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Healthcare Revenue Cycle Management Outsourcing
Outsourcing your Healthcare Revenue Cycle Management (RCM) to a specialized service provider like Medical Billing India can transform the financial backbone of your healthcare organization. With our offshore RCM outsourcing services, you benefit from a blend of qualified medical professionals, cutting-edge Information Technology enabled Services (ITeS), and meticulously designed processes tailored to meet the needs of the healthcare sector. . By choosing our services, you can significantly reduce operational costs while enhancing efficiency and accuracy in billing and collections.
Our team is adept at navigating the complexities of healthcare regulations, ensuring compliance and minimizing errors that could lead to revenue loss. Moreover, outsourcing allows your internal team to focus on core patient care activities without the distraction of revenue management tasks.
Our round-the-clock support guarantees that your RCM processes are handled seamlessly, leading to quicker claims processing and improved cash flow. Partnering with us means not only streamlining your operations but also gaining access to regular performance reports and insights that help drive strategic decisions. We are committed to aligning our services with your organization’s goals, ultimately contributing to better financial health and patient satisfaction. Invest in our expertise today for a sustainable future tomorrow.
Navigating the challenges of hiring and managing skilled revenue cycle professionals is a constant struggle in the healthcare sector. That’s where Global Healthcare Resource comes in with our top-notch revenue cycle outsourcing services, meticulously crafted to enhance your operational processes at every stage of the reimbursement cycle. With over 25 years of dedicated service, we have effectively supported RCM companies, providers, hospitals, and healthcare technology platforms as a seamless extension of their teams. Trust us to bolster your operations and achieve greater efficiency today.
End-to-End Revenue Cycle Management
We provide cost-effective solutions to simplify your revenue cycle. View our service offerings below.
Medical Billing
Our medical billing solutions are designed to streamline your business operations, allowing you to efficiently handle daily tasks without the hassle of hiring, training, or compensating additional staff.
Medical Coding
At Global, our committed team of medical coders meticulously reviews both inpatient and outpatient records to ensure every diagnosis is accurately coded. They strictly adhere to CPT, ICD-10, HCPCS, and DRG guidelines. With their expertise and precision, you can trust that your coding is handled with the highest standards of accuracy and compliance.
Home Health
We specialize in crafting tailored business solutions designed specifically for Home Health and Hospice providers facing challenges in enhancing coding turnaround times and ensuring clinical documentation accuracy. By partnering with us, you’ll experience significant improvements that can transform your operations.
A/R Follow-Up
Our approach is designed to optimize recovery efforts by efficiently organizing claim denials and aging claims based on their timely filing and monetary value. By pinpointing the most urgent and profitable claims, we ensure every effort is focused where it matters most.
Patient Eligibility
Allow us to take on the tedious task of gathering details about a patient’s eligibility before their medical service. We specialize in rapidly conducting insurance verification, ensuring you receive accurate coverage dates, copay amounts, and deductible information.
Hospital Services
Discover customized business solutions tailored for hospitals, large provider groups, and practice management firms. Elevate your operations by streamlining your revenue cycle and enhancing patient engagement processes. Let us help you achieve greater efficiency and satisfaction today.
Risk Adjustment
We are experts in optimizing risk adjustment scores, effectively reducing costs while enhancing the quality of care.
Physician Billing
Our physician revenue cycle management services are specifically designed to fit your organization’s distinct needs, ensuring we function as an effortless extension of your team.
Comprehensive Revenue Cycle Management Services
Our RCM services encompass all critical aspects of the healthcare revenue cycle, detailed as follows:
Patient Appointment Scheduling:
– Schedule and manage appointments.
– View and update patient information.
– Assign time slots and check doctor availability.
– Minimize no-shows through effective communication and reminders.
Insurance Verification:
– Collect patient insurance details.
– Contact insurance providers to verify coverage.
– Obtain necessary prior authorizations.
– Maintain thorough documentation and update billing systems accordingly.
Medical Coding:
– Apply accurate ICD-10, CPT, and HCPCS coding to diagnoses and procedures.
– Perform risk adjustment and HCC coding.
– Conduct regular coding audits to ensure compliance and accuracy.
Medical Billing:
– Manage all aspects of charge entry and payment posting.
– Handle accounts receivable and perform quality checks.
– Submit scrubbed and accurate medical claims to insurance payers.
Medical Records Indexing:
– Index and manage all relevant medical records including insurance claims, ID cards, and patient demographic sheets.
– Ensure all documentation such as Explanation of Benefits (EOBs) is accurately processed and archived.
Payment Posting:
– Post payments based on EOBs to patient accounts.
– Analyze EOBs for any discrepancies such as under-payments or over-payments.
– Perform reconciliation to match payment postings with actual deposits.
Medical Claims Processing:
– Enter and index medical claim data.
– Manage and update provider and member information.
– Track, analyze, and manage denials, preparing and submitting appeals as necessary.
Medical Credentialing:
– Handle provider and group credentialing, including insurance credentialing and enrollment assistance.
– Conduct primary source verification to ensure compliance and legitimacy.
Advantages of Outsourcing RCM to Our Specialized Services
– Access to Expertise: Our team comprises experts in medical billing and coding, ensuring that your RCM processes are handled by skilled professionals.
– Advanced Technology: We utilize the latest technology to streamline every aspect of the revenue cycle, from patient scheduling to final payment processing, ensuring accuracy and efficiency.
– Efficient Workflows: Our processes are optimized to enhance workflow efficiency, reducing cycle times and increasing throughput.
– Best Practices Implementation: We adhere to industry best practices, which helps in reducing errors, minimizing denials, and improving overall financial outcomes.
Why Choose Our RCM Outsourcing Services?
By choosing our specialized RCM outsourcing services, you not only streamline your financial operations but also enhance patient satisfaction by reducing administrative burdens. Our expertise allows your healthcare providers to focus more on delivering quality care rather than being bogged down by financial operations.
Transform your healthcare organization’s revenue cycle with our expert RCM outsourcing services, designed to maximize efficiency, compliance, and revenue generation. Let us help you achieve financial robustness with precision and professionalism.