Case Study on Medical Billing

Outsource2india handled the complete medical billing process for a large medical billing company based in the US, improving productivity by 30% with error rates below 2%.

The Client

A leading US based medical billing company was considering outsourcing a few of their medical billing functions like Patient Demographics and Charge Entry.

The Challenge

Outsource2india was initially approached by the company to take care of their patient demographics and charge entry functions.

Since the client was a first-time outsourcer, the first main concern centered around quality. The client's existing billing team had an error rate of 4%. Our team had to work within an error rate of 2%, despite having minimal training. This was a huge challenge, since the team had to be trained on the software and the methodology used by the onshore team.

O2I also had to make sure that the transition from onshore to offshore was smooth and painless, with the least amount of change and much higher productivity.

The Solution

We started with one full time employee to take care of patient demographics and charge entry for about 7-8 files per month. Within the second month, we were processing 150 files with error rates that were below 2%.

To ensure a smooth transition of operations from onshore to offshore, we made sure that we replicated the entire existing onshore process without any alterations.

To ensure that quality was not compromised, a quality assurance team with more than 3 years of experience in Payment Posting audited all the processed files and charge sheets.

Reporting

We regularly sent daily status reports highlighting the number of files in processing and reasons for delays. We also sent consolidated monthly reports. The following are a few of the reports:

• Daily reports for payment posting and denials
• Daily revenue status reports for payments
• Daily feedback implementation reports

The Results

The client was so satisfied with the results that he decided to outsource the rest of his medical billing processes to us, which included Patient Demographics, Charge Entry, Payment Posting, Insurance Calling and Patient Calling functions.

We are now handling all the medical billing functions of the client. We currently have over 50 full time employees working on the project.

We currently process a million files monthly, and our error rates are less than 2%.

Outsource your Medical Billing to O2I

If you are thinking about outsourcing medical billing, contact us for more information. Simply fill in the inquiry form and our Client Engagement Team will contact you soon. We will facilitate the outsourcing process by answering your queries, assisting smooth flow of information and catering to all your medical billing requirements.