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BPO Brochure
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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.
Medical Billing
Revenue Cycle Management Services
Document Management
Forms Processing
Enrollment and Credentialing
 
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.
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.
Revenue Cycle Management Services
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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