Revenue Cycle Management Services
Outsource Revenue Cycle Management Services
Code medical claims, collect payments, determine eligibility of the patients, and keep a track of the claims with the help of our expert healthcare team
Are you finding it difficult to determine the eligibility of the patients and their co-pay collections, coding their medical claims, tracking it, collecting payments, and following-up on denied claims? Is it a cumbersome task to track and resolve tertiary tasks such as payer contracting, billing, collections, provider enrolment, revenue management, data analytics, etc.? Then Business Services Solution revenue cycle management is all you need!
Revenue Cycle Management or RCM is an extremely important procedure in healthcare and is single-handedly responsible for ensuring that healthcare providers payment, claims processing, and revenue generation procedures work effectively. Business Services Solution, a leading revenue cycle management service providing company, can manage the entire revenue cycle starting from a patient’s admission to the hospital, treatment, and discharge, to post-discharge claims and accounts settling. With our help you can benefit from accelerated cash flow, structured and organized operations, faster revenue realization, and constant monitoring of key revenue cycles.
Our Revenue Cycle Management Services
With our RCM services, you stand to benefit from increasingly efficient cash flow management solutions which in turn allow for better financial stability and flexibility for managing routine operation while dealing with industry challenges. Over the years, we have worked with both small and large clinics, hospitals, physician offices, family-based medical practices, ACHs, and medical billing providers to provide them with bespoke revenue management services. Our offerings include –
Accounts Receivable Management
Our team of healthcare experts at BSS are highly skilled and experienced to provide clients with accounts receivable management services. We ensure that all the details in the medical claim are correct and ensure that your cash flow is maintained and denials are reduced.
Accounts Receivable Analysis
Our AR analysis team can provide you with an accurate analysis of your account receivable accounts with ease. Our services will help you revamp your facility’s economic structure at an affordable price.
Accounts Receivable Follow-up
We have the required tools and technologies to ensure that we regularly follow-up with your accounts receivable accounts. We provide our clients with accurate healthcare AR follow-up, AR recovery services, online claims follow-up, financial reports creation, etc.
AR Calling Services
We have a dedicated team to handle all your AR calling needs. We ensure that you do not spend on hiring an in-house team and boost your ROI. We can help you track unpaid claims, manage patient’s collectible, generate AR reports, and track electronic and paper claims efficiently.
Denial Management Services
Denials occur due to incorrect patient information, improper documentation, invalid medical codes, etc. By outsource denial management service to us, you can rest assured that all your details are correct and all documents are verified in order to reduce the number of denials.
Insurance Eligibility Verification
Our healthcare team at BSS has the required skills and expertise to provide clients with accurate insurance eligibility verification. We can help you with document verification, patient insurance coverage verification, claim submission, etc.
Dental Insurance Verification
We help small and mid-sized dental practitioners and companies with high-quality dental insurance verification services. We provide them with verification of various details such as policy status, payable benefits, co-insurance details, insurance plan exclusions, etc, apart from offering health insurance recovery services.
Medical Insurance Claims Processing
Business Service Solution is one of the experts in medical insurance claims processing and have been catering to the needs of clients for over two decades now. We can help you with claim setup, verification, document imaging, claim adjudication, disbursement, account settlement, etc.
Payment posting marks the end of the billing cycle where the patient records are entered into the billing software. Our team at can help you at each and every stage of the process leveraging the latest and the best medical billing software in the market.
PPO Health Insurance Claims Repricing
Our team of healthcare billing experts can help you with accurate PPO health insurance claims repricing. We have the expertise to provide clients with the manual repricing of claims, forms processing, provider table maintenance, fraud detection, etc.
EOB Processing Services
We will provide a comprehensive EOB that includes all the information on the health insurance that has been processed by the insurer and what portion of it has been covered. We’ll help you understand the invoice and benefits without sounding too technical.
Pre-Visit RCM Services
During this phase, we cover a host of services which can help you easily screen patients and record their details for faster processing down the line. We ensure all details are captured accurately and securely and screened for mismatches and mistakes. We offer –
- Appointment and Scheduling
- Demo Entry (Insurance and Patient Information)
- Patient Registration
- Referral Verification
- Insurance Eligibility Verification (Online portal verification, real-time verification, and phone calls)
- Patient Indexing
- Batch Preparation
Payment Batch Preparation
Post-Visit RCM Services
Once the patient has been discharged or has submitted his insurance claims, we help to follow up and trace the exact amounts requested, while liaising with the insurance provider, if required. Our services include –
- Medical Coding
- Medical Coding Audit
- Charge Entry
- Charge Validation
- CCI Edit validation
- ICD-10 code validation
- CPT/HCPCS code & modifier validation
- Claims Filing
- Electronic Payment Posting
- ERA & EOB posting
- Daily log report
- Manual Payment Posting
- Denial Posting
- Denial Management
- Identify major reasons
- Tracking and trend analysis
- In-depth analytics
- Account Receivables Management
- In-depth analysis of outstanding claims
- Follow up with insurance providers
- Appeals & follow-up appeals
- Denial Follow-up
- Claim Dispute Verification
RCM Support Services
Along with the above-mentioned services, we also provide a host of support services which can help you streamline and optimize your existing revenue cycle while benefiting from better cost-savings and increased customer satisfaction. Our services include –
- Revenue Improvement Services
- Claim Conversion
- Custom Report Generation
- Payment and charge reports
- Procedures and diagnosis reports
- Payment reimbursement report generation
- Lockbox deposit reconciliation
- Payor detail analysis
- Claims Corrections and Refiling
- Electronic Secondary Claims Transmission
- Manual Secondary Claims Transmission
- Provider Enrollment
- EMR Clinical Documentation and Reporting
- Patient Statements (Inpatient and Outpatient)
- Patient Credit Status Report
- Collection Processing
- Bad Debt Follow-up
- Balance Adjustment
- Clinical Documentation Improvement (CDI)
Revenue Cycle Management – Our Key Differentiators
Over the past decade, Outsource2india has set itself apart as a premier destination for healthcare outsourcing. By outsourcing revenue cycle management services, you can streamline the functioning of your hospital and ensure better patient satisfaction. When it comes to RCM, the inherent pressure and volume of tasks associated with it make it an ideal outsourcing candidate. O2I’s revenue cycle management services integrate people, technology, and processes to improve workflow efficiencies while meeting all your organizational metrics. Some of the main reasons which set us apart from our peers include –
O2I has the infrastructural capacity and the expertise to avoid unnecessary disruptions that mostly occur due to regulatory changes or unforeseen errors. With our help, you can always bank on achieving the best possible results, while leveraging our state-of-the-art infrastructure and web-ready interfaces to achieve better operational flexibility.
Most healthcare organizations face exceptional challenges when it comes to training, implementation, and adjusting to the learning curve of a revenue cycle system. With the help of RCM, we can help our clients streamline the process by utilizing our team of exceptional medical billing experts and project managers who double up as your solution architects as well.
Stringent Data Privacy
O2I is an ISO 27001:2013 certified company and is also 100% HIPAA compliant. We always remain within the regulatory guidelines and ensure that at each step of the way, our client is apprised of compliance issues, if any. We have strict protocols in place to safeguard all business-specific information and customer information.
We have access to exceptional talent and a trained workforce which help to provide the flexibility and scalability that many healthcare providers yearn for. We can scale up the resources assigned to your project within 24 hours of saying so, thereby minimizing the amount of non-core work required to be finished by your in-house personnel.
Outsource2india can become a trusted outsourcing partner for all your healthcare BPO requirements, including medical billing and coding, claims adjudication, teleradiology, pharmacy business, and more.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) encourages healthcare payments tied to quality rather than quantity while promising better care to patients and quicker, more transparent solutions to payment processes. This Quality Payment Program rewards value and eventual outcome in 2 different ways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). If you or your company wants to participate in this forward-thinking endeavor, our solutions can help you reach peak effectiveness faster.
Why Choose Business Services Solution for Offsite Revenue Cycle Management?
Revenue Cycle Management helps to unify the clinical and business sides of healthcare but still does not get the focus it deserves from established healthcare providers. Outstanding revenues and a disorganized revenue cycle are two major factors that pull down the efficiency of hospitals. As a healthcare provider, it becomes highly imperative that you have an agile revenue cycle management. Over the years, our experience and investment in knowledgeable resources have allowed us to become a leading provider of outsourced revenue cycle management solutions. By choosing us as your revenue cycle management service provider, you can get access to the following benefits –
- With our help, you can save almost 60% on your operating costs
- Access to the best infrastructure in terms of world-class office spaces and uninterrupted network connections
- HIPAA compliant proven processes for high-performance revenue cycles
- State-of-the-art software and technologies for a highly productive functioning of your revenue cycle management
- Risk-free outsourcing ensured by stringent information security policies and practices
- All our services are offered 24/7 thereby ensuring quick turnaround time
- Experienced personnel will handle your revenue cycle management at every juncture
- Continual follow-up of your bills and records for better revenue collection
- Improved patient and physician satisfaction ratings
- Reduced staffing issues and process training time
- Free trial of our services available
- Our revenue cycle management experts are available 24/7 to solve queries via phone or email
Outsource Revenue Cycle Management Services to Business Services Solution
Business Services Solution is one of the most experienced providers of revenue cycle management services in India. We have expertise in working with 23 different practice management software ensuring zero downtime between the shifting of duties. All this and more make us an ideal outsourcing partner who can help you overcome the challenges posed by the modern healthcare industry and compete on an equal footing with larger competitors.
Contact us for revenue cycle management outsourcing services. It will be a pleasure to hear from you and we shall revert within the next 24 hours.