Healthcare
Services
Provider Segment
| Payor Segment | Research Segment
Provider Segment
Providing billing, collections, IT and process consulting to the healthcare industry
IDS has the experience of working with over 800 physicians across
the provider segment including individual physicians, group practices,
and hospitals for over 7 years. The core team working on the projects
has been trained in the US at the clients' sites. The strength of the team is the strong domain knowledge
and the result oriented project management methodology in
execution. When working with our clients we have two main objectives:
generating cost savings in the back office operations to
enable our clients to focus on the quality care of their
patient and assisting our clients in their growth plans by providing the advantages of resource
skills and knowledge.
IDS provides the following services as a complete package or can customize
our services to meet your specific needs:
Medical Billing and Collection Services
Medical Billing and AR Follow Up Services:
IDS is currently serving over 500 physicians. We work as the
client's offshore team in doing the correct billing and providing
the right AR follow-up. We follow and enhance client's systems
and processes with our experience of the
industry. Our clients appreciate us bringing value to their
systems and processes. As a result we save healthcare service
providers and healthcare management companies valuable practice
time and resources. Moreover we, help them focus on building core competencies.
A- Claim Submission:
We do Electronic and Paper Claim
submission, depending on the doctor's agreement with the Insurance
Company.
- Patient Information
- Insurance Information
- Charge Entry
- Send an Exception Report
B- Payment Posting:
Includes receiving the EOB, AR Analyses, follow up and reporting
- Patient Payment Posting
- EOB Posting
C- Collections:
Collections of aged claims (120 days and above) and AR analysis
- Denial Management
- Follow-up
Advantages:
We have a team of experienced billing and
collections
agents working with 5 different clients. The team works with
different
billing and A/R Applications such as Medical Manager, Medris,
Medsoft-AS 400, Medisoft, Medrium and others.
Charge
Processing
for Provider's Office
AAPC certified coders sitting in India help the physician billing by verifying and validating the charges processed in their office in
the US. This procedure helps the physician's office achieve
correct coding and billing, and also aids in maximizing payments.
Medical Record Retrieval
We store and manage patient records and other medical records. We receive these documents from different facilities as an electronic
fax; then, we index and store them for future reference.
Augmenting this process is the customer help desk. The agents receive the requests
from the physicians and their offices for the medical
documents. The agents then establish the request authorization and help
retrieve the data in minutes for the caller. The client benefits from this process immensely as the authorization process has become very effective and patient care has improved substantially.
Appointment
Scheduling
for Provider's Office
IDS functions as the customer help desk (front office) for
the provider's office. As the process is highly proprietary
to each facility, the team has been trained at the client site
in the US for over 3 months to learn the process.
The team takes the incoming requests for appointments, schedules the appointments and confirms
the time of visit with the patients. The team handles the queries and gives specific instructions, if any, to the patient for
the particular visit.
Medical Transcription
We transcribe over 1 million lines a month. We have expertise to work on various platforms including client customized applications to Web based ASP. IDS can also provide a comprehensive Medical Transcription Solution
package from capturing the voice to delivering the transcribed file.
Our team is comprised of 100 transcriptionists working 24/7.
Medical Coding
AAPC certified coders provide medical coding services to physician practices as well as hospitals.
Payor Segment
Providing cost effective solutions
IDS provides BPO solutions for claims processing and benefit administration. We reduce claims processing costs and
streamline benefits administration operations to maximize productivity and profitability for healthcare TPAs, Independent Physician Associations (IPAs), hospitals, managed care
networks and self-insured employers.
Data Entry Services:
IDS Healthcare BPO performs data entry for all HCFA 1500, UB92 (HCFA 1450), ADA Dental, Rx and prescription claims using a dual validation method to ensure 99%+ accuracy. Typical turnaround times for claims adjudication average
between 24 and 48 hours.
Re-pricing:
IDS performs re-pricing for clients in a variety of methods, including going directly to third party re-pricing systems, or through ANSI 837 transactions.
Adjudication:
IDS claims examiners can log into client claims processing systems remotely using VPN, terminal services, or a variety of other remote protocols to perform claims adjudication directly on their system.
EDI Services:
IDS can receive claims sent in HIPAA-compliant ANSI 837 format,
then we can convert and upload the claims to clients in the IDS importable format.
Advantages:
Over five years of rich experience of working with domain experts in the
insurance industry. We have a team of 60 people working on
claims processing.
Research Segment
Clinical Data Management: CRF Entry
IDS works with one of the largest global clinical research
organization engaged in Phase I to Phase-IV clinical trials
having operations in 17 countries to do the 1st Pass and 2nd
Pass data entry of Clinical Research Forms.
Along with the data entry services, IDS also participated
in the technology establishment with the Client's technical
team at the start of the project. Currently the team uses Oracle Financials
for the data entry.
Advantages:
The team has strong knowledge of working on Oracle Clinical and has sound knowledge of medical sciences
Next Steps:
Data validation and Analysis
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