HEALTH CARE


SERVICES INFORMATION


Leveraging Consistent Experience across all Customer Service Channels

A healthcare provider's core competency is diagnosing and treating patients. By outsourcing non-core functions, providers can reduce costs while improving service levels and patient outcomes.

Mascon India's Healthcare Outsourcing Services are structured in a way so as to support healthcare organizations and their staff so that they have more time to focus on quality patient care, which is of utmost importance to them. By outsourcing time-consuming tasks to healthcare BPO providers, the organization can take the load off the staff when it comes to managing the day-to-day redundant and administrative services. This reduces the occurrence of critical mistakes and as a result will enhance the efficiency of processes.

Generally, the activities that are outsourced include medical billing services, healthcare claims, transcription, etc. Here's a list of healthcare BPO outsourcing services that Mascon India offers.

MEDICAL BILLING PROCESS

  • Insurance Verification
  • Patient Demographic Entry
  • CPT & ICD-10 Coding
  • Charge Entry
  • Claims Submission
  • Payment Posting
  • Appointment /Or Follow-Up
  • Denial Management
  • Reporting

MEDICAL CODING PROCESS

  • Pre-sales Requirements Analysis
  • Receiving Client Files
  • Downloading and Allocating Files
  • Pre-coding
  • Coding
  • Upload of Completed Files
  • Quality Evaluation
  • Feedback from Client

MEDICAL CLAIM PROCESS

  • Evolving Benchmarks by payers
  • Identifying claims outside the benchmarks
  • Prioritizing claims to work on
  • Identifying of problems
  • Preparing an Action plan
  • Implementing the solution for the entire outstanding claims

CHARGE ENTRY PROCESS

  • Receipt of Files
  • File Download and Allocation
  • Entry of Patient Demographics
  • EOB Follow Up
  • Denial Analysis
  • Client Feedback

MEDICAL RECORDS INDEXING PROCESS

  • Transfer of Documents
  • Accessing Scanned Documents
  • Indexing of Records
  • Quality Control