Agnus Group Healthcare Services

Expertise You Can Trust
Results You Can Count On

Revenue Cycle Management (RCM) is a crucial aspect of the healthcare industry,
We are focusing on the financial processes that healthcare providers use to manage the administrative and clinical functions
associated with patient service revenue.

Our Achievements

Number
Employees

360+

Claim
Revenue

87% - 95%

Trusted
Clients

26+

Awards

5+

About Us

What do you want to know ?

Agnus Group Healthcare Services is committed to offering value added healthcare revenue cycle management solutions to clients for performance optimization and to boost profitability. We have always aimed to be value partners to our clients, taking pride in their business growth. The need for medical billing and coding outsourcing companies like us is increasing due to our comprehensive, sustainable and scalable medical billing and coding services and experienced resources.

Medical billing is a critical component of the Revenue Cycle Management (RCM) industry in healthcare. It involves the process of submitting and following up on claims with health insurance companies to receive payment for services provided by healthcare providers.

Accounts Receivable (AR) Management is a crucial part of the Revenue Cycle Management (RCM) process in healthcare, focusing on the tracking and collection of payments owed to healthcare providers for services rendered. Effective AR management ensures that healthcare organizations maintain a healthy cash flow, reduce the time it takes to receive payment, and minimize bad debts.like Claim Submission and Follow-up,Denial Management,Payment Posting & Patient Billing and Collections

Medical Coding and Audits are integral components of the Revenue Cycle Management (RCM) process in healthcare, playing a critical role in ensuring accurate billing, compliance with regulations, and optimizing revenue. Both processes require a deep understanding of medical terminology, procedures, and the complex coding systems used in healthcare
Medical audits involve the systematic review of clinical documents, coding, billing records, and claims to ensure accuracy, compliance, and optimal revenue. Audits can be conducted internally by the healthcare provider or externally by third parties or regulatory bodies.
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Our company Services

Payment Posting

the process of recording payments from insurance companies, patients, and other payers to a patient’s account in the billing system. Payment posting is a critical step in managing and closing the billing cycle, as it allows healthcare providers to track revenue, identify issues with claims, and ensure that payments match the expected reimbursement amounts,Receiving Payments,Reviewing EOBs and ERAs etc

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Hospitals treatment

Hospital treatment encompasses a wide range of medical services provided to patients in a hospital setting. These treatments can vary from emergency care to complex surgical procedures, and from short-term acute care to long-term management of chronic conditions. Hospitals are equipped with specialized medical professionals, advanced technology, and facilities designed to provide comprehensive care to patients. like Emergency Care ,Inpatient Care

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Physician Groups

Physician groups, also known as medical groups or physician practices, are organizations or networks of doctors who come together to provide services.These groups can vary in size and structure, ranging from small practices with a few physicians to large, multispecialty groups with hundreds of doctors.Physician groups play a crucial role in delivering coordinated, comprehensive care to patients across various specialties.like Specialty Group,Multispecialty...

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Pre-Authorization Analyst

A Pre-Authorization Analyst, also known as a Pre-Auth Analyst or Prior Authorization Specialist, plays a crucial role in healthcare administration by ensuring that medical procedures, services, or prescriptions are pre-approved by insurance companies before they are carried out.Pre-Authorization Analysts play a vital role in preventing claim denials and ensuring smooth reimbursement processes, which directly impacts the financial health of healthcare providers. they help reduce the risk of claims being rejected or delayed due to lack of approval

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AR Denial Management

AR Denial Management refers to the process of managing, investigating, and appealing denied insurance claims in healthcare. It is a critical part of the Accounts Receivable (AR) management and Revenue Cycle Management (RCM) process, focusing on addressing claims that have been rejected or denied by payers (insurance companies) for various reasons. denial management helps healthcare providers recover revenue that would otherwise be lost, ensuring timely payments and improving the organization's financial health.

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Quality Analyst

A Quality Analyst (QA) in the Healthcare Revenue Cycle Management (RCM) field is responsible for ensuring the accuracy, compliance, and overall quality of processes involved in managing the financial transactions of healthcare organizations. This includes tasks related to claims submission, coding, billing, payment posting, and denial management. The QA's role is crucial in maintaining high standards of performance, reducing errors, and ensuring that the organization follows industry regulations and payer requirements.

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Our Team Leadership

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Ankit Gour
SVP of Marketing

Ankit Gour is a seasoned marketing executive with over 5+ years of experience in driving business growth through strategic marketing initiatives...

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Abhishek Dave
Co-Founder & Chief Executive Officer

Abhishek Dave is a Agnus Group entrepreneur and healthcare industry expert with over 6 years of experience in driving innovation and growth...

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Aryan Kaur
SVP of HR & Compliance

Aryan Kaur is a seasoned HR and compliance expert with over 5+ years of experience in driving organizational growth and ensuring regulatory adherence. As SVP of HR & Compliance...

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Get in touch

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Contact Information

  • 3rd floor, Saptagiri Towers, 301, Mayur Marg,
    Begumpet, Hyderabad, Telangana-500016.

  • hr@agnusgrouphealthcareservices.com

  • info@agnusgrouphealthcareservices.com

Testimonial

What our clients have to say about us

Author

Agnus Group Healthcare Services has been an outstanding partner. They seamlessly transitioned their workforce to work from home to meet our operational needs during a time of uncertainty. Their support has enabled us to maintain productivity and client satisfaction during this challenging time.

Alexis Atkins
HR Manager
Author

Our company has a long-standing partnership with Agnus Group Healthcare Services and were very pleased with their proactive action when shifting to a work from home environment. We have not seen any loss in production during this period of time.

Aakriti Menon
Senior Director of Services
Author

Agnus Group Healthcare Services is not just our vendor but rather has been an integral part of the success story of our company and we are delighted with this partnership and intend to continue to grow our business with our preferred partner in the years to come. Our progressive increase in Coding accuracy is a direct result of the accurate and professional services provided by Agnus Group Healthcare Services.

Aarav Dhillon
Senior Assistant Manager
Author

The timelines and chronologies are customized according to the guidelines provided. Great job! The analytical and logical summaries from Agnus Group Healthcare Services exceed my expectations as a QME. Good job Team.

Akash Jain
Assistant Manager

Frequently Asked Questions

Denials based on medical necessity occur when the payer determines that the services provided do not meet their criteria for medical necessity. This can happen if the diagnosis does not justify the procedure or if specific documentation is missing. An appeal with clinical documentation, such as progress notes or test results, can be submitted to support the claim.

Coordination of benefits occurs when a patient has multiple insurance policies. The success insurer processes the claim first, and any remaining balance is sent to the secondary insurer. It's important to verify which insurance is success and whether the secondary payer is waiting for additional information before processing the claim.

Duplicate claim denials occur when a claim is submitted multiple times for the same service. To resolve this, you need to verify that the claim was not incorrectly re-submitted and that different dates of service or services were not combined. If this was an error, clarify which claim should be processed and request the removal of the duplicate denial.

Some services require prior authorization to ensure coverage. It’s important to verify with the payer whether an authorization was required before the service was rendered, and if not obtained, whether retroactive authorization is possible. Additionally, you may need to appeal if authorization was obtained but denied in error.

After insurance processes the claim, there may still be a patient responsibility in terms of deductibles, co-payments, or coinsurance. The insurance company can provide details on what portion the patient needs to pay, and if any adjustments have been made.

The timely filing limit refers to the maximum time allowed to submit a claim after services are rendered. Each payer has a different timeframe, which can range from 90 days to a year. Submitting a claim after this limit will likely result in a denial.

Some procedures are considered part of a global package (e.g., surgical services that include post-operative care) and are not billed separately. If services are denied for being part of a global package, ensure that the claim was coded correctly and that the services weren’t inadvertently included in the bundled payment.

Latest Blog & News

Read More
26th Oct, 22 RCM Cycle

The Importance of Accurate Medical Coding in Revenue Cycle Management

Accurate medical coding is a cornerstone of effective revenue cycle management (RCM) in healthcare organizations. It involves translating medical diagnoses, procedures, and services into standardized codes used for billing and insurance claims...


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19th Mar, 23 Automation

What Is Revenue Cycle Management Automation

An automated revenue cycle can help optimize your healthcare organization’s entire workflow, driving revenue and boosting your competitive advantage. But what is healthcare revenue cycle management automation and how can it work for you? Intelligent automation (IA) involves robotic process automation (RPA) ...


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05th Dec, 23 Software & AI

AI in Revenue Cycle Management: How It Improves RCM, Efficiency and Revenue

Artificial Intelligence has the potential to significantly impact the field of Revenue Cycle Management in the US healthcare industry. This article explores how to implement AI in RCM, overcome obstacles...