Commitment to Excellence

Adam & Eve Inc hosts a broad range of services to cater to the needs of the Healthcare RCM industry. The company landmarks in providing an end-to-end Revenue Cycle Management solution with an improved level of efficiency, quality, and speed in a cost-effective way.

Regulatory Compliance

Our comprehensive Compliance Program is based on the four cornerstones of ethics, values, integrity, and respect for consumer privacy which ensures that industry regulations and compliance guidelines permeate every level of our business. Adam & Eve INC strictly complies with HIPAA, the Patient Privacy Act, and HITECH. Our information management system is effectively constructed based on the ISO/IEC : 27001: 2013 standard to protect all the sensitive and confidential data. Adam & Eve INC is acclaimed with ISO 9001: 2015 certification for providing improved quality of services to the clients.

Fax documentation

This is the preliminary step. The fax contains information about insurance, prescription, sleep study report, and other clinical records of patients received from the doctor’s office. Using these records, we will confirm whether it is a purchase of a new machine or replacement machine/supplies for existing/new patients, and move it to the respective CSR to proceed further for verification.

Pre Authorization

This is the preliminary step. The fax contains information about insurance, prescription, sleep study report, and other clinical records of patients received from the doctor’s office. Using these records, we will confirm whether it is a purchase of a new machine or replacement machine/supplies for existing/new patients, and move it to the respective CSR to proceed further for verification.

Eligibility & Benefits Check

Insurance Verification is a process where we call the insurance company to check for the
* patient’s demographics,
* individual and family deductibles,
* policy termination date, and
* coverage limit to determine whether the patient is eligible for machine/supplies.

AR Follow-up

Analyzing the Claims and checking the status of payments in a systematic manner with the insurance companies, and if any claim is denied, probing for the exact reason and resubmitting it on time for payment.

Medical records

All the records like insurance, prescription, sleep study report, and other clinical records received from doctor’s office are filled in the respective folders for future reference. If it is for a new patient new folders are created with all demographic details.

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