Business Process Services - Healthcare & Insurance

The healthcare industry, the single largest sector of the US economy (projected to grow to US $ 2.2 trillion by 2008 - Healthcare Finance Administration), is a complex domain characterized by:

• High volumes of transactions

• A high level of interactions between the various players in the value chain

• The need to comply with complex legislations

• Business processes that have become inefficient over the years

• Legacy systems that do not lend themselves to easy upkeep

• High training costs that have led to mounting administrative costs
  

Given this context, outsourcing of administrative tasks has become the preferred choice for most healthcare organizations. As organizations explore further ways to lower costs, and TPAs look for ways to run their business more efficiently, partnering with an offshore-based service provider offers interesting possibilities.

Indecomm Global Services partners with billing companies and TPAs to offer scale and cost benefits through an offshore based delivery model. Indecomm’s team of healthcare specialists include eminent doctors and professionals with expertise in Practice Management Solutions such as Medic, Versys, Medical Manager, IDX and Medical Soft. This extensive domain knowledge, combined with the innovative application of technology, allows Indecomm to offer robust and scalable solutions with faster turnaround times.

Indecomm’s services in the healthcare domain include:

Claims Express - A sophisticated workflow platform for revenue cycle automation

At the crux of Indecomm’s healthcare practice is Claims Express (CLEX), a sophisticated workflow platform for revenue cycle automation and other healthcare management services. Claims Express (CLEX) integrates billing and scrubbing functionalities and ensures 99%+ accuracy in claims processing. Post the scanning and automated patient wise sorting, Claims Express ensures that claims are correctly coded and comply with the regulations of both Federal and state insurance companies. CLEX has the ability to identify CPT-ICD mismatches, global fee charges and unbundled charges. This feedback is in turn provided to the doctors, which in turn helps them improve their practice and, more importantly, their revenues.

Key Advantages of Claims Express include:

• Improved accuracy in processing

• Decrease in turn-around-times and adherences to SLA’s

• Scalable processing platform with ability to process increased processing volumes

• Integration of the Billing and scrubbing software’s ensuring 99%+ accuracy in claims processing

• Highly accurate coding services compliant with federal and state government regulations

• Comprehensive reporting capabilities with provisions to allow clients to create reports tailored to their needs for better decision support

• Flexible technology platform, extensively customizable to incorporate regulations specific to the client

The Indecomm Advantage: Providers, TPA and clearing houses

• Decrease of medical billing costs by 40%
• An Integrated common architecture platform for coding and receivables management
• High impact analytics for more efficient recovery and follow-up services
• Cost-effective solution to follow-up low value denied or underpaid claims with proven offshore collections services
• Real time access to status and reports
• Cost effective offshore resources for large or complex cases and for exception handling
• Increased control over process across multiple locations

The Indecomm Advantage: Payors

• Transaction Processing time down by 33 %
• Reduced backlog – cleared in 3/4th of the committed time
• Quality level over 99.5%

For more information on our suite of services, contact us at marketing@indecommglobal.com