Outsource Physician Billing Services

Maximize your revenue cycle, streamline your A/R processes, and increase your first-pass resolution rate with our customized, HIPAA-compliant healthcare physician billing services. Call us to book a free consultation!

Incorrect medical billing can lead to numerous challenges for physicians, including financial instability due to delayed or denied claims, regulatory compliance issues, and potential legal repercussions. Furthermore, improper coding can affect the quality of patient care by causing inaccuracies in patient records, leading to misinterpretations of a patient's medical history. To improve the financial health of your medical practices and the quality of your healthcare services, outsource physician medical billing services to Flatworld Solutions, a service provider with superior industry knowledge garnered over two decades of experience.

We leverage our rich experience and wide exposure to CPT (Current Procedural Terminology) codes (which changes over time) to collect 99% of total billed revenue. Our efficient back-office support ensures over 98% accuracy in physician billing services by using timely, reliable, and efficient processes, streamlined over several years to ensure proper reimbursement with quick turnarounds. Our expertise spills over HCPCS (Healthcare Common Procedure Coding System) codes, ICD-10 coding, evaluation and management codes, payer-specific coding, and offshore coding audits. Combining well-trained resources with the latest technologies, we keep your 60-day outstanding AR (Accounts Receivable) below 20% and 120-day AR below 10%. To know more about our services, book a free consultation today!

Physician Medical Billing Services We Offer

Our expertise spans coding, credentialing, enrollment, and billing, all within a HIPAA-compliant framework. Our billing service for physicians aims to optimize revenue cycles, delivering performance-based solutions at competitive rates. Leverage the following services to protect your practice from financial uncertainties and increase profitability -

• Account Management

  

  Our business management service ensures streamlined healthcare practice operations through strategic planning, identifying strengths and weaknesses, and ROI projection. With a focus on long-term success, it employs proven business tools and methodologies, while simultaneously addressing both current and future technological needs.

• Coding Services

  

  Frequently, medical practitioners under-code their services, causing potential revenue losses. Our AAPC-certified medical coders help counteract this issue with comprehensive coding solutions, including HCPCS, ICD-10, CPT, payer-specific, and offshore coding audits. With a wealth of experience, an extensive team, and millions of claims processed annually, we significantly enhance your coding efficiency.

• Physician Billing

  

  Our top-tier physician billing solutions deliver industry-leading ROI and profitability to our clients as we collect up to 99.7% of total billed revenue. We also offer advisory services on optimal medical billing and coding procedures to help maximize AR/AP processes, improve cash flow, and streamline businesses processes. We serve as an extension of your in-house staff, providing continual support, training, and development.

• Patient Preauthorization

  

  We help physicians secure preauthorization approvals swiftly and efficiently. Our secure online portal streamlines the process, providing updates on pre-certification completion. We help minimize paperwork errors and insurance denials, ensuring maximum reimbursement. With our services, physicians can focus more on patient care while reducing operational costs by 30% to 40%.

• Claims Settlement

  

  Benefit from our around-the-clock service, dedicated to expedient claim settlement. We expertly manage every aspect of the claim settlement process, coordinating with insurers, medical experts, and other involved parties. Our meticulous attention to detail ensures accurate claim documentation, thorough evaluation of the claim experience, and insightful analysis of the cause of loss - all designed to optimize your insurance program.

• Revenue Cycle Management

  

  Our RCM (Revenue Cycle Management) solutions help optimize your Accounts Receivable management processes and curb the accumulation of unpaid claims. Our top-tier services not only identify and recover lost revenue but also expedite the closure of aged payments and manage collections responsibly. Regardless of the complexity of your revenue cycle challenges, we are committed to delivering effective solutions.

• Financial Analysis & Reporting

  

  Our professional medical billing solutions for physicians include robust financial analysis and reporting, employing advanced analytics tools. This service facilitates precise monitoring of revenue cycle metrics, detection of coding inaccuracies, and generation of actionable data for optimizing fiscal health.

• Claim Submission

  

  Our superior claim submission procedures adhere strictly to CMS-1500 and UB-04 standards. Leveraging our expert coding knowledge, we guarantee accurate, timely submissions, mitigating denial rates and enhancing your revenue cycle management. Trust our services for a streamlined, error-free billing process; rely on us to maximize your healthcare practice's efficiency and productivity.

• Payment Posting

  

  Our services involve the meticulous application of payments to respective patient ledgers, reconciliation of EOBs (Explanation of Benefits), and precise adjustment of denials and write-offs. Our experienced team assures precision and compliance, enhancing revenue cycle management and financial accuracy.

• Insurance Eligibility Verification

  

  Our team retrieves trailing documents, follows up with third parties, and gathers all necessary loan documents. We collaborate with title companies and brokers to assemble the final post-closing package, ensuring its accuracy and completeness. Based on thorough reviews, we confirm compliance with requirements for insurance, sale, and protection against fraud. Our seamless processes include preparing shipping packages, extracting loan packages, and uploading signed documents. We conduct government-insuring reviews and address any discrepancies, ensuring data integrity and compliance.

Physician Billing Process We Follow

Rendering a customized medical billing service is one thing and seeing the workflow unfold is another. If you want to witness the sequence of steps we follow to expedite billing process, here is how we maintain transparency in the physician billing -

 

01. Medical Coding

We offer an entire range of medical billing services that includes medical coding, transcription, EHR review, etc. Our services are executed by AAPC certified coding professionals who are adept at ICD-9, ICD-10, ICD-11, CPT, and HCPCS.

 

02. Claims Follow-up

We track claims status in real-time for faster reimbursement. Additionally, claims are also filed electronically to avoid payment bottleneck.

 

03. Eligibility Verification & Pre-authorization

We execute insurance eligibility verification in real-time as a batch process. This saves the patient's time and effort spent to obtain preauthorization.

 

04. Credentialing

Maintaining a paper trail is an arduous challenge even for large billing companies. We routinely compile reports and maintain documentation that is offered to providers and insurance payers to bring clarity into the work accomplished.

 

05. Management of Claims Denial

Unpaid claims can come in the way of fielding profits. We follow-up with payers if physicians are underpaid, or not paid at all. We pull billing, insurance, and aging reports to efficiently tackle claims denial.

 

06. Charge Posting

We capture and post the payment to provider's account. In the case of payment discrepancies, we proactively review billing data and explanation of benefits (EOB) to provide the best value to physicians.

 

07. Uncleared Invoice Reminder

It is troublesome for physicians to follow up on slow-paying and non-paying patients. We dispatch accounts statements to patients reminding them to clear outstanding dues.

Technologies We Leverage

Clients We Serve

Private Practice Clinicians

Medical Groups

Specialized Medical Centers

Telemedicine Providers

Additional Services We Offer

Specialty-Specific Billing Services We Offer

We offer an extensive suite of specialty-specific billing services that help optimize revenue cycles using industry expertise and advanced technology. Our services cover all billing aspects, including coding compliance, claim submission, payment posting, denial management, and reporting, catering to a wide range of medical specialties for improved efficiency and maximized reimbursements.

Primary Care Specialties

Primary Care Specialties

Specialized Medical Fields

Supportive Care Services

Medical Emergency Services

Specialized Equipment and Procedures

Other Specialties

Why Choose Us as Your Physician Billing Company?

Choose our ISO-certified physician billing company for unmatched expertise and global reach, with 17+ years of experience, 4800+ experts, and 18K customers across 100+ countries. We are recognized as Asia's leading SME in 2020 and have offices in key locations including the US, Europe, India, Philippines, and South America. The benefits of partnering with us include -

• HIPAA-Compliance

  We ensure strict adherence to Health Insurance Portability and Accountability Act regulations, safeguarding the confidentiality and security of all healthcare information.

• Multi-Specialty Expertise

  Our team comprises experts across multiple medical specialties, providing comprehensive and diversified coding and billing services tailored to specific healthcare sectors.

• Significant Reduction in A/R Days

  Our efficient and timely medical billing process significantly reduces accounts receivable days, ensuring faster payments and improved cash flow.

• Streamlined Business Performance

  Our strategic approach results in a 25% increase in collections, 40% more savings, and a remarkable 97% of claims being paid on first submission, enhancing overall business performance.

• Sharp Reduction in Claims Denial

  We employ meticulous and accurate coding to drastically reduce instances of claims denial, ensuring maximum reimbursement.

• Complete Data Security

  We prioritize data security, utilizing advanced security measures to provide complete protection of all sensitive patient data and information.

• 24/7 Availability

  Our services are web-based and reachable 24/7, offering clients the convenience of round-the-clock access and the ability to monitor their billing and coding processes in real-time.

Customer Success Story

Charge and Demographic Entries by Using the Kareo Software

A Houston-based client contacted Outsource2india to outsource charge and demographic entry. They faced a cash crunch along with employee turnover resulting in delayed claims submission. By proving a customized solution, we helped the client rake up 45% profits and the claims were verified with an accuracy of 98-99%.

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Provided patient Demographics and Charge Entry to A top US Medical Billing Company

Outsource2india handled the complete medical billing process for a large medical billing company based in the US, improving productivity by 30% with error rates below 2%. We processed 150 files a month with an error rate of just 2%.

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Outsource Physician Billing Services to Flatworld Solutions

Our well-defined systems and comprehensive reporting ensure transparency, early detection, and consistency in deliverables. By leveraging advanced technologies such as robotic process automation, machine learning, and artificial intelligence, we amplify efficiency and productivity. These innovative technologies allow us to automate routine tasks, predict trends, and make informed decisions, thereby enhancing the quality of our services.

Our infrastructure is designed to handle mission-critical processes with redundancy. We operate global delivery centers to leverage the best workforce, offer competitive pricing options, and provide rapid scalability. This global presence enables us to deliver high-quality, cost-effective physician billing services tailored to your unique needs. We offer 24/7 operations to enable you to take full advantage of different time zones. This around-the-clock service ensures that your physician billing needs are addressed promptly and accurately, regardless of your location.

Outsourcing physician billing services to us to not only optimizes your revenue cycle but also allows you to focus on your core competency - providing top-quality patient care.