Book a Demo to Build Your Team Today!
On-Demand Outsourcing BPO Services for Healthcare Providers With 24/7 Coverage!
Save up to 70% on staffing costs!
Browse Specialty Staffing Services
Medical Coding Process
Author: Shubhmohan Raj To understand the medical coding process let’s first try to understand, What is medical coding? Medical coding is a process in which a patient’s health information is taken such as Medical procedures, diagnoses, medical equipment, medical services etc from the physician’s note and recorded in form of codes. These codes are in form of alphanumeric which is standardized and universally accepted. In a simple way, we can say that medical coding is a type of translation or
Swapnil G
MEDICATION REVIEW PROCESS BY CLINICAL PHARMACIST IN HOSPITALIZED PATIENTS – A REVIEW
AUTHOR: P.P.PUSHPALATHA ABSTRACT : The medication Review process is the process of communication between the patient and the pharmacist to promote the safe and effective use of medications. Medication review services are mostly recommended for patients who are taking several medications at the same time. There are different types of medication reviews namely medication standard, medication pharmacist consultation, and medication follow-up. The medication review process mainly focuses on Medication reconciliation and medication discrepancy. Medication reconciliation targets preventing adverse drug events
Swapnil G
CONCEPT OF MEDICAL OUTSOURCING IN INDIA, IT’S BENEFITS AND RISKS ASSOCIATED WITH OUTSOURCING
Author: Nagapuri Prudhvini This article will discuss the background of medical outsourcing in India, its benefits, the top global outsourcing companies in India, and the future of medical outsourcing in India. What is Medical Outsourcing? Medical outsourcing is the practice of outsourcing certain healthcare services and functions to an external third-party organization, often located in another country. The medical outsourcing services plays a key role in the health care industry as they provide various services that increase the efficiency, reduce
Swapnil G
Medical Billing Procedure
Medical Billing Procedure Author: Vani S Vani S, Drugs Testing Laboratory, Drugs Control Department, Bangalore, Karnataka, India Chandrasekar SB, Drugs Testing Laboratory, Drugs Control Department, Bangalore, Karnataka, India The medical billing procedure involves series of stages by which billing specialists guarantee that medical professionals are reimbursed for their facilities. Depending upon the situations, it can proceeds a matter of days to complete, or may take several weeks or months. The process may slightly differ between medical establishments, but a general
Swapnil G
360 Degrees of Revenue Cycle Management (RCM) Process
Author: Mugdha Tendulkar Healthcare systems specifically hospitals are known for saving the lives of millions of patients globally and often face the risk of facing monetary adversity. If you’re the hospital owner, won’t you worry about managing the expenditure which is exceeding your income? Forget about profits, you won’t even be able to fulfill the basic needs of a healthcare system. In order to solve this critical issue, proper financial planning is crucial and prevents a healthcare system from going
Swapnil G
Medical Billing Process
Author: Akansha Kumari “Do not code it or bill for if it’s not documented in the medical record” key takeaway from professional billers. In Healthcare Revenue Cycle Medical Biller and Medical Coders is the backbone in which coders pilled billing information and billers use those codes to create insurance claims and bills for patients. We will look at how medical billing procedure connects to the existence of Medical platforms. Adoption of Varieties of Billing Systems, Methods of Hospital Reimbursement and
Swapnil G
Prior Authorization
Author: Zaibunnisa Begum Prior Authorization is a process of cost control in a health plan, where the physicians or any other health care providers are required to obtain approval in advance from the registered insurance company before delivering any specific service to the patient for medical payment coverage. Prior Authorization is also sometimes called as Pre-Certification and Pre- Approval. The main concept of the prior authorization process is to make sure that an individual receives access to all medical
Swapnil G
Outsourcing Prior Authorization Process: An Approach to Optimizing Your Revenue Cycle and Improving Patient Care
Author: Dr. Aamer Nawaz Syed, Pharm. D Prior Authorization Specialist at Staffingly, Inc. What is Prior Authorization? It is a health insurance company utilization management approach that requires certain operations, tests, and drugs ordered by healthcare practitioners to be assessed for medical necessity and cost-of-care implications before they are permitted. A health insurance payer’s choice to approve or reject a prescribed course of treatment based on the results of a prior authorization review will influence whether a provider or pharmacy
Swapnil G
Read Case Studies 
Categories
Recent Posts
- What Are the Key HIPAA Requirements for Pennsylvania Doctors Regarding Medical Coding?
- How Can Medical Coders in New Jersey Ensure HIPAA Compliance?
- How Can Prior Authorization Outsourcing Improve Cost Efficiency?
- Why Insurance Companies Are Tightening Prior Authorization Rules for ER Services?
- How Can Doctors in New York Ensure HIPAA Compliance During Insurance Verification?
Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
Medical Scribing (AI)
Telemedicine Services
Medical Data Entry
Medical Coding
Revenue Cycle Management
