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The role of outsourcing BPO: In the health and medical industry in India

Author: Mallika Kaparthi

What do you mean by Healthcare Outsourcing?

Outsourcing in healthcare is a process of contacting with a third-party provider to perform certain functions or services. Simply, Healthcare BPO means outsourced business that provide support to the medical institutes, staff and organizations. Commonly outsourced activities include coding, billing services, transcription etc.

India has one of the largest Healthcare systems as the world’s democratic country. The Healthcare industry is growing fast in these days and providing healthcare services to customers, the industries are looking for the ways to improve the business on terms of revenue cycle management. The global healthcare industry market is expected to reach $132 bn by 2023 from $61.8 bn in 2017, growing at a CAGR of 16-17%

Common Healthcare Outsourcing BPO services

The field of outsourcing healthcare is growing day by day. The healthcare staff and services demand now. The outsourcing services like healthcare BPO provide with a large number of services and are reaching you to the experts. Let’s see exactly what services does this field offer!

Medical billing services:

Billing service mandatory for operating any practice or demand. The efficiency of billing services runs your business forward. The medical billing your revenue, maximize reimbursement, and get a healthy and transparent revenue cycle. Medical billing outsourcing with a healthcare BPO can reduce costs, chance of errors, decrease your expense, and streamline the procedure.

Medical coding services:

Coding always demands experience and efficiency. This needs to be done by a dedicated and highly trained professionals. Medical coding outsources allows seamless integration with your software and hardware that you already have.

Medical Data Entry Process:

New technologies have brought tremendous changes in healthcare industry. The healthcare organization has always produce a large amount of non-digitized data, containing personal and medical records of patients. HIPAA complaint healthcare data entry services provides enhanced security to your hospital and clinical documents.

Can unify the entire following list:

1. Surgical treatment Records-from every provider
2. Hospital Records
3. Medical records
4. Text and numeric data entry
5. Test or lab records
6. Account and Billing details
7. Clinical records
8. Payment posting
9. Demographics entries
10. Charge entry
11.  Medical insurance claim forms
12. Handwritten documents
13. Patient details & chart information

Claims processing:

Processing patient claims one of the most critical activities in healthcare sector. Patient must to have proper medical claims for their insurance companies. There are hundreds of claims to Processed every day, it is very difficult to maintain the accuracy for each claim. With the required resources and manpower to perform the job, specialized teams are allocated for process of large volumes of medical claims.

Benefits of Outsourcing in Healthcare

The healthcare sector is a biggest industries in the world focused on diagnosing and treating patient ailments. The organization focus on the delivering a quality patient care experience and maximization of staff efficiency. Healthcare BPO services perfect fit to maintain office records and easier to access and also make storage easier. Below are the benefits of healthcare outsourcing BPO.

• Focus on Patient care: The patient care in the healthcare sector is considered as most priority and many healthcare facilities are serving quality patient care that the patient deserve. The BPO companies enhanced patient experience with the particular healthcare facility.
• Reducing cost: Healthcare outsourcing functions save money by reducing operational expenses of hiring and training the in-house team because there is less money to maintain the in-house team. The call center rates are too cheap and can easily afford them.
• Accessing the large skill force: Healthcare BPO hiring skilled work force to capable of handling all type of projects and particular tasks like billing, coding and claims processing etc.
• Competitive Advantage: The digitized data can accessed quickly and it become easy to find various records instantly and run analytical diagnosis and which can yield important insights related to patient care.
• Avoid Costly Blunders: Healthcare sector has a rules and regulations especially in the health insurance. Professionals interact with data like patient data, records, medical information etc. that needs security protocols.
• Data Security: Data security is most crucial part in healthcare sector. In this sector data security contain patient records, bills, prescriptions etc.
• Data Storage and Recovery: It is very essential to store the data safely and it can be recovered easily if it lost. The healthcare professionals maintaining the data in security place. Compared to physical documents the digitized data are more secure and can easily replicated.

Top Healthcare outsourcing companies in India: 

• Access healthcare
• Anion healthcare services
• AGS healthcare
• WNS services
• Mediscript
• Genpact
• Promantra
• Medphine

Conclusion:

In India BPO industry are expected to higher value because of increase in demand for their services and which will assist in the revenue in the following years. The healthcare BPO services aim to enhance the operational advantages such as reducing patient frustration, rising cash flow, etc. there by increasing the revenue and profits. The healthcare services provides delivering a positive and long lasting experience, the disappointing patient experience may lead to damage the company reputation. The healthcare BPO services from cost effectiveness and deliver quality patient care and providing medical billing and coding, services. By understanding the customers journey and anticipating the communication process, introducing new technologies, and create memorable experience that drive the customer satisfaction and a positive view of the brand.