BENEFITS
OF
OUTSOURCING MEDICAL BILLING AND MEDICAL CODING
Outsourcing medical coding and medical billing tasks is a crucial
decision as this would greatly impact the way medical billing companies
and physician offices operate.
Companies are now tapping the numerous benefits of outsourcing through
their partnership with the right outsourcing providers.
This strategic move empowered companies!
Outsourcing medical coding and medical billing tasks provided companies
access to highly-skilled resources and world-class
technology. To add, significant cost reduction of 30-50% made
companies embrace this move even more.
The headaches of medical coding and medical billing such as the ever
changing insurance guidelines, state laws, annual updates on ICD and
CPT codes, denied, pended and unpaid claims, are taken out of the
companies’ hands and
minds.
The above benefits helped physicians focus more on their core business
which is providing care to their patients. Outsourcing also
enabled medical billing companies possess the capability of investing
on other areas such as business development and security
improvement. And because of the improved capabilities of
physician offices and medical billing companies, their quality of
service is greatly enhanced as well.
At
Infinit-O, we develop Dedicated Operating Teams (DOT) which act and
operate as if they are an internal department of your company without
the risks and costs of setting your own office offshore.
SERVICES OFFERED
Infinit-O offers medical billing and medical coding outsourcing
services to Healthcare Providers and Medical Billing Companies.
Medical
Coding Outsourcing Services
Scanned doctor’s notes/operative reports/clinical
information/patient charts are either stored in your server which we
will view through a secure Virtual Private Network connection or sent
to us through File Transfer Protocol.
- ICD-9-CM Coding (International
Classification of Diseases 9th Revision Clinical Modification)
- CPT-4 Coding (Current Procedural
Terminology)
- HCPCS Level II Coding (Healthcare Common
Procedure Coding System)
- Health Insurance Prospective Payment
System Coding (HIPPS)
Medical
Billing Outsourcing Services
Eligibility
Verification
All necessary information such as the patient’s active
enrollment, coverage of procedures, need for referrals or prior
authorization are verified prior to the patient’s scheduled
visit or before a walk-in patient is seen.
Data
Entry of Patient Demographics and Insurance Information, Charges and
Payments
Scanned patient forms, superbills/charge slips and Explanation of
Benefits (EOBs) are uploaded to your server and viewed via a secure VPN
connection. These are then entered to the client’s
software.
Medical
Claims Submission
Medical claims are submitted electronically or manually to primary,
secondary and tertiary insurance companies.
Creation
and Mailing of Patient Statements
Statements are sent to patients with outstanding balances.
Accounts
Receivable Management
Outstanding accounts are monitored on a daily basis.
Medical claims with errors are corrected and resubmitted.
Insurance and patient follow-up of unpaid claims.
Resolution of denied and underpaid claims.
Report
Generation
Customized reports are provided daily, weekly or monthly, as defined by
the client.
Infinit-O also offers medical claims processing outsourcing services to
health insurance companies.
Medical
Claims Processing Outsourcing Service
New
Accounts Application Processing
Scanned application forms with corresponding attachments are viewed via
a secure VPN connection. These are then processed based on
client-specified requirements.
Member
Update and Maintenance
Member information are maintained in the client’s software
and are updated as necessary.
Medical
Claims Adjudication
Medical claims are adjudicated based on the members’
eligibility, plan benefits and exclusions, deductibles,
co-payments and coordination of benefits, diagnosis and
procedures and an array of special and client-specified
instructions.
Healthcare
Mortgage
Insurance
Finance
and
Accounting
Legal Outsourcing
Sales
Support
