Health
Care Services (HCS) : |
| Rising healthcare
costs, shortage of skilled labor, increased regulations, increasing
technology costs and thin profit margins pose significant
and pressing management challenges for the healthcare industry.
To remain competitive in this dynamic environment and increase
profitability, the industry leaders are outsourcing their
non-core activities and focusing on core business functions. |
The healthcare
BPO industry involves outsourcing activities related to the
creation, maintenance and exchange of patient information
between healthcare providers (hospitals, clinics and physician
practices) and healthcare payers such as insurance companies.
Some of these activities include medical transcription, document
management, coding, billing and receivables management. Although
activities such as clinical process outsourcing (radiologists
working in India examining scans of patients seeking care
within the United States as per US norms and standards) also
come under the purview of healthcare BPO, these activities
have only recently entered the outsourcing agenda. |
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Medical Billing |
Medical Billing
has become the crucial part of revenue management for the
medical service provider and hospitals. Millions of dollars
are lost annually due to under pricing, coding errors, missed
charges and un-reimbursed claims. Datassureds medical billing
service enables to eliminate these loses and accurately process
the medical billing. Our professional approach and vast expertise
will assist in your practice by freeing you with the tedious
tasks of billing and follow-up functions, thereby enabling
you to concentrate more on medicine and the patients. Datassureds
medical billing service incorporates latest technological
and software developments and is very user friendly. Medical
Billing service is customized to meet individual clients specific
requirements. |
| Medical Billing Services |
Data
entry - we obtain information from the provider and/or
practice and enter this information into our database. |
File
claims - most claims are filed electronically and only
a few will go on paper. This is dependant upon the insurance
carrier the claims are going to. |
Statements
- are mailed out from our office on behalf of your practice
or facility. The protocols of statements and collections are
done specifically to your specifications. |
Payments
- as we receive payments and explanations of benefits from
you, we post these in to our database. Each EOB will be audited
for correct payment and/or benefits. |
Reports
- are done on a monthly basis. Because each provider and/or
practice is different, we customize our reports for you. |
Fee
Schedules - it is vital to have fee schedules with
the insurance companies and networks that you participate
in, updated on a yearly basis. We request these fee schedules
and negotiate the pricing on your behalf. Inflation and cost
of living increases on a yearly basis, so should your reimbursement. |
Medical billing
is a serious business in this day and age of medical practices.
Without the proper knowledge of medical billing and reimbursement
methodologies, providers and practices will not receive the
proper reimbursements, if any reimbursement at all. Datassured
can help to manage your billing process professionally and
enhance your revenue generation. To explore and evaluate our
billing process do write in to: medical-bpo@Datassured.net. |
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Revenue Cycle Management Services |
|
Datassured
provides a wide range of Revenue Cycle Management services
to Hospitals and Medical Billing companies. We leverage people,
processes and technology to provide operational and financial
solutions to our clients. Our goal is to help you maximize
reimbursement and reduce expenses. Our services include Charge
Capture, Payment Posting and Account Receivables Follow-Up.
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Revenue
Cycle Management Services |
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Document Management |
| Key Benefits
of our Document Management offerings include: |
Centralized electronic repository of all documents
Huge reduction in administrative overhead
Minimal chances of document loss or modification
Compliance with fiscal, legal and regulatory requirements including
SOX
Minimization of business and litigation risks across jurisdictions
High management visibility and comprehensive reporting
Template driven, reduction in new contract development time
Quick deployment and fast return on ROI (typically <6 Months)
40%+ cost savings, offshore driven support and maintenance |
|
Forms Processing |
| This includes scanning
handwritten documents, converting them into electronic form
and sending it back. |
|
Enrollment and Credentialing |
Datassured
can provide reliable enrollment and credentialing services
to providers. The credentialing process can be burdensome
and time consuming, but is absolutely necessary to the business
health of the practice. Datassured provides physicians with
efficient and fast, enrollment and credentialing services,
and enables them to focus on their core business of providing
quality healthcare to patients. |
| Credentialing
Services to providers include: |
Compiling required enrollment documents
Completing and submitting the enrollment application
Tracking the enrollment application progress through approval
Maintaining
critical records of enrollment documentation
Monitoring expirations of MA registrations, DEAs, and CLIA registrations
Processing
re-credentialing applications as needed |
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