How to choose a good Healthcare Outsourcing Service?

There are lots of aspects that an outsourcer should think about, while signing an agreement with a provider of healthcare outsourcing services.

Strategy planning

Here are some questions and guidelines to analyze the qualities of a good medical billing company for outsourcing:

Check if the medical billing company is HIPAA compliant. Find if the medical billing company is ISO certified – ensures higher levels of process efficiency

Ask the medical billing service provider, how the company secures patient information apart from the HIPAA compliance

Know the company’s experience in the medical billing field. Higher the experience, more are the benefits by outsourcing medical billing to them

Know the company’s business strategy. A well-laid business plan of the healthcare outsourcing service provider can save unbelievable dollars in medical billing

How many medical billing clients does the company work for? – To know how work of new clients could be done properly without interruption or pressure from other clients

Know the company’s experience in the medical billing field. Higher the experience, more are the benefits by outsourcing medical billing to them

Do a complete cost analysis. Ask if there are hidden costs with medical billing

Compare the benefits that the medical billing company provides with the benefits of doing medical billing with ’in-house’ teams

Know the deadline that is set-up for task accomplishment in each specialty. This is the SLA – The service level agreement, highly important for timely delivery of services

Know the details about the medical billing software used. Will the healthcare outsourcing services provider work on already existing software or do they force to switch to their software?

Is the technological infrastructure flexible to make changes if required? – In case of adding new medical billing clients to the database, process changes etc.

Is the medical billing company supported with the latest technology and bandwidth to perform the functions?

  • Effective provider credentialing services are the absolute necessity for better performance of the practice. Without proper enrolment, payments can be delayed or refused by the insurance carriers, even if the physician is able to provide services that are competent and medically necessary.
  • We at e-care India offer Physician credentialing services, helping Providers achieve better revenues. Our tailor-made provider credentialing services facilitate the payer enrollment process when a Physicians
  • Begin the first practice after Med school
  • Change from one Practice to another
  • Adding New Physician to an existing Group
  • Want to become enrolled with a new Payer
  • Different Payers have their own set of forms to be filled either online or through paper applications. Once submitted, there should also be diligent follow-up with the Payers to ensure that the provider credentialing process is completed in the shortest time so that the revenues are not impacted.
  • Handling Provider letter of interest and application requisition from Payers
  • New provider affiliations and Group Credentialing
  • Facility Credentialing including addition of Providers to the Facility’s ID
  • Preparation of paper CMS 855 and other Managed Care applications for all Payers including DME and Dental payers
  • Preparation and submission of online applications to federal, state and commercial carriers
  • Maintain and update specific Provider information directly with carriers at frequent intervals or when requested
  • Resolve enrolment issues and track Managed Care contracts
  • Preparation of contracting documents for scanning and Long-term storage electronically.
  • Prepare, maintain and monitor Managed Care Summaries that Provides Effective dates, Fee Schedule details and Group affiliation.