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 -
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.
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.
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
Credentialing
Patient balance follow-up
Insurance verification & pre-authorization
Claims submission & tracking
Diagnosis coding
Denial management
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
AR deductions management
Maintaining copayment AR ledger
Issuance of credit memos & refund checks approved
Generating high-quality and readable AR reports
Documenting receivable transactions into account
Adjusting services after your approval
Distribution of periodical statement
Posting cash into your account and resolving underpayment
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
Payment variance program
Clinical appeals service
Discount compliance recovery services
Government appeal services
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 update the billing system with coverage details such as start & end date, group ID, member ID, co-pay information, etc.
We verify demographic information
We check if the coverage includes copayer apart from the primary payer
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
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
Insurance ID
Form 485
Clinical records and history
Claims and bill documents
Charts and medical reports
Physician orders
Pre-authorization requests
Demographic charts of patient
Hospital admission and discharge summary
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.
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.
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
Application and service side support
24/7 helpdesk support
Project & healthcare IT architecture support
Ticketing support
Disaster recovery management
Email hosting & voice support
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
Capturing healthcare and clinical records
Documenting physician 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 -
1
Eligibility Verification
In the initial step, we check the patient eligibility and if they qualify to meet the minimum requirement of insurance companies
2
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
3
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
4
Charge Posting
We assign the right dollar value to patient account based on the code assigned by our medical coding professionals
5
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
6
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
7
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
8
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
9
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)
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
Get custom transcription solutions to transcribe large volumes of healthcare documents to improve collaboration and enhance patient care.
Submit accurately filed claims to the payers and get reimbursed on time for the treatment provided with efficient billing assistance.
Convert healthcare diagnoses and physician reports into uniform medical codes to get reimbursed on time with accurate medical coding services.
Bill your services on time, get claims reimbursed, and follow up on missed payments with our revenue cycle management for healthcare clients.
Sort and analyze each claim to ensure maximum returns and improve cash flow with claims adjudication solutions for healthcare clients.
Implement innovative technologies to streamline and automate redundant administrative tasks and focus on what matters with our services for pharmacy businesses.
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 -
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 More
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 More
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.
Avail best-in-class services at affordable rates
Whom do we serve
Our Customers
Key Differentiators
AHIMA Healthcare Convention 2016
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000