Healthcare Back-office Support Services for Physicians

Streamline your back-office operations to ensure consistent and timely cash flow with our healthcare back-office support services for physicians

Are you stretched between administrative hassles and patient care? Are cumbersome back-office tasks creating operational challenges? Do you lack the time and resources to manage complex back-office operations? Outsourcing healthcare back-office support services for physicians is an ideal way to save time and focus on patient care.

As a professional healthcare BPO company for physicians with 18+ years of experience, we provide turnkey solutions to manage back-office tasks. Our top back-office services include RCM, medical coding, medical billing, AR follow-up, and more. Improve compliance, enhance patient outcomes, and boost your bottom line with our healthcare back-office solutions.

Customized Back-office Support Services for Physicians

Reduce your dependency on in-house teams and the amount of training needed to ensure your practice does not veer into financial losses with our Back-office outsourcing services for physicians, which include -

1. Revenue Cycle Management (RCM)

   

   Be it filing claims, payment capture, eligibility checks, claims scrubbing, or other critical administrative functions we have you covered. Our experienced team of RCM professionals will collaborate with you to understand the problem essence so that a customized solution can be rendered to bring the best value to your practice. Through revenue cycle management services, we can enhance your cashflow in quick turnaround time.

2. Medical Coding

   

   If your practice needs coding service we have AAPC certified coding professionals who can turn your healthcare dictations and practice recordings into highly accurate ICD-10-CM, CPT, and HCPCS codes. We leverage the know-how of terminologies, hierarchical conditioning category (HCC), coding systems and regulatory compliances to transform procedure and services into HIPAA compliant billable codes. We emphasize accuracy so that you can avoid attracting coding audits.

3. Medical Billing

   

   Medical billing is one of the areas where accuracy counts the most. By outsourcing medical billing, we can eliminate billing errors and improve your collections by 85%. With 9+ years of exposure into complex medical billing, we have billing specialists who meticulously evaluate coding practices, services, and procedures to ensure they comply and firmly adhere with the binding rules. You can avail the following once you outsource healthcare back-office support for physicians to us -

   • Payment posting
   • Claims submission & tracking
   • Credentialing
   • Diagnosis coding
   • Patient balance follow-up
   • Denial management
   • Insurance verification & pre-authorization

4. Account Receivable Services (ARS)

   

   Cash flow is critical to run business in a sustainable way and healthcare isn't an exception. The journey towards this endeavor begins with timely payment follow-up and improving the rate of collection in quick TAT. When invoices are quickly processed your revenue stays in optimum health. Flatworld's account receivable services will enable you to keep a sharp eye on the revenue cycle to ensure great business protection and customer satisfaction. Our AR services include the following -

   • Invoice generation (as required by TAD) & mailing after your approval
   • Documenting receivable transactions into account
   • AR deductions management
   • Adjusting services after your approval
   • Maintaining copayment AR ledger
   • Distribution of periodical statement
   • Issuance of credit memos & refund checks approved
   • Posting cash into your account and resolving underpayment
   • Generating high-quality and readable AR reports

5. Denial Management

   

   Fixing payment issues can be a challenge that takes a great deal of effort. If you are not equipped to handle challenges as they come, we have professionals who follow up with insurers to check if your claims meet the preconditions. Be it partial documentation or erroneous data we gather information that trails us to the cause of denial. After finding and fixing the shortfall we file claims according to the insurance provider's guidelines and format. To enhance the rate and quantity of reimbursements we provide the following sub-services -

   • Auditing complex denials
   • Discount compliance recovery services
   • Payment variance program
   • Government appeal services
   • Clinical appeals service

6. Insurance Verification

   

   We check if the insurance holder is actively covered by a medical plan and if the coverage includes consultation, treatment, medical devices, etc. Our aim is to reduce payment complications from arising by addressing the problem before its occurrence. As part of healthcare back-office support, we offer the following assistance -

   • We ensure comprehensive benefits for your patients before submission of claims
   • We verify demographic information
   • We check if the coverage includes copayer apart from the primary payer
   • We update the billing system with coverage details such as start & end date, group ID, member ID, co-pay information, etc.
   • We modify and update patient data
   • We coordinate with patients to source more information
   • We follow up with insurance companies for appeals and missing information to establish the accuracy of billing information

7. Medical Transcription

   

   If you need transcription of voice-recorded reports, we have the right solution for your needs. With skilled transcriptionists who are thoroughly familiar with healthcare terminologies and physician's dialect, transcriptions can be completed in no time. All that without breaking your budget.

8. Medical Record Indexing

   

   Segmenting and sorting large volume of demographic and treatment information is easier with our medical record indexing services. It facilitates speedier retrieval of patient and treatment files from one destination for seamless healthcare document management. The documents are initially scanned and transformed into images. Further, it is indexed and stored in your electronic health record (EHR), or practice management software (PMS). Medical record indexing covers the following -

   • Insurance provider notes
   • Charts and medical reports
   • Insurance ID
   • Physician orders
   • Form 485
   • Pre-authorization requests
   • Clinical records and history
   • Demographic charts of patient
   • Claims and bill documents
   • Hospital admission and discharge summary

9. Healthcare Analytics

   

   You can track, analyze, and measure the data collected from patient records, claims report, hospital management data, diagnosis report, and more. We offer user-friendly reports that are comprehensive and accurate so that you can drastically reduce financial risks and enhance the service efficiency.

10. Healthcare IT

    

    The IT needs in healthcare is subject to change depending on the demand. To become truly future-ready you will customer-friendly apparatus that addresses challenges as they come. You can improve the efficiency of your administrative professionals while dealing with claims by choosing our healthcare IT services. By partnering with us, you can avail the following services -

    • Onsite staffing
    • Ticketing support
    • Application and service side support
    • Disaster recovery management
    • 24/7 helpdesk support
    • Email hosting & voice support
    • Project & healthcare IT architecture support

11. Healthcare Data Entry Services

    

    Quick and error-free data entry is a critical aspect of healthcare services. The first step towards error-free claims submission is fast and accurate documentation. It eliminates typical risks and hassles that accompany negligent billing. Our data professionals have the right qualifications to handle data capture tasks with care and precision. We perform the following functions as part of healthcare data entry services -

    • Recording patient information
    • Documenting physician records
    • Capturing healthcare and clinical records
    • Image of recorded data
    • Documenting claims and billing data such as HCFA 1500 (CMS 1500), UB-04 UB, etc.

Healthcare Back-office Support Process We Follow

Our healthcare back-office solutions assure better visibility to help you track and measure the progress of your tasks at every stage. Our process flow involves -

 

01. Eligibility Verification

In the initial step, we check the patient eligibility and if they qualify to meet the minimum requirement of insurance companies

 

02. Capture Patient Demography

Demography data such as date of birth, gender, postal code, ethnicity, and blood type are collected and categorized for record keeping as well as statistical analysis

 

03. Medical Coding

Our certified medical coding team will convert physician's recordings and reports into HIPAA compliant medical codes such as ICD, CPT, and HCPCS

 

04. Charge Posting

We assign the right dollar value to patient account based on the code assigned by our medical coding professionals

 

05. Electronic Claims Submission

After ensuring completeness of documentation, we perform quality checks to see if the codes and billing data are in spec with the insurer guidelines before electronically submitting bills in the insurer-specific format

 

06. Payment Posting

We check payment obtained from the insurer and match with dollar value charged by physicians. The amount is electronically posted into provider's medical billing system for further account reconciliation

 

07. AR Follow-up and Denial Management

If you face short pay or denial of payment we can bridge the gap through routine follow-up with insurers. We use EHR to justify your invoice for a higher reimbursement

 

08. Patient Statements

We periodically dispatch high-quality billing summary and patient statements for record keeping and backtracking expenditure. This will give you a comprehensive view of each component of the bill

 

09. Comprehensive Reporting

We provide insights and reports from analysis of your electronic health records (EHR). You will be provided a detailed explanation of benefits (EOB)

Back-office Support Services Software We Leverage

We use advanced practice management software to perform various functions from coding and billing to EHR management efficiently. These include -

What Makes Us the Preferred Back-Office Service Provider for Physicians?

As an expert healthcare back-office support company, we support a multitude of back-office functions. Here are more reasons why you should choose our healthcare back-office support services for physicians -

• Certifications

  We are a HIPAA-compliant and ISO-certified company with a firmly established presence in the competitive global healthcare industry

• Data Security

  Our services are carried out on a highly secure network that is protected by physical and digital measures. All confidential records are handled by professionals to whom tasks are designated.

• High Accuracy and Quality Service

  Quality of service is essential to get higher reimbursements. So, we ensure that all functions are handled with due care to eliminate the risk of data loss, monetary loss, delay, or denial of payment.

• Short Turnaround

  Get quick and efficient healthcare back-office support services for physicians without shelling out extra. This will help you get paid swiftly while you focus on patient care.

• Scalability

  If you lack the staff, infrastructure, and resources to evolve for future needs, you will need experts like us who can streamline your path to the next level of healthcare back-office support.

• Competitive Pricing Options

  Our explosive growth is accredited to a flexible pricing model that lets you choose what you need than opting for a comprehensive service that may not be relevant to your practice requirement.

• Experienced Team of Physician Billing, Coding, and RCM Experts

  We have 200+ AAPC-certified medical billing and coding professionals with 10+ years of exposure to various administrative functions in healthcare. Our professionals are adept at the latest regulatory compliance as well as CPT, HCPCS, and ICD-10-CM coding system.

• Modern Infrastructure

  With state-of-the-art infrastructure, we offer an advanced back-office solution that is engineered with your practice needs in focus. Our infrastructure facilitates the best utilization of resources without draining your budget or having to own one.

• Secure Data Exchange

  You can send confidential project files through our secure FTP or VPN. Our file-sharing network is regularly monitored to avert deliberate or unintentional harm to sensitive clinical and financial records.

• Round-the-clock Availability

  You can unrestrictedly reach us by not just telephone, but also via email, and online chat. We are available on a 24x7x365 basis so that your practice can continue generating revenue uninterrupted.

Additional Services You Can Benefit From

Client Success Stories

FWS Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis

Read a case study to know how our expertise and experience in an array of healthcare BPO service resulted in the on-time completion of the task leading to a 20% increase in savings.

Read the case study

FWS Provided Accounts Receivable Service to a Top Healthcare Organization

Flatworld was approached by a EDI team which wanted a good data analysis to save time & money. Before sending claims to insurer we performed inventory analysis to share plan with clients for approval.

Read the case study

Outsource Healthcare Back-office Support Services for Physicians to Optimize Collections

As an ISO-certified company, we deliver high-quality services using advanced healthcare back-office software. Get custom back-office support for physicians to take care of multiple aspects of healthcare administrative tasks and witness swift improvement in your cash flow. Our customized services are rendered by revenue cycle management professionals who understand the nuances of healthcare billing. This provides you with the necessary support to -

• Quickly boost your revenue by minimizing operational overhead
• Overcome administrative hassles and focus on patient care
• Navigate the operational challenges and improve efficiency
• Automate redundant back-office tasks and increase accuracy

Outsource healthcare back-office support services for physicians to minimize inconsistencies, maximize revenue, and deliver exceptional patient care.