Optimize Medical Billing Process

Simplify medical billing complexities, experience seamless services, and enhance revenue generation with our healthcare offshore services.

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Outsource Medical Billing Services to
Unlock Your Fullest Revenue Potential

The complexities of medical billing, navigating regulatory requirements, and handling patient records can drain productivity and hinder revenue generation. With a profound understanding of U.S. healthcare industry nuances, OutsourceRCM can help you solve these pain points and claim denials by 50%.

By entrusting your medical billing services to us, you save valuable time and experience an increase in administrative efficiency. For over 15 years, our adept solutions have successfully boosted revenue for our clients, enabling them to channel resources better in patient care.

Outsource medical billing services and get help alleviating administrative burdens and propelling your practice toward unparalleled success.

MBE Statistics

Outsourcing Medical Billing Services for Error-free Billings

Our medical billing specialists stay concurrent with the ever-dynamic healthcare regulations. When outsourcing medical billing services to us, we combine our up-to-date knowledge and expertise to deliver quality medical billing services in the face of evolving regulatory changes.

Claims Submission and Processing
Claims Submission
and Processing

Efficiently submit medical claims to insurance companies and ensure prompt reimbursement through diligent follow-up.

Coding and Documentation
Coding and Documentation

Precisely code medical procedures and diagnoses for accurate billing, ensuring compliance standards are met to support successful claims.

Denial Management and Appeals
Denial Management and Appeals

Swiftly address denied claims, taking necessary actions and submitting effective appeals for overturning.


Payment Posting and Reconciliation
Payment Posting and Reconciliation

Thoroughly handle payments from insurers and patients, identifying and resolving discrepancies in the process.

AR Follow-up & Denial Management
AR Follow-up & Denial Management

Proactively manage denied claims, ensuring timely payments and enhancing billing processes through analysis.

Comprehensive Reporting
Comprehensive Reporting

Offer informed financial insights by analyzing EHR data, including detailed explanations of Benefits (EOB) statements.


Patient Billing and Inquiries
Patient Billing and Inquiries

Generate clear patient bills with explanations while effectively managing inquiries and facilitating payment arrangements.

Insurance Verification and Eligibility
Insurance Verification and Eligibility

Thoroughly verify patient insurance coverage and eligibility, maintaining up-to-date insurance information for accurate billing.

Benefits We Bring to Your Healthcare Business with Medical Billing Services

Outsourcing your medical billing services to OutsourceRCM comes with a plethora of advantages. We monitor KPIs like claims resolution rate, total collection rate, and more. This data-driven approach enables us to identify areas for improvement and optimize your healthcare RCM.

Navigating the Spectrum of Medical Billing Services

Seamless Medical Billing Process from Patient Registration to Revenue Realization

Data Collection and Aggregation
01
Patient Data Collection
We begin by collecting accurate patient information, including demographics, insurance details, and medical history, ensuring a solid foundation for the billing process.
Coding and Documentation
02
Coding and Documentation
Our expert coders meticulously translate medical procedures into standardized codes, ensuring compliance with billing requirements and maximizing reimbursement potential.
Claim Submission
03
Claim Submission
Once coding is complete, we electronically submit claims to insurance providers using industry-standard formats and protocols, minimizing delays in reimbursement.
Follow-Up and Denial Management
04
Follow-Up and Denial Management
Our team conducts rigorous follow-ups and actively tracks the status of submitted claims, promptly addressing denials, rejections, or discrepancies.
Payment Posting and Reconciliation
05
Payment Posting and Reconciliation
Upon successful claim processing, we accurately post payments, adjusting for co-pays, deductibles, & insurance payments, ensuring that all payments are promptly accounted for.

Transforming Healthcare Revenue Management with Unmatched Medical Coding and Billing

Precision in Revenue Maximization

Our proven expertise in medical billing ensures optimal revenue capture, boasting claims acceptance rate.

Cost-Effective Solutions

By leveraging our medical coding and billing services, medical billing companies can access high-quality, affordable support.

Comprehensive Denial Management

Our medical billing services can help you slash denial rates by 65%, safeguarding your bottom line and reducing revenue leakage.

Efficiency through Expertise

Our ICD-11 experts achieve a 95% audit success rate, ensuring compliance accuracy and minimizing audit risk.

Empowering Patient Care

By relieving billing burdens, we empower healthcare providers to dedicate more time to patient well-being.

Navigating Regulatory Rigor

Our 95% audit success rate assures HAPPA compliance and eases the burden of evolving healthcare regulations.

Streamlined Revenue Cycle

Our medical coding and billing integrate with your billing processes, accelerating cash flow, reducing billing cycle time, enhancing financial stability.

Unlocking Success: Inspiring Case Studies on Healthcare Offshore Service

Here, the transformative power of OutsourceRCM is vividly conveyed by the voices of our esteemed clients. These authentic accounts shed light on how our expertise in healthcare offshore services have redefined healthcare support.

case study

Comprehensive Back Office Support for a Health Insurance Company in California

case study

Optimized Billing Service by using Medisoft Software, for an internal medicine practice in Florida, specialized in non-surgical illnesses

case study

Expert Management of Extensive Healthcare Records & Customer Support for a USA-based Healthcare BPO

Simplify medical coding and billing with our expert services. Let us transform your healthcare billing for success!

Healthcare Insurance Claims Processing Services With Efficient Workflows and Faster Approvals

Sail smoothly through your financial voyage with our all-inclusive healthcare financial services, charting
a course towards optimized revenue, reduced denials, and patient-centric billing experiences.

Seamless Integration with EMR/EHR Systems

At OutsourceRCM, we understand that healthcare providers need quick access to accurate patient data. That's why we specialize in integrating with the leading EMR/EHR systems such as Epic, Cerner, and Allscripts. By syncing our solutions directly with your existing EHR/EMR platform, we ensure that patient information flows seamlessly from clinical documentation to billing, reducing the risk of errors and delays. This connectivity supports not only medical billing but also enhances clinical decision-making by providing real-time, comprehensive patient data at your fingertips.

Compatible with Leading Billing Software

Our services integrate effortlessly with top billing platforms, such as Athenahealth, eClinicalWorks, Kareo, and Medisoft, optimizing workflows from claim submission to payment posting. Whether you operate a large hospital or a specialized clinic, OutsourceRCM tailors the integration to your specific system and needs. By streamlining administrative tasks and reducing billing cycle times, we empower your team to focus on patient care while maximizing revenue through timely reimbursements and reducing denials.

Next-Gen Claims Management & Denial Resolution

Our platform integrates with your billing software to ensure accurate and efficient claims submission, tracking, and resolution. We utilize AI-driven algorithms and real-time data analytics to identify and resolve claim denials faster. With our intelligent system, claim follow-ups are automated, and denied claims are addressed proactively. The result is a more efficient, transparent, and profitable revenue cycle.

Advanced Data Security and Compliance

In today’s digital world, data security is paramount. OutsourceRCM integrates the latest end-to-end encryption and multi-factor authentication systems to ensure your patient data is protected at all stages. We comply with HIPAA, GDPR, and other global healthcare regulations to maintain the highest standards of data privacy and security. Our seamless integration ensures that your practice stays compliant while reducing the risk of costly data breaches.

Scalability and Customization

OutsourceRCM’s solutions are designed to grow with your organization. Whether you are a small independent practice or a large healthcare system, our technology is customizable and scalable to meet your evolving needs. As your practice expands, our integration solutions adapt, ensuring continued operational efficiency, accurate billing, and improved patient care delivery.

FAQs

What are the main features of your medical billing service?
Our medical billing services include efficient claims submission and processing, precise coding and documentation, comprehensive denial management and appeals, thorough payment posting and reconciliation, proactive AR follow-up and denial management, comprehensive reporting, patient billing and inquiries, and diligent insurance verification and eligibility.
How can outsourcing my medical billing to OutsourceRCM benefit my healthcare business?
Outsourcing your medical billing services to OutsourceRCM can save you valuable time and increase your administrative efficiency. Our services can help you witness a reduction in claims denials by up to 35%. Furthermore, our data-driven approach allows us to identify areas for improvement and optimize your healthcare RCM.
Do your services cover different types of medical billing?
Yes, we cover a wide spectrum of medical billing services, including ambulance, ASC, cardiology, chiropractic, DME, EMS, family practice, gynecology, hospital, internal medicine, neurology, mental health, otolaryngology, pathology, pediatric, pharmacy, physician, plastic surgery, radiology, and urgent care billing.
How does your team ensure the accuracy of coding and documentation?
Our expert coders meticulously translate medical procedures into standardized codes, ensuring compliance with billing requirements and maximizing reimbursement potential. We also stay concurrent with the ever-dynamic healthcare regulations, combining our up-to-date knowledge and expertise to deliver quality medical billing services.
What kind of support do you provide for denial management and appeals?
We swiftly address denied claims, take necessary actions, and submit effective appeals for overturning. Our services can help you slash denial rates by 65%, safeguarding your bottom line and reducing revenue leakage. Our ICD-11 experts achieve a 95% audit success rate, ensuring compliance accuracy and minimizing audit risk.