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Healthcare BPO
Healthcare BPO
We at Sai Midas take care of your end to end Healthcare revenue cycle management (RCM), managing the financial aspects of a patient's healthcare journey, from the initial point of contact to the final payment of services rendered. It encompasses various administrative and financial tasks, including patients’ registration, insurance verification, coding and billing, claims submission, payment processing, and accounts receivable management.
These End-to-end healthcare revenue cycle management steps need to be well organised, our professional team involves streamlining and optimizing these processes to ensure accurate and timely reimbursement for healthcare providers.
The role of outsourcing in the Health & Medical Industry
Healthcare business process outsourcing, or simply Healthcare BPO means outsourced business activity or process that provides support (admin or otherwise) to medical institutions, staff, and organizations. Commonly outsourced activities include coding, billing services, transcription, etc.
It’s safe to say that healthcare companies, ranging from insurers to pharmaceutical companies, are not seen as the most customer-centric. With an increasing demand for healthcare services, it’s only essential for businesses to ensure better patient and customer experiences.
An aging population, coupled with the current state of healthcare emergencies warrants a check into the operational capabilities of healthcare brands.
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An important change would be to bring about exceptional CX and employ digital-first touchpoints. An important component of that will be to move out of the negative emotions province of worry, and fear that comes with sickness and start to introduce seamless patient-doctor and customer interactions – moving from sick care to proactive healthcare experiences.
Predicting problems and solving them before they bother the patient-customer has become the new norm. Customer experience in healthcare has come a long way.
On the other hand, reading from its low popularity, there is still a lot of room for improvement. And this is where healthcare business process outsourcing comes into play.
Healthcare BPO Services
Provider Services
Our services for healthcare providers encompass a range of tasks and functions that can be outsourced to external service providers...
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Billing Services
RCM billing services is patient registration. This involves collecting and verifying patient demographic information, insurance details, and other...
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Medical Coding
Medical coders need to have a strong understanding of anatomy, physiology, medical terminology, and coding guidelines to accurately assign codes...
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Why Choose Us
Why should you use our RCM services?
With our cost effective outsourced Healthcare RCM services you enjoy cleaner claims, quick recoveries, enhanced revenue and freedom to focus on your core capabilities. In compliance with Medical Coding and billing with timely filling of claims, and resolution is our priority.
We have in-house full-time AAPC certified medical coders, billers and denial management specialist.
- Certified and experienced coders & billers
- Focusing on documents requirement and proper documentation
- In compliance with current CPT, HCPCS, ICD-10, DRG and billing
- Understanding insurance coverage, eligibility and benefits, and timely filling limits
- In-house Expertise with Multi-specialty Domain Knowledge
- In- house Training Unit
- Fast scalability
- Capability to manage high volume of work
- Quick Turn Around Time
- QA control
- 100% HIPAA compliance
- Competitive pricing
Advantages of outsourcing to Prism
Looking at the present time of healthcare needs and services requirement, we at Prism believe every provider is entitled to be paid better and in timely manner for the healthcare services that they provide. Being compliant with government and commercial rules and regulation, which are the fundamentals for proper billing and reimbursement, they vary immense on reimbursement. Every provider deserves a stress free environment, flourishing practice and need to expand, to provide service to patients. We help you being more patient-centric and maximizing your core value for patients.
Focus on core business
Allows you to concentrate on core business activities without sacrificing quality of service in the back-office, tracking files and folders, this helps healthcare professionals to make the best use of their time and increase productivity, resulting in better revenue.
Better accuracy
Data accuracy, documents requirement, medical report documentation and last but not least medical necessities is very essential to get maximum reimbursement for claims being submitted to government, commercial, workers comp, auto insurance or charity program for reimbursement. By outsourcing your medical coding service to, you can achieve better accuracy.
Cleaner claims
With Prism, you are ensured of timely filling, cleaner claims and speedy reimbursements.
Understanding Insurance requirement better
Being compliant with set rules and regulations we get Providers and their offices attention towards any documentation deficiencies, missing reports, missing diagnoses relationship and laterality and get it well recognized before submitting claims.
Quality audit
Quality audit increases the accuracy of coding. Better accuracy increases the chance of getting faster reimbursement, reducing rework and follow ups
Save costs; get experts
Finding or hiring experienced certified coding, billing and denial management specialists is quite challenging. Moreover, it will cost you a lot. By outsourcing medical coding work to us, you will get the benefits of certified coding, billing specialists at lower cost. Two different time zones also enhance the overall process by saving time.
SYSTEM & DELIVERY MODEL
With a robust system and impeccable delivery model, we can provide you with:
- Improvements in cash flow, thus increase in profitability.
- Reduced average AR days.
- Increase in the collection ratio.
- Reduced claim denials.
- Structured Coding, billing and AR follow-up approach.
- Faster collection cycle with the right use of automation.
- Reduce operating cost.
