Overview
outsourcing
ecare India is an outsourcing and billing company in India focused exclusively in providing healthcare solutions and medical billing services in the healthcare sector. Being an ISO certified company we ensure information security and high quality services and possess the needed expertise and talent to deliver the same through innovation and our technology- driven services. Our services give a competitive edge to our clients by reducing their operational costs and enhancing revenue thereby improving profitability. We constantly thrive to deliver high quality and cost effective healthcare solutions with our in-depth domain expertise and pool of highly talented professionals.

ecare India provides end-to-end healthcare supply chain management solutions for all your medical processes ranging from Medical Billing, Medical Coding and Accounts Receivables Management to Physician Credentialing, Electronic Medical Record(EMR) and Electronic Health Record(EHR) management. Our services are tailored to the needs of Physician Practices, Large Physician Groups and Medical Billing Companies, who can confidently outsource their processes to ecare India and focus on their business and patients without any apprehensions.

Revenue Cycle Management (RCM)

ecare India provides flawless Revenue Cycle Management solutions and services to physicians, medical billing companies and healthcare organizations ensuring high quality and cost effectiveness. Our aim is to maximize revenue and add value to our client's practice. We effectively utilize our people and resources to ensure timely delivery of results with complete customer satisfaction. RCM services at ecare India involves management of vast information associated with the patient ranging from but not limited to Medical Coding, Demographics and Charge Entry, EOB Postings, Denial Resolution and Account Receivable Follow ups. These can be offered either as a stand-alone service or as a combined suite

The following services are offered in our RCM solution :

Patient Demographic Registration

 

We facilitate patient registration subsequent to an appointment at the healthcare facility. Our team at ecare India collects and verifies the Patient's Demographics in the process of Patient Registration. In case, a patient is already registered in the billing system, our team verifies the new information with the existing data and makes the required updates.

The process of Patient Registration is enumerated as below :

Receipt of Patient's Information from clients

Verification and validation of Patient's Information

Registration of Patient in the billing system.

Medical Coding

 

ecare India provides high quality coding services. We have a team of qualified AAPC (American Association of Professional Coders) certified medical coding specialists and they strictly adhere to Insurance and Government Regulations. Our team is well versed with ICD-9, CPT coding, and HCPCS codes across various specialties.

Ecare’s team at our offshore center in Chennai, India over a secured network using VPN connections accesses scanned Patient’s medical records and other related documents sent by the clients. After the review and scrutiny of the documents for accuracy, completeness and readability, the documents are split into batches and the Diagnosis Codes, Procedure Codes and Modifiers are assigned to the documents as per the client's specifications and requirements.

We also verify client’s medical records and previously coded documents and ensure that the required information is imparted to our clients in case of any discrepancies from the coding requirements. Our team undergoes extensive training sessions and mentoring programmes from time to time to ensure knowledge is updated in accordance with the regulations and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations.

Charge Entry

 

Our trained Medical Billing professionals enter charges based on standard billing rules pertaining to each specialty, insurance carrier and the location. All charges are created within agreed turnaround times - generally 24 hours. Our staff is well versed in working on numerous Practice Management software packages like Misys Tiger, Medtopia, Medisoft, Raintree, Next Gen, Kareo, Medical Manager to name a few. To view the complete list of software packages, click here .

Electronic Claim Submission

 

Processing of medical claims is very crucial for any medical practice in getting the payments for the services rendered. It is very important to submit accurate patient data and other related information to the insurance companies to prevent claim rejection. At ecare India, we take full responsibility for the processing and submission of claims to the insurance companies. We have electronic claim submission tools and a trained staff that handles insurance claims processing and its submission and also the verification of the Carrier Confirmation Reports.

Payment Posting

 

The insurance payments are posted to the patient's accounts from EOBs (Explanation of Benefits) into the billing company's software package. The payment posted is balanced against the deposit slips to ensure nothing has been missed. The payment posters also keep a tab to ensure there is no under-payment. The payment posters also handle electronic posting of payments in the billing software. They also ensure that the EOBs are downloaded and stored for future reference.

Denial Management

 

We have a team specializing in denial resolution management that reviews the unpaid and underpaid claims to ascertain the reasons for non payments and underpayments and to correct, update and prepare for the re-submission of the denied claims. Our denial management team also keeps a track of these denials to prevent them from happening in future. We keep our clients posted on the reasons for claim denials to ensure that the documentation guidelines for all the services being rendered are met in the future, and special requirements like referrals, authorizations, ABNs are in place.

Account Receivable Management and Follow up

 

ecare India aims at improving your account receivables turnover time thereby increasing your cash flows and improving profitability. We have a team of dedicated and skilled professionals that identify the patient’s accounts for which follow-ups are required and takes care of all the steps to be taken to recover the unpaid/ underpaid claims. Insurance websites are also actively used to check claim status.

Additionally we also undertake the following :

Handling of Refunds

Secondary Claims Filing

Insurance and Patient Follow-up

Handle Appeals for contested claims

Generate and mail patient statements

Indexing of documents to the patient accounts

Prepare Customized management reports

Customized Management Reports

 

We provide a variety of practice analysis reports to enable the provider to understand how the practice is performing, the procedures for which he is being paid well, procedures for which he is not getting paid, his overall performance for the month and so on. These reports are a combination of both; system generated reports and custom prepared reports.

Being an healthcare solution provider, ecare India boasts of a team consisting of medical billing specialists and medical coding specialists that with their expertise devise revenue cycle management solutions to provide innumerable benefits to our clients allowing them to focus on their practice and patients. We ensure and continuously work towards better productivity, accelerated cash flows and greater efficiencies for our clients

Clients can shed their worries for hiring, training and retention of resources. ecare's highly motivated and dedicated team provides a competitive advantage with its indepth knowledge and expertise.

Client will have better control over processes. Our team ensures timely submission of claims and follow- ups.

Customised reports helps our clients in analysis and close monitoring of performance

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Billing Software Expertise
  • Medisoft
  • alta point
  • practice suite
  • Allscripts
  • Medtopia