Medical Billing

Outsourcing improves accuracy for medical billing company

In keeping with its ongoing objective to provide unparalleled service to customers, a leading billing and reimbursement management company decided to outsource its medical billing process.

With Technosoft as the vendor of choice, the company is experiencing a new level of cost-effectiveness, efficiency and accuracy in how it processes claims for over 80 organizations.

Technosoft’s knowledgeable delivery team handles the complete medical billing process, including:

• Secure scanning, digital imaging and indexing of all Patient Call Reports (PCR), reimbursement checks and Explanation of Benefits (EOB)
• Submitting claims to insurance companies and patients
• Following up on each claim until payment is made
• Ensuring that Medicare and Medicaid payments are wired directly to the designated bank account
• Processing all other checks and mailing them to the appropriate recipients
• The digital imaging system is integrated to the customer’s specialized billing software, which enables instant viewing of the critical documents for each account

Technosoft separates the billing, posting and deposit functions. All posting activity is reconciled with deposits on a daily basis by Accounts Receivable. We prepare a daily report consisting of activities performed and any new events that occurred.

Technosoft has instituted effective quality assurance measures in its medical billing process services. Standard procedure calls for data entry personnel to check all data immediately after posting, followed by an audit. In addition, we create a customized quality process that focuses on the specific types of errors identified during the normal quality/audit process.

As a result, a short time after becoming familiar with the customer’s billing software, the Technosoft team was able to deliver close to 99 percent accuracy, compared to the 82 percent accuracy delivered by the company’s employees who had several years of experience with the software.

By outsourcing the medical billing process to Technosoft, the billing company can offer its customers a simplified, cost-effective billing process, resulting in better cost recovery to offset the rising cost of providing medical services. The client can focus more intensely on anticipating changing industry requirements and providing customers with new, value-added services.