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Business Process Outsourcing

Business Process Outsourcing

Healthcare

Info-Drive’s Healthcare outsourcing solution offers a unique proposition that leverages both Healthcare providers and payers, with complete HIPAA compliance business processing support.

The company’s three operational centers are located in Mumbai, Pune, and Chennai in India and are staffed with:

  • Over 80 trained experts
  • 20 Quality Assurance leaders
  • A dedicated customer relationship management team
  • A full-fledged training program to create new resources

Our services include:

Medical Data Capture

Transcription services in specialties including pediatrics, orthopedics, gastroenterology, cardiology, internal medicine, radiology, chiropractic, podiatry, and so on. We offer transcription of medical reports for private practice, Medical Records Department at hospitals, or any other correspondence where medical terminology is needed.

General correspondence services including:

  • History and Physicals
  • Patient Progress Reports
  • Consultations
  • Discharge Summaries
  • Chart Notes and Narratives
  • Radiology Reports (CT Scans, MRIs, Barium Studies, Angiograms,
    Mammograms, etc.)
  • Hospital Progress Notes and Procedure Notes
  • ER Reports
  • Surgical Procedures and Operative Reports
  • Independent Medical Evaluations
  • Peer Reviews
Medical Coding & Billing
  • Medical coding services: Our Medical Coding service enables individuals and Hospitals to file a claim with the patient’s health insurance provider and/or managed care organization adhering to different coding standards. Our specialty is ICD-9, CPT, HCPCS outpatient (physician) coding for the CMS-1500 form. Our team consists of experienced coders and senior technicians with several years of clinical experience in multiple medical specialties, who have received their CCS-P and/or CCS credentials.
  • Medicare compliancy services: We provide deeper compliancy services, including understanding Fraud and Abuse Parameters and Secondary Payer Rules. We provide correct Coding Initiative for procedures, bundling Medical Necessity and Local Coverage Decisions Utilizing Advance Beneficiary Notices (ABNs)
  • Denial management: We help in submitting the Medicare Appeal Process to other payers
  • Medicare reimbursement: We help patients and care-giver organizations leverage the Resource-based relative value system to initiate Facility vs. non-facility payments. We also help in using the RBRVS for developing other fee schedules, evaluation and management codes
  • Preparing Medicare Claims: Using the CMS-1500 HIPAA-mandated Coding Systems, CPT ICD-9 HCPCS Modifiers Level I and Level II Codes Electronic claims submission Resources for coding and billing supplies
  • Medical billing services: We incorporate the latest software customized to meet individual clients’ specific requirements. Our Medical Billing experts understand database management, spreadsheets, email, and possess state-of-the-art word-processing and accounting skills, and proficiency in bookkeeping. Our medical billing specialists also process responses from insurance companies that include the Explanation of Benefits (EOB).
  • Data Entry: We obtain information from the provider and/or practice and enter this information into our database.
  • File Claims: Most claims are filed electronically and only a few will go on paper. This is dependent on the insurance carrier the claims are going to.
  • Statements: We mail statements from our office on behalf of your practice or facility. The protocols of statements and collections are done specifically to your specifications.
  • Payments: As we receive payments and explanations of benefits from you, we post these in to our database. Each EOB will be audited for correct payment and/or benefits.
  • Reports: We create customized reports on a monthly basis, because each provider and/or practice is different.
  • Fee Schedules: It is vital to update your annual fee schedules with the insurance companies and networks that you participate in. We request these fee schedules and negotiate the pricing on your behalf, adjusting for inflation and increasing cost of living, thereby improving your reimbursement.
Doctors Card Management

Doctors Card Management entails appointment scheduling for multiple doctors in multiple facilities. Our card management process involves creating appointment pages that show every doctor's day, or week, or multi-Doctors' day. The process schedules the day's appointments, cancellations and priority appointments, and we create parallel notes that contain Patient Demographics, Facility Details, Insurance Information, Referral Doctors and Recall Reminders.

These schedules enable the Medical Practices: Complete medical claims processing, payment posting, patient’s balance billing.

Case Study
Case Study