IDS Infotech Ltd

Business Process Solutions
Engineering Solutions
Content Management & Publishing
Healthcare Services
Litigation Support
IT Solutions



 
Home > BPS > Healthcare


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