FAQ's
What industry do you focus on?
We are focused on Accounts Receivable Management and BPO services for the Healthcare industry. We are completely focused on the Healthcare Industry, which allows us to set MediGain apart from competitors that service multitudes of industry verticals. We believe that our Healthcare Industry focus will allow us to continuously improve and fine tune our processors and be an innovator in this industry.
What type of collections do you provide?
We provide collections services for Hospitals, physician practices, ambulance services providers, specialty medical providers and clinics. We specialize in high value complex accounts (i.e. $1 million and higher accounts) as well as low dollar accounts (‹$1,000). We provide early stage as well as delinquent account collections. Our highly qualified account managers can successfully handle insurance, Medicare, Medicaid and private pay accounts. Ll account managers are bench-marked against stringent client standards to ensure the highest level of collections while ensuring proper collections practices are adhered.
How do you process claims for Medicare, Medicaid and Insurance companies?
Our ASP based software connects directly with Medicare, Medicaid and Blue Cross Blue Shield and the balance insurance companies are connected via WebMDs clearing house. The ASP based billing software does initial claims scrubbing for errors prior to submitting the claims. The clearing house also checks for errors to ensure claims are not sent with errors. For insurance companies that do not have electronic claims submission, MediGain uses the ASP providers manual claims submission fulfillment center to submit the claims.
How do you plan on establishing world-class operations?
Local hiring and training will be key and is detailed the section of our site title Our Employees. The local HR manager is also a critical hire. We have hired top trainers inhouse from the US who are considered some of the best in the industry and we have acquired training packets and modules. Our account managers will also go through a US collections and coding certification course that will set them apart from other offshore competitors. The US based management team has a wealth of operational experience at top global companies and will employ these best practices at MediGain.
What do pilot programs look like (# of collectors, length of time, expectations and results)? How long does it take to get them started?
The number of collectors engaged during the pilot phase is usually client defined. The number of agents are based on the type of work (I.e. collections, billing, coding etc.) and the monthly volumes. The pilot phase usually runs between 1 _ to 3 months. During the pilot we agree to meet 65% of the SLAs within the 1st month, 80% within the 2nd month and 90% in the 3rd month. A pilot takes about 2- 4 weeks to start.
What is our pricing model?
MediGain's pricing policy is that it charges a percentage
of net billing or collections from its clients (fulfillment
basis). There are no upfront set up fees, monthly fees or
additional fees that MediGain will charge its clients. The
only time MediGain charges a fees is when a successful bill
or collection account is paid.
How will your cost structure compare to competitors in other countries?
MediGain will possess a 60% cost advantage to American competitors and a 20% cost advantage to the few Indian competitors.
Does MediGain obtain long term contracts and provide certain guarantees?
Yes we obtain long-term contracts with specific volume guarantees. This will be done on a case by case basis.
Do Sri Lankan workers have the right cultural profile to collect debt?
Culturally, the Sri Lankan people are well suited for following processes and showing empathy. Typically, a US based collector will give up on a collections call after receiving two or three objections. The Sri Lankan profile allows them to follow the check list of five to six points as prescribed in our training.
How will you manage attrition?
Attrition has been a major issue with Indian call centers as industry growth and competition has created many opportunities and financial incentives to jump from company to company. As an early mover in the Sri Lankan market MediGain will not face these competitive pressures. Additionally, typical call centers will focus on customer service and can provide small bonuses for reaching performance metrics. In the collections business we can create a highly variable comp plan as the agents and companies goals are completely aligned and successful collections agents will be able to learn significantly higher bonuses than customer service agents.
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