Boost operational excellence through Middle East’s most preferred Revenue Cycle Management service provider.
Read More
End-to-end management of patients accounts from creation to billing.
Multi-dimensional finance solutions to foster sustainable growth.
Discover opportunities to improve processes and maximize revenue.
Enable your business with AI to make better decisions in real time.
Manage denials and recovery successfully to improve revenue generation
Our extensive experience in medical auditing helps bring together the right mix of skills, experience, and industry knowledge. Our range of audit services include:
“Many thanks for the training. It was informative.”
“The training session was excellent, even in a limited time. Our coders were able to refresh their coding knowledge and our physicians were also very happy with the session.”
Healthsoft offers excellent career openings for experienced and qualified candidates. We currently have the following openings:
Click on a role below to apply by email
View latest openingsHealthSoft, an Emirati company leading in the industry believes that Revenue Cycle Management is not just about adding IT capabilities to existing systems in healthcare organizations. It is an essential platform that allows organizations to move forward as well as scale up.
Healthsoft has worked with several hospitals, clinics, pharmacies and other healthcare organizations in the Middle East, as well as the US. We provide our clients topnotch revenue cycle management and other related services. We have successfully turned around healthcare practices, especially in the SME segment. We have the best experience, skills and knowledge in providing our clients with outstanding expertise in Healthcare Solutions.
We keep our promises.
Need we say more!
Every little detail is planned for beforehand so that implementation is smooth.
An active rapport between our team and yours goes a long way in ensuring efficiency. This helps us determine your organisation’s real needs.
Help every healthcare facility and organization achieve full potential, so they can focus on what they do best – saving lives.
Our mission is to provide the healthcare industry with reliable and efficient revenue cycle management services to promote greater revenues while reducing costs.
Healthcare systems save lives and treating patients. At the same time they need to develop successful processes and policies for staying financially healthy. That is where healthcare revenue cycle management comes in.
Healthsoft implements highly efficient, end-to-end revenue cycle management solutions helping you identify new revenue sources and the latest recurring revenue model. With years of experience in delivering expert services for billing and collections, our clients have always achieved great results.
We strictly follow major performance metrics as per industry standards to ensure best practices and help quantify success rates. We also see to it that our customers get the best value from our expertise and experience.
With years of productive efficiency under our belt, our teams perform revenue cycle management functions with laser precision. We guarantee reliable results that allow our partners to achieve sustained growth by focusing on their core business functions and eliminating time and cost waste.
Healthsoft provides comprehensive medical coding and billing solutions for healthcare providers while eliminating risks of noncompliance. We can help devise a comprehensive process for suitable payments and coding. Our goal is always to trim down delays, improve claim submissions, and eliminate administrative loads.
We guarantee that every healthcare facility will receive reconciliation of patient schedules and verification. We also provide an exclusive service for pre-certification or pre-authorization where co-insurance estimates are included. We use ethical practices and code optimally without Upcoding. Our Coders are all certified and are the best in the industry with knowledge of all DOH, DHA guidelines.
Our teams focus exclusively on all processes to offer effective insights and tools to achieve your goals. We can help you reduce errors, payer denials and staffing liabilities while focusing on patient care.
We carefully analyze all your medical records, including your previous coding. This ensures that your documentation can support the submitted codes for audits. We also maximize your claim reimbursement with our knowledge of reimbursement methodologies and medical coding.
Our team has consultants with years of experience in this space, both in the Middle East as well as internationally. That’s how we’ve always been able to cut through the clutter to give our clients the best insights into issues as well as solutions. Whatever you need, our RCM consulting services can make it happen.
Unlike other RCM consulting companies, our team is very flexible. We are offer intelligent solutions for tough programs. We assure you that you will see a drastic change in your numbers, in real time.
Have you tried optimizing the revenue of your hospital but, not achieved the desires results? Healthsoft is the answer. Over our years of service in IT industry, we have put together the most tested and proven techniques in RCM consulting.
Healthcare RCM is a financial process that aids the management of functions associated with claims processing, payment, and revenue generation.
Health financing is fundamental to the ability of health systems to maintain and improve human welfare.
At the extreme, without the necessary funds, no health workers can be employed, no medicines would be available and no health promotion or prevention would take place. However, financing is much more than simply generation funds. To understand the nature of the indicators that can be used to monitor and evaluate health system financing, we require explicit assessment of what is expected to achieve.
In most low-income and many middle income countries, revenue collection is derived from both domestic and external sources. Despite the substantial increase in external assistance for health since 2000, the resources available to assure universal coverage are still insufficient in most low – income settings.
Financial risk protection is determined by how funds are raised and whether and how they are pooled to spread risks across population groups. It also needs to consider how to ensure access to needed services, while protecting people against the more severe financial consequence of paying for scare.
People pay into a pool when they are healthy, and can draw on these funds when sick. Pooled funds can come from tax or health insurance contributions and, in most countries, they come from a mix of both. Indicators in this area need to capture the extent to which people are protected from the financial risks associated with ill health.
Another main objective is to ensure efficiency in resource use. This is a complex covering questions about reducing waste and corruption. Designing interventions needed for utilising available resources, deciding between government or non-government sector of services, optimising the provider pay structure in order to ensure quality and efficiency and creating services to target the financially challenged, are some of the main issues that dealt with in this section. Due to its multiple dimensions, it is an arduous task to define a single and simple indicator to measure proficiency in health system financing.
HealthSoft’s AI is a monitoring system that watches Payer behavior, detects trends others cannot see and helps you take action while others have to wait. It monitors, tracks and reports, every possible trend in your data. An added advantage is that it studies the past predicts the future, analyze situations, “explains” findings and makes profitable recommendations.
Payers are already using AI to adjudicate claims.
This means they’re one step ahead of you, making it more difficult to collect on behalf of your Providers.
The Medical Billing process is standardized for Providers but not for the Payers.
Different health plans, varying reimbursements and changing rules make it nearly impossible for you to keep up.
If you created a perfect claim every time, would you be paid on time and in full?
Payers seem to lose, reject, deny and underpay claims based on a seemingly moving target.
In a 45-day window, our customers collect 15-30% more of the allowable provider reimbursement by implementing our AI tools. You can too.
In fact, like most of our clients, you will probably collect the most revenue the first time you submit with our AI!
Increase revenue with accurate claims & a clinical EMR that complies with all your Audit demands for better patient care.
Easy and flexible appointment booking for doctors, based on their schedule and availability and reduce the time taken for registration. Keep track on appointments and send alerts to customers by SMS or EMAIL.
Registration is completed when the patient steps in to the clinic, with or without appointment. The details collected include, address, contact details, emergency contacts, insurance & company prior to provision of an ID Card. Patient with appointments get preference over walk-in patients. Emirates ID are integrated with system. All consents & claims forms are electronically signed and saved in system.
Basic details about the visitor, e.g. height, weight, blood pressure, pulse, known allergies, special notes and patient medical history can be easily recorded by the nurses. The information is captured using pre-defined forms, and our customers can add or delete items. Barcode scanner also can be used to retrieve patient information.
Once the Doctor logs in, all registered patients will be listed with information captured at the Nurses desk. This system helps doctors take preapproval from insurance.
Real-time validation claims for each claim before submissions. System integration with DHA/HAAD for claims submissions, receiving Remittance advices and resubmissions. Coder claims analysis reports.
This electronic document management system helps you to automate any paper documents by scanning, storing, indexing and retrieval based on the clinic registration ID. The system can store any information such as referral letters, external medical reports, lab reports, digital X-Rays …etc. This system can be extended to other departments by purchasing additional user licenses, as and when required.
This is a policy based settings, there is option to bill per service or consolidated billing.
Bills generated at different departments will be collected at this module, waiting to be paid or to be allocated to insurance after the deductibles if any. All the cashier activities will be posted to the accounting system on a transaction to transaction basis or by the end of day basis, chosen by the customer.
Healthcare organizations should effectively manage claim denials and develop procedures for quickly resolving claims reimbursement issues.
From improper ICD-10 coding to a missing signature on a patient’s charts, claims can easily be denied based on technical or clinical problems. Claims denials have also been on the rise as federal agencies and Payors work to combat healthcare fraud, waste, and abuse
During the last 2 years we seem to have more audits and reviews of our charges and reimbursements then ever before, as the government and the payor reviewers examine our billing. These Audits can complicate life for a physician. Ensure that your services are properly documented. While “if it isn’t written it wasn’t done” is not the law, payors believe that it is, and they will attempt to recover any insufficiently documented service. Make certain that you are complying with the DoH and Payor policies like those governing services “incident to” a physician’s services and the supervision of diagnostic tests. The penalties can be quite significant for those who do not comply and function within the current regulations. We help in preparing you for these audits and also help in Recovering monies which have been taken back due these recovery audits.
For a brighter future
We at Healthsoft know our success is a combined effort and we strive to provide opportunities for our employees to learn , grow and thrive.
Healthsoft delivers comprehensive and highly responsive Revenue Cycle Management solutions to many companies in the healthcare industry in the Middle East and internationally as well. One of our major priorities is to bridge the gap between service payers and medical service providers. This is our endeavor to help hospitals, physicians and other healthcare providers focus their attention on what they do best and leave the rest to us.
Here at Healthsoft, we have a team that includes the best healthcare & IT professionals. Our people have re-engineered health systems for healthcare organizations in several countries and continue to do so.
We specialize in system design, medical coding, process optimization, financial control, and much more. This is why we are recognized as a one-stop IT Company in this industry. Whether you need documentation management or denial management support, we work with healthcare providers of any scale.
Healthsoft offers excellent career openings for experienced and qualified candidates. We currently have the following openings:
Click on a role below to apply by email
If you are an experienced and skilled professional who wants to work at an amazing company that invests in its employees, please send us your resume.
Send your resumeAs Emiratisation in Public and Private sectors continually receive the much needed boost by the UAE government, Healthsoft has found that there is one sector of Emiratis, with an unemployment rate exceeding 80%, which is rarely ever tapped by businesses across the UAE. These are the thousands of sightless or visually impaired Emiratis who despite possessing desirable skills face difficulty acquiring gainful employment.
Challenges for UAE Policymakers. The immigration trend has posed several challenges for UAE policymakers. The biggest among them is possibly ensuring economic opportunities for UAE nationals. The UAE government struggles to ensure employment opportunities and career advancement for its own (very small) high-skilled workforce. Emirati professionals face constraints in all public, private, and quasi-government sectors. Additionally, limited lateral mobility to move from public or quasi-government sectors to the private sector is a critical problem for these professionals.
Audits have always been considered the most effective and imperative means of ascertaining appropriate and ethical financial management, regulatory compliances as well as for unearthing process flaws and errors. This specially holds true for Medical Payers and Providers when it comes to Medical claims and billings. Healthcare Audits in the GCC region are currently targeted towards Providers and can be defined as: Processes used to assess, evaluate and improve quality of care given by providers in a systematic way.
Tamouh Tower
Al Reem Island
Floor 13
Abu Dhabi
Po Box: 3363
UAE.
This website is operated by Healthsoft Middle East, Tamouh Tower, Al Reem Island, Floor 13, Abu Dhabi, Po Box: 3363, UAE. This statement explains how we handle personal information collected through this website.
We only collect the information you choose to give us, such as your name, email address, phone number and message when you contact us, or the details in a resume you send us.
We use your information to answer your enquiry, to consider your job application, and to communicate with you about our services. We do not sell your personal information.
We do not share your personal information with third parties, except where required by law or where needed to provide a service you have asked for.
We apply reasonable technical and organisational measures to protect your information and keep it only as long as needed for the purpose it was collected, in line with the laws of the United Arab Emirates.
This website shows an embedded Google map and links to our social media pages. These services are run by their own providers and are covered by their own privacy policies.
You can ask us to access, correct or delete the personal information we hold about you by emailing info@healthsoft.ae.
We may update this statement from time to time. The latest version is always available on this page.
By using this website you agree to these terms. If you do not agree, please do not use the website.
You may use this website for lawful purposes only and must not attempt to disrupt it, gain unauthorised access to it, or misuse its content.
The information on this website is provided for general information about Healthsoft Middle East and its services. It does not constitute professional, medical, legal or financial advice.
The Healthsoft name, logo and the content of this website belong to Healthsoft Middle East and may not be copied or reused without written permission.
This website may link to other websites. We are not responsible for the content or practices of those websites.
We work to keep the information on this website accurate and up to date, but we do not guarantee that it is complete or error free and are not liable for any loss arising from its use, to the extent permitted by law.
These terms are governed by the laws of the Emirate of Abu Dhabi and the federal laws of the United Arab Emirates.
For any questions about these terms, contact us at info@healthsoft.ae or +971 244 44551.