Today, all hospitals are working in two modes. The first one is cash-based, and the other one is cashless. On a cash basis, all patients pay a certain amount against their treatment, and it may be very high, but on a cashless basis, patients have health insurance and get cashless treatment in selected hospitals, and they do not have to pay any amount against their treatment. According to a survey in all of India, 70% of the population has health insurance, and only 40% of hospitals have facilities for providing cashless treatment. Some hospitals do not go for cashless treatment just because they think it is very lengthy and difficult work, but that is not true. According to our experts, if a hospital has a proper setup with proper facilities, they can give cashless facilities to their patients, which is very favorable for them. 

OUR SCOPE OF SERVICES (AS AN EMPANELMENT TEAM)

1. Get empanelment with all major Govt./Semi Govt./PSU’s for providing cashless/reimbursement services to their cardholders.

2. Conduct a gap assessment of the hospital as per TPA standards. 

3. Provide training about TPA requirements for a hospital and IPD file management as per TPA standards. 

4. Review the hospital profile, schedule of charges, and other documents, and guide the development of documentation.

5. Revise rates in all cashless departments. 

6. Implement hospital stationery as per TPA standards.

7. Implement hospital software as per TPA standards. 

8. Provide guidance to patients for the reimbursement of claims treated in your hospital. 

9. Apply for required licenses as per hospital requirements and keep all data tracked. 

10. Maintain all documents, including hospital records, as per company policy. 

11. Prepare MIS reports for pending payments and analyze revenue generation. 

12. Involve in hospital business promotion and planning as per institutional demand.