- What computer system do we use for billing and coding?
- How can I benefit from outsourcing?
- What materials do you use as reference for Coding?
- What are your biggest priorities in coding?
- What specialties do you serve in Medical coding?
- Do you always serve medical coding and billing together?
- I already have an office manager, then why should I hire you for coding and billing services?
- Are my patient's record safe?
- Why should I work with you?
- What are your Service Level Agreements?
- How can you take care of communication as I am miles away from you?
- Do you provide free pilot trials?
For medical billing and coding services we work closely with our client on “Hosted Technology” model where we would be to open to work with any client’s system. We bring in the domain expertise of medical coding and billing and we are not inclined towards building expertise in one single product. We work closely with our client during the initial ramp us phase to get our transition managers trained on the technology environment of our client.
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You would benefit from outsourcing in multiple facets,
- Align your staffs towards high value activities and make them grow and feel good. For instance if you ever face a situation where some of your senior and experienced staffs are loaded with simple, repetitive but high volume tasks it steals the opportunity from them to work on challenging aspects, say an assignment to work on aligning your organization towards fast and ever changing requirement of Medical Billing and Coding industry. Alternatively you can outsource these repetitive simple tasks to us to enable your staffs to focus on value added jobs. Your back office is our front office. “It’s a myth that outsourcing steals jobs rather it creates opportunities”.
- To formulate an appropriate HR strategy to be ahead of the competition. In today’s scenario the biggest challenge is the availability of “Employable Human Resources” for your organization. Outsourcing can relieve you from the pains of planning on the resource mobilization for activities that can be outsourced.
- Cost Advantages – gives you a winning proposition on the pricing to your clients as your HR cost on your balance sheet would be highly competitive. With outsourcing your $ cost per month on the activities that you outsource with us could only between $ 800 - $ 1200 / FTE (Full Time Employee). Your low cost could become a competitive low price for your client without an impact on your profits.
- Leverage the time zone difference – Your night is our day and we work during your night and also your day. By providing double shift utilization we can provide 2 days work in one day to enable you to define a winning delivery proposition to your clients. Shortening the payment cycle is the goal every provider is looking for.
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We refer to Encoder Pro, Flash Codes, Revised CPT & ICD manuals and any custom specific policies or SOP of the clients as our references.
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- To ensure the guidelines set by CMS (Centre for Medicare & Medicaid ) for 100% compliance.
- Adherence to the Golden rules of coding i.e.-following “as-is’ given in the DOCUMENTATION in the chart.
- Reference to the revised CPT & ICD manuals
- Continual training to our coders
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- Radiology
- Interventional Radiology
- Evaluation and Management
- ER
- Surgical
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No. Our delivery model gives the flexibility of providing Revenue Cycle Management services as both bundled and unbundled services. In the bundled version, our operations platform is robust and comprehensive to provide medical coding, Billing and Accounts Receivables as a combined offering. And it is other way in the unbundled version. top
A medical office manager is the person who has a broad scope of responsibilities than just the medical coding and the medical billing. He is the one who needs to define and execute a broad range of services that may include but not limited to
- Manual Preparation Procedures & maintenance
- New Patients Procedures & maintenance
- Medical Front Office Procedures & maintenance
- Medical Billing Procedures & maintenance
- Medical Post-Examination Procedures & maintenance
- Maintaining Medical Examining Rooms & maintenance
- Medical Staff Procedures & maintenance
- Managing Medical Offices & maintenance
- Patient Education Procedures & maintenance
- HIPAA Compliance Procedures & maintenance
Hence they are overloaded with too many activities that they may not be able to master the intricacies of medical billing and coding .It is not a question of their ability but on the time available to them. Implication is that there could be potential revenue losses to the practice due to undercoding / overcoding. Statistics shows that on an average a physician losses $35000 per year due to improper coding. But on the other hand by outsourcing you relieve them from the “doing” part of medical coding and billing but rather he would focus on the supervisory aspects of it. Infact in the whole exercise of outsourcing he would be the one who would take the responsibility to oversee the effectiveness of outsourcing operations of medical coding and billing.
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With the team’s experience and expertise in the healthcare industry, we at OptiSol understand the criticality and sensitivity of the healthcare data involved. Our utmost priority is to continually improve the security measures in place to ensure data security and confidentiality. We have evolved systems both for physical and IT security measures. Some of the measures that are in place but not limited to are,
- Physical security systems to ensure authorized entry to the production area
- Electronic access controls to our production sites
- Roles based access controls to the desktops
- Data purging measures
- Periodic data security audit
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- Trained Staffs – Experienced middle management staffs who brings in deep understanding on the US HealthCare domain. Our staffs are certified professionals with certifications like AHM, CPC. Our talent pool consists of seasoned medical billing & coding professionals lead by Project Heads and Domain Experts who possess considerable expertise in the revenue cycle management space. Our team leaders would possess typically 3 years of experience in coding and would oversee the operation. Typically our project head or transition manager holds certifications similar to AHM and would come with 5+ years of experience in project management in BPO space.
- Infrastructure – Scalable and secured infrastructure that focuses on security and Business Continuity
- Quality & Training – Integrated framework for quality and training based on six sigma philosophy. Please refer to Quality Training for detailed information.
- Young and dynamic team
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We understand each client is unique and hence work closely with clients to define their custom SLAs’ for our delivery.
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Through out our engagement we would focus more on tightly knitted communication framework. During the initial phase we would involve the client with
- Our hiring and training plan for the project
- Technology Infrastructure set up and testing
- Pilot production schedules with the deliverables
- Review of the pilot production with the client team on a daily basis
- Daily reporting of production logs and Issue logs
- Weekly status reviews
Once the project gets stabilized we would have periodic reviews on the production.
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Yes, we would be open towards offering a free trial of work as a Proof of Concept (POC). We shall agree with our clients to define the sample size and expected deliverables for the POC.
If you are interested in our services or for any inquiry on free trials please contact us at providercare@optisolbusiness.com .
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