • Dedicated Account Manager for every project • Disaster Recovery Centre and Business Continuity Plan for uninterrupted services • Full suite of RCM services • Flexible pricing options • ISO & HIPAA complaint • Expertise in 28+ specialties • Experienced in 25+ major Billing software
24/7 Customer Support all round the year
Clarus RCM Inc., 16192 Coastal Highway, Lewes, DE - 19958