Outsourcing Practice Management Software to O2I

Outsource2india, a pioneer in outsourcing has been providing quality healthcare management services to customers in more than 22 countries. At Outsource2india, we can help you achieve maximized efficiency with our high-end healthcare management services. The health care management software that we develop is compliant with global healthcare standards such as, ANSI, HL7, HIPAA, X12 EDI, NPI and PQRI.

Our healthcare customers have benefited from our experience and expertise in developing specialized medical practice management software. We have served hospital billing departments, billing companies, networked providers, practice management firms, individual healthcare providers, large healthcare group practices and small healthcare group practices.

The features of O2I’s healthcare management software

• The artificial intelligence feature enables the rule bases engine to conduct edits, in order to analyze coding relationships by insurance companies. The feature can also be used to analyze unitization guidelines, coverage issues, employer sponsored benefit plans etc.
  
  
• The hospital management software that we develop complies to the international guidelines and industry standards of billing, pricing, coding, reviewing and managing medical episodes.
  
  
• The healthcare management software that we develop has a proprietary database. This database manages usual/ customary reimbursement schedules for healthcare products. It also manages reimbursement pricing guidelines.

The benefits of healthcare management software

• Anytime and anywhere access
• Easily customizable software
• Customizable reporting facilities
• Efficient & flexible billing and scheduling
• User-friendly
• Easily store information about patients
• Auto correction of coding relationships
• Electronic tickler system
• Details of patients can be saved
• Patients can be easily monitored
• Collectible items can be easily identified
• Efficient appeal tracker
• Efficient rules based engine to monitor, track & update educational tools
• Per collector performance evaluation
• Denied procedures can be distributed to collectors
• Comparative analysis of performance vs. cost
• Fixed cost analysis

Our Specialties include:

• Internal Medicine
• Ambulance
• Chiropractic
• Physical therapy
• Gastroenterology
• Pediatrics
• Urgent Care
• Emergency Room
• Rheumatology
• Endocrinology

Practice Management Software used at O2I:

Medical Manager, Misys Tiger, Misys PM, Ortivus, Medisoft, SIS, QRS, TGI, Vericle, Kareo, Elligence, e-MD’s, Alteer, AdvancedMD, eClinical Works.

Clients for whom we processed claims:

Radiology, Psychiatry, Skilled Nursing Facility, Cardiology, Pediatric Neurology, Pediatric Nephrology, Orthopedic.

The need for an medical practice management software

A medical practice management software is generally used to efficiently handle administrative and financial matters. When a patient visits a healthcare center, a list of charges, based on the services rendered is entered into the practice management software. Current procedural terminology (CPT) and international classification of diseases (ICD) codes are used while entering the charges. Depending on whether the patient has an valid insurance cover, the insurance claims will be sent on a CMS 1500 form. In case of hospital charges, the charges will be dispatched in a UB-92 form. Conversely, electronic claims can also be sent, based on ANSI X12 and HL7. The healthcare management software can handle billing claims for different medical specialties and process claims for Blue cross, Medicaid, Medicare, Blue shield etc. It can also process claims for insurance carriers. The Healthcare Management software system can handle claims processing, patient invoicing, appointment scheduling, patient management and report generation.

Your organization can use an health care management software to schedule appointments, conduct medical billing, record patient demographics, manage the list of insurance payers and also create reports. By using a hospital management system you can also greatly reduce medical claim denials, serve claims filling and serve re-adjudication functions.

Outsourcing healthcare management software to O2I

At Outsource2india, we have years of experience in providing efficient healthcare management software services to global customers. Our hospital management software has an built-in information system that can easily identify the algorithms utilized by the healthcare insurance industry. It then maps the rules that drive payer specific clinical, financial rules and benefit coverage.

At O2I, we have identified the adjudication logic that defines bundling logic, multiple procedure rules benefit coverage, medical necessity guidelines, coding relationships, schedules of reimbursement and reasonable / customary charges. Based on this information, we will re-adjudicate EOBs. The medical practice management software will then review claim history files and system databases to identify adjustments, write-offs, underpayments and missed revenue opportunities that are not appropriate.

The functions of hospital management software

The practice management software that we develop at O2I has the following functions.

• Data can be easily shared with different window applications
• Several windows can be opened at the same time
• Reminder notes for staff/healthcare physicians can be created with ease
• Access to data & system functions can be restricted based on group and/or user settings
• Internal data codes, such as, payment, visit codes, fee schedule & modifier can be easily created
• Effective management of important critical data, such as, billing history, demographic information and insurance information
• The sophisticated claim scrubbing technology can reduce the amount of denied medical claims
• Reports can be generated to help you identify the procedures that are popular, the topmost healthcare physicians and other elements that are profitable for your business
• Patient visits, from the time they check-in till appointments are scheduled can be automated
• Databases can be switched and multiple locations can be handled by one organization
• The integrated workflow management system can streamline time consuming tasks

The data interchange standards used in O2I’s healthcare management software

We use HL7 to enable the medical practice management software to be able to communicate with the EMR software and with your hospital. The ANSI X12 EDI transactions include features for claims status inquiry, claim submission for dental claims, eligibility and benefit inquiry, claims status response, eligibility and benefit response and claim submission for institutional claims and professional claims.

Outsource healthcare management software to O2I and give your healthcare organization a competitive edge.