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Outsource Healthcare Services

 

There are several healthcare professionals and organizations that outsource healthcare services ranging from patient scheduling to accounts receivable. If you need to outsource healthcare services why not opt for India? Indian Service Providers invest heavily in technology, quality, infrastructure and processes to ensure great results.

Why Outsource Healthcare Services to India?

Indian Service Providers offer the best of services in the area of Medical Billing with little margin, turn-around time, and quality services with accuracy rate of 100%. They offer the following benefits like:

  • Revenue Enhancement: Streamlined processing and follow-up, fewer denials, and short cycle times
  • Stability: offer 100% satisfaction to the clientele in giving long term realistic by serving them with full energy and zeal.
  • Healthcare Expertise: Healthcare compliance processes and a highly trained, college educated operations team with experience in Coding, Medical Billing, government regulations, and software applications.
  • Risk Reduction: Productivity, accuracy and turn-around time (TAT) guarantees with quick starts for new clients, high volume, and overflow.
  • Technology: Proprietary interactive workflow technology that puts you in control 24/7.
  • Security of Data: We provide security of the patient records with a dedicated VPN (Virtual Private Network) for each client.

Their process management and consulting services can reduce costs up to 50% and actually raise revenues for U.S based healthcare service providers, medical billing companies, hospitals, payor organizations etc. You will get state-of-the-art technology and real-time service from their centers.

How Can You Enhance Revenue By Outsourcing Healthcare Services to India?

Indian Service Providers can help improve productivity, reduce staff recruiting and training time, and boost your revenue.

For Billing Companies

  • Submission of cleaner claims with fewer errors and fewer denials.
  • Lower cost structure and highly qualified staff gives Indian companies the resources to analyze and resolve denials and to follow up lower-dollar claims and make collections.
  • The result is a higher profit for you..

For Hospitals

  • Two productivity teams, one for analysis, one for follow-up, pursue even low-dollar uncollected funds which results in cleaner claims and better cash flow
  • While they control your costs, they also boost your revenue.

Advantages of Outsourcing Healthcare Services to India

Indian Service Providers offer quality healthcare solutions. Highly trained agents, quick ramp-up, and compliance processes will speed your administrative operations, leaving you free to concentrate on building your business. Their efficient systems will actually increase your revenue while reducing your costs. That means more profits in your pockets. And increased customer satisfaction means more business for you.

They Provide:

  • Better processes
  • Faster turnaround
  • Guaranteed accuracy
  • A low-cost solution to the rising costs facing medical billing companies

They have expertise in a range of services, from Medical Transcription to Accounts Receivable for US Physicians.

  • Medical Transcription
  • Medical Coding
  • Medical Billing
  • Patient Demographics
  • Charge Entry
  • Payment entry or Cash posting
  • Accounts Receivable Department

Medical Coding:

Indian Service Providers ensure an increased accuracy in code selections causing a smoother billing process with quicker and better reimbursement. They keep themselves updated on changes in the coding industry with high hand experience books on coding and software like CPT, ICD-9, HCPCS, and C++edit.

These Indian companies work in accordance with the requirements of their clients and with the standards set by HIPAA regulations to assure turn around time. Coding professionals are dedicated and act according to AHIMA rules.

The major advantage of outsourcing your medical coding work to India is that the coding team uses the best coding software, tools, and resources in the business. Read more...

Medical Billing:

Today's medical billing industry is a highly competitive environment. Indian Service Providers have invested in technology, methodology and people and have gained expertise by obtaining US training in all aspects of medical billing. Their knowledge in medical billing and technology can help you obtain a competitive edge and you can save on your current staffing related expenditures. Read more...

Charge Entry:

Indian companies provide 24-hour turn-around time for large or small accounts across multiple specialties like patient account creation, charge entry and payment posting.

Payment Posting:

Payments will be analyzed and posted into the Hospital Information Management System. For partial payments, analysis is done and corrective action is taken

Denial Analysis:

Some of the Indian agents, with substantial experience in the U.S healthcare industry, analyze the EOBs and the claims and take the necessary actions to recover the due amount.

Their services include:
 

  • Patient registration – Manual
  • Patient registration – Hospital Interface
  • Charge entry – Multiple Specialties
  • Payment posting – Manual
  • Payment posting – Electronic Payer Interface
  • Denial posting
  • Reconciliation
  • Returned mail
  • Refunds
  • Provider data updates
  • Project based adjustments and write-off
  • Data entry assisted system conversion

Accounts Receivables Follow-up:

The synergy of cutting-edge technology and highly qualified staff allows Indian Service Providers to increase and accelerate your cash flow, reduce Days in A/R, improve collection ratio and increase the probability of payment through timely follow up.

In the call centers, employees are trained to identify patient accounts that require follow-up, analyze the possibilities for the delay, follow-up with the insurance carrier to address the problem, and rectify the identified problem.

Services include:

  • Receivables Analysis
  • Payer Follow-up
  • Denials management
  • Practice Analysis
  • Reporting


The scope and depth of these services can vary, based on the providers' access to the clients’ system, the flexibility of the system, access to source documents, and the level of services ordered.

Patient Record Management:

Healthcare is dependent on data entry services. It emphasizes on speed and accuracy as this has a direct impact on their efficiency, resources and profits. For small one-time keyboarding requirements to complex order processing & entry, Indian Service Providers can cater to a range of clients.

They convert the patient's entire medical and demographic records from the paper format to the electronic media. As a result of HIPAA, records are secure, encrypted and have the facility of e-signature. Document management fills in the gap between a mere creation of an electronic version of patient records and a complete PRS (Patient Records System) where data can be centrally archived, distributed, mined and authenticated by e-signatures.

The newest technology supports remote coding, indexing and claims processing. The application will electronically track a patient encounter in a central database from the time the patient enters the system until the final payment is made on their insurance claim.

Healthcare Services India - Infrastructure

Infrastructure supports the high quality services provided by Indian companies. Highlights of this comprehensively framed infrastructure include:

  • Independent internet leased circuits from multiple ISPs are installed for data access and redundancy.
  • Built in IT redundancies for uninterrupted operation.
  • Networked capacity of over 100 seats
  • 200% power back up
  • Independent bays for each client
  • Dedicated, fully equipped training infrastructure
  • 24/7 security supported by state-of art access control system
  • Fire alarm system, fire fighting equipment supported by an emergency rescue team

Security

  • Physical restrictions on access to work area and network center
  • Firewall protection for internal network from the world wide web
  • Enterprise-wide multiple virus protection system
  • 128-bit SSL and data encryption on all web based applications
  • Digital certificate authentication for all servers
  • Each user has unique login, power-on and screensaver passwords
  • Controlled media usage/movement through inventory logs and physical checks
  • User accounts to access shared resources like fax machines and photocopiers
  • Random screening of emails for attachments with PHI

Training and Development

When employees are hired, they participate in a compulsory, intensive, four-week training program at a state-of-the-art training facility. From senior management to delivery staff, every employee participates in training that develops and enhances skills.
 

An in-house education department has developed training methodologies that focus on legal compliance and process adherence. A management team plays a key part in the training process, providing active training on the floor and in the classroom. Curriculum also takes the form of a broad spectrum of training modules, multimedia courseware and collaborative tools
 

There are also 24-hour language labs, supervised by a qualified professionals some who even have a Ph.D. in English. The lab is highly interactive and includes extensive role-playing, quizzing, testing and collaboration between employees in the U.S. and India.

Training and skill refinement is an ongoing process that results in a highly motivated, quality conscious workforce. The training cycle includes constant benchmarking against industry leaders to ensure that there is strict adherence to quality processes and legal compliance.

There is a continuous revamping of training materials and valuable feedback which helps to improve training efforts. This ensures consistent performance and a predictive quality of service.

Quality

Following ISO 9000 guidelines, Indian Service Providers are dedicated to quality and continuous process improvement for both customers and employees. Their responsibility is to ensure that through established standards and measurements, the level of quality at their company matches or exceeds your expectations.

Organizational excellence and quality awareness are developed through innovative process improvements, training, measurements and development of customer and employee satisfaction programs.

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