Patient registration and verification: Collect and verify patient demographics, CGHS card details, and insurance information to ensure accurate billing.
Medical coding : Accurately code diagnoses and procedures using the appropriate CGHS coding system to generate accurate bills.
Bill generation : Prepare detailed patient bills, including consultation fees, investigations, medications, and other chargeable services based on the medical records.
Claim submission: Submit electronic or paper claims to the CGHS insurance provider within stipulated timelines, ensuring all necessary documentation is included.
Claim follow-up : Monitor the status of submitted claims, follow up on pending payments, and address any discrepancies or rejections from the insurance provider.
Patient billing queries : Respond to patient inquiries regarding their bills, explain charges, and address concerns related to CGHS coverage.
Data management : Maintain accurate patient records, billing data, and reports to comply with CGHS regulations.
Compliance : Stay updated on CGHS billing guidelines and ensure adherence to all relevant regulations and policies.