A complete and accurate review of medical records is vital for evaluating and submitting a medical claim. Hospitals and other practices use medical reviews to identify the effectiveness of treatment, to improve the quality of treatment, and enhance patient safety. Most importantly, the accurate review of medical records helps in streamlining claims management and ensuring uninterrupted cash flow.
Outsource2india has over 23 years of experience in medical records review. Over the years, we have developed a unique combination of experience and knowledge customized to meet the needs of providers and individual practices. We work to assist providers with compliance, service efficiency, revenue enhancement, and establish a well-organized documentation system.
Our end-to-end medical record review and medical record analysis services include -
From a clinical perspective, these are reviews that happen before the point of care. It entails utilizing coders and clinicians to assess previous health history, treatment plans, diagnosis, imaging reports, medication lists, and other documentation. Our prospective medical review services assist providers to get insights before an interaction.
Our retrospective medical review service uses pre-registered patient-centric data to answer health-related questions. We have experience in assisting providers with retrospective reviews across a range of healthcare-based disciplines.
Our medical review process is designed to assist the provider in determining the continuation of ongoing patient care with a real-time review. In the process, we assist medical professionals in determining if the plan under which the treatment has been provided is still effective.
Our appeals review service assists you to review an appeals decision to be sent out to a health insurance company. We also help you with reviewing the insurance company's response to your appeals.
Prior authorization and pre-claim review are quite close and we conduct both these medical reviews for our clients. We assist providers to submit the pre-claims or prior authorization request with a proper review of all supporting medical documentation. We have a successful track record of accurate reviews for an affirmed decision.
Our disability review services are tailored to provide employers guidance that is compliant with regulations. This assists them to negotiate claims relating to occupational and non-occupational disability.
Our utilization medical review services are designed to provide an expert evaluation of the type of medical services that need to be carried out. It determines how the medical services have to be delivered most inexpensively and have an end-to-end review of the overall medical treatment provided in the hospital.
Our peer-to-peer medical review service is designed to assist payers settle claims effectively. Our peer review service assists in determining if the patient treatment was based on a medical necessity and whether the claims are valid.
There are several benefits of outsourcing medical record review services. Some of these include -
We are driven by an experienced team of medical reviewers with knowledge in all types of EMR systems available.
Our professional reviewers will ensure that all important aspects of the clinical data are properly identified. We have experience working with highly complex patient records of all types.
We follow a highly organized process of receiving and arranging documents.
We ensure on-time and highly reliable medical review services with guaranteed privacy and security. As a HIPAA-compliant third-party partner, we adhere to all quality assurance protocols.
Our medical review files not just give you the correct view of important medical highlights chronologically but also validate the observations by hyperlinking the extracted data entries to the actual medical record.
Our medical review service is backed by a rigorous quality control process to guarantee completeness and accuracy.
Our medical billing specialists meticulously and reliably processed over 1200 claims a month for a group of four different healthcare providers.Read more
Our team of professionals utilized the Kareo software to key in charge and demographic details for a Texas-based client. Our team also processed over 16000 medical claims a month.Read more
I want to thank you for the professional way in which you are managing the project and meeting our deadlines.CEO, Medical Company, UK More Testimonials »
Outsource2india has been providing quality, insightful and affordable medical record review services to the healthcare industry across the world. Driven by a team of experienced reviewers and a well-driven process, we guarantee our clients stringent quality, data security, quick turnaround time, and competitive pricing.
If you are looking for the best medical record review services in India, get in touch with our experts now.