Outsource Medical Billing Services to Outsource2india

Are you facing an increase in denials and operating costs, accompanied by a lower reimbursement than expected? Are you spending more time on your practice administration than patient care?

Healthcare providers across the US are facing challenges such as increasing regulations, increasingly complex coding, declining reimbursements and increasing operating costs. We understand that building a successful practice is challenging in today’s healthcare scenario. Regardless of the size or specialty of your practice, Outsource2india can offer you a comprehensive and fully integrated medical billing solution.

Medical billing is our core competency and we can efficiently manage all your billing needs. Our medical billing specialists have over seven years of experience with all key insurance payors including Medicare and Medicaid.

Outsource2india’s end-to-end medical billing services

1. Pre-certification & Insurance Verification

The patient list, a copy of the insurance card and demographic details are sent to us via email/fax or secure FTP. Our medical billing specialists call up the insurance company prior to the appointment. Pre-certification is done for specific lab tests, diagnostic tests and surgeries. The details are sent to the hospital/clinic in the prescribed format.

2. Patient Demographic Entry

The medical billing specialists enter patient demographic details such as name, date of birth, address, insurance details, medical history, guarantor etc as provided by the patients at the time of the visit. For established patients, we validate these details and necessary changes, if any, are done to the patient records on the practice management system.

3. CPT and ICD-9 Coding

Our coding team consists of AAPC certified coders with over 2 years of multi-specialty coding experience. You may send us superbills with diagnostic notes with or without ICD and CPT codes. If codes are already provided on the superbill, they are validated by our coding team compulsorily to prevent any ‘up-coding’ or ‘down-coding’ and therefore, any denials.

4. Charge Entry

The fee schedules are pre- loaded into the practice management system. CPT and ICD-9 codes are entered into the system. The billing specialists ensure that all details have been provided in the claim and ready to be filed.

5. Claims Submission

Claims are submitted electronically via the practice management system. However, we can process paper claims also. At this stage, a thorough quality check is done by a senior billing specialist and then submitted. The rejection report received from the clearing house, if any, is analyzed and the necessary changes are done. These claims are then resubmitted.

6. Payment Posting

Scanned EOBs and checks are sent to our team. All payments are entered into the system. The amounts from EOBs/checks and amounts posted in the system are reconciled on a daily basis. A daily log is updated with these data.

7. Account Receivables Follow-up

All claims in the system are examined and priorities are set. First the claims close to their filing limits, and then work down from the age of the claim. Periodic follow-ups over phone, email and/or online is done to get the status of each claim submitted to the insurance company.

8. Denial Management

Analysis of denials and partial payments is done by our senior medical billing specialists. Payors, patients, providers, facilities and any other participants are called to follow-up on denied, underpaid, pending and any other improperly processed claims and the action is documented in the system. We will call patients, if authorized by the provider, to obtain information from the patient needed for billing such as ID# and to update the COB (Coordination of benefits) with their insurance companies. Secondary paper claims are processed and sent to the client office for submission.

O2I’s customized practice management reports

Daily Reports:

1. Scan control log (Charges)
2. Scan control log (Payments)
3. Pending log (Charges)
4. Pending log (Payments)

Weekly Reports:

1. Weekly AR report

Reports can be customized and provided as per your requirements.

Choose Outsource2india as your medical billing partner

With Outsource2india as your medical billing partner, you can be sure to cut down your operating costs, while reducing the number of denials. Make a decision to outsource medical billing services today and give your healthcare practice a competitive edge.

Contact us for medical billing services.

O2I’s Healthcare Services

Medical Billing and Coding Services: Outsource Medical Billing, Medical Coding, Medical Claims Processing, Revenue Cycle Management and Medical Accounts Receivable Services to O2I for competent and cost-effective services.

Medical Transcription Services: Outsource Medical Transcription services to O2I and benefit greatly from proficient services at a cost saving of 40-60%

Teleradiology: Outsource Teleradiology and Radiology services to O2I for accurate, efficient, skilled and professional services on a 24x7x365 basis.

Healthcare Software: O2I’s EMR Software can help you store, transfer and retrieve patient information easily while our Impact Analysis Software can help give you a comprehensive report on your revenue. Outsource now and give your business a competitive edge!

Other Healthcare Services: Outsource Clinical Services to O2I for a flawless clinical process and Medical Animation services for high-quality illustrations. Outsource now.

Outsourcing to India: Discover Why India is an ideal place to outsource to, Read more on Why Outsourcing has become necessary and find out more on What services can be outsourced to India.