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What Is Outsourcing?

Why Outsourcing?

Outsourcing to India?

Why Bangalore ?

BPO India

Outsourcing Benefits

Hot Outsourcing Fields

 

Medical Billing, Coding, and Collections

As healthcare operations across the globe become increasingly complex and challenging to the core, practices and facilities today need to focus more on patient care and less on paperwork/back office operations. Outsourcing medical billing and collection to efficient service providers not only initiates timely action and round-the-clock support but also ensures service excellence in terms of accurate claims processing, brief collection cycles, and enhanced revenue generation, while you save on valuable capital/resources locked in administrative infrastructure, staffing, and training.

Based in Bangalore, Go2India offers a comprehensive range of medical billing, coding, and collections services to leading healthcare facilities, individual practices, and physician groups in the USA and across the globe. Led by industry experts, our service portfolio has been designed to help reduce waiting periods and increase cash flow, while you focus on quality patient care and impeccable service/support. Our domain expertise across healthcare markets, in-depth knowledge of provider-payer operations, and highly customizable solutions/processes help ensure most accurate claims processing and maximum profitability without compromising on service quality and patient care.

Accurate Billing for Optimum Reimbursement
1.Claims & demographics entry

Efficient and effective medical billing will help speed up the reimbursement process, making sure of hassle-free and higher-than-average returns at a faster pace. At Go2India, all accounts are handled by well-trained and experienced team-members – so that your account receivables are maximized and back office expenses are reduced to a minimum. You can submit paper documents as well, and the BPO leader will take the utmost care to ensure fast and flawless entry of claims and demographics into the billing system. Our online/offline data entry and high-end scanning/imaging help capture data with the greatest possible accuracy while our remote access solutions will keep you in complete control of the entire process.

2.Quality coding


Once the information is accurately captured, our team of well-trained coders will convert medical diagnoses into relevant codes as per project guidelines. Go2India abides by all regulatory compliances such as the HIPAA (Health Insurance Portability and Accountability Act) guidelines and offers high-quality medical coding services on par with the AAPC (American Association of Professional Coders) standards. Our staffs have the expertise to handle all kinds of diagnosis and procedure codes such as ICD (International Classification of Diseases), NDC (National Drug Codes), CPT (Current Procedural Terminology), CDT (Current Dental Terminology), and HCPCS (Healthcare Common Procedure Coding System). Standard coding can also be modified as per insurance carriers’ requirements.

At Go2India, we have a rigorous quality assurance program in place, and the output is thoroughly verified & validated by coding supervisors for completeness, quality, and legibility. Random quality audits are also conducted to ensure total quality compliance as per industry standards. The company employs a wide range of billing software such as Lytec, Medic, Misys, Medisoft, Inception, and Nextgen to ensure high-accuracy deliverables. However, our in-house coders are experienced professionals who can be quickly trained to use your custom applications, thus ensuring a seamless workflow and best-possible comfort & security levels. Completed and quality-checked claims are electronically submitted to payers.

3.Collection & reporting

While collection follow-ups are meticulously carried out by the finance/accounting division and the contact centers of the BPO leader, we also do EOB (Explanation of Benefits) processing and ensure fast and accurate postings of all payments in your existing billing system. As EOBs are sent by payers to both enrollees & providers, and feature necessary information regarding claim payments and patient responsibility amounts, it is important to process and record the same to keep your accounts up-to-date. Go2India employs both manual and automated data entry solutions to record the data while our QC team ensures real-time data validation. The company also specializes in accounts receivable analysis, A/R follow-ups, and re-processing of denied claims. We will also prepare custom reports on claims and collections status to keep you updated round the clock.

How You Gain

  1. Lightning-fast data entry and accurate coding for highly acceptable claims generation and maximum reimbursement.
  2. Denied claims re-processing and aged claims reconciliation.
  3. Collection accelerations, shorter revenue cycles, and consistent cash flow.
  4. A/R analyses, follow-ups, and collections of outstanding receivables within shortest possible time frame.
  5. EOB (Explanation of Benefits) processing and payment posting.
  6. State-of-the-art billing software for high-accuracy deliverables.
  7. Well-trained workforce with thorough knowledge in industry coding standards, latest EPM (electronic practice management), and EMR (electronic medical records) systems.
  8. 24x7 customer support to help with billing-related queries.
  9. Reports & spread sheets generation for activity and claims status tracking.
  10. Improved efficiency & productivity at reduced costs.

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