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Technosoft is a nation market leader for global provider of healthcare Revenue Cycle Outsourcing services to Medical Billing companies, Hospitals, Integrated Health Networks, Large Physician groups & long term care Pharmacies. For more than a decade, Technosoft has developed a strong legacy and a proven track record of providing end-to-end healthcare services to both US Providers and Payers. Technosoft is certified for ISO/IEC9001:2008 for Quality Management System and ISO/IEC27001:2005 for Information Security Management System. With the implementation of security controls, it has achieved the compliance for HIPAA, HITECH and other laws and regulations. Technosoft is poised for CMMI Level 3 Assessment in next couple of months.
What drives us is a passion for improving healthcare reimbursement. The specialized talents of our people reflect our passion. We employ over 3,000 staff globally with offices in the US, India (Chennai, Bangalore & Hyderabad) who advise, support and perform the core business operations of more than 25 Billing companies & healthcare providers.
Our solutions, industry experts and data-driven methodologies are helping healthcare enterprises make informed changes to drive total cost reduction, financial optimization, delivery alignment and efficiency. We have the capability of delivering compelling business value to our clients, right shoring between our geographical sites and our best practices.
Our services are tailored to help our clients choose a delivery model that best suits their unique business requirements. We are committed to working with other companies in order to offer clients interoperable solutions and greater access to innovation.
Medical Billing - Technosoft significant investments in information technology have enabled us to adapt to any practice management software in the healthcare Industry. We have experience with nearly 100+ market leading software platforms such as EPIC, GE Centricity, Imagine, Medical Manager, NextGen, Kareo, All Scripts, Healthpac and numerous other billing applications and proprietary platforms. This extensive experience enables us to quickly and seamlessly replicate your processes & be a partner of your choice.
Technosoft offers a wide range of services for every area of a Client’s practice. In addition, Technosoft works to develop additional services for areas of concern that are unique to a particular client. We carefully balance our customer base in order to ensure that each customer will have our complete and undivided attention.
Revenue Cycle Management – We Specialize in end-to-end Revenue Cycle Management solutions. We can do your work either by function, or you can trust us to effectively handle the end-to-end revenue cycle management of your billing company, on your software platform! Our goal is to help clients maximize reimbursement and reduce expenses.
Patient Registration
Eligibility
Coding
Charge Capture
Transmission
Posting
Denial Management
(Refunds)
Follow-up
Medical Coding & Coding Audits– We provide medical coding solutions to both provider and payer organizations. Our continuous efforts to improve our coding and compliance through education, audits, and industry updates separate us from the competition. With our dedicated team of certified Professional coders implement the principles of correct coding initiative and Medical necessity parameters in accurately coding procedure codes and ICD-9 diagnosis codes to prevent Compliance risks and revenue loss. We are well equipped for upcoming ICD-10 transition.
We are both Onshore-Offshore delivery capabilities enabling operations at optimal cost.
Our Medical Coding Services Include:
- Medical Coding
- Coding Review & Audits
- RAC audit (Recovery Audit Program)
- ICD-10 Transition
- ICD-10 Specialty Specific Documentation Gap Analytics
- ICD-10 Medical Coding
- ICD-9 & ICD-10 Simultaneous Coding
- ICD-10 Audits
- ICD-10 Denial Edits
- ICD-10 Impact & Critical Elements Client Training
Practice Data Management – Our expert data capture services are driven by TWIMS our proprietary workflow application engine. This solution automates the receipt, processing and posting of all RCM paper documents including charges, demographics, insurance payments, patient payments & Correspondence. The TWIMS Client Portal provides full visibility into real-time production status, exception management and auditing, along with an image repository for easy retrieval and viewing of the scanned documents. Entering information quickly and accurately is critical to ensuring clean claims. This is the first step towards securing accurate and quick reimbursement. Our data entry teams work in several areas:
- Demographic
- Charge Entry
- Payment Posting
- Correspondence posting
- Indexing
- Data Validation
Key Benefits with our Data Entry Service:
- Prompt Processing - 24 hrs Turnaround time on your data processing functions.
- Highly Skilled Processors - Specialized trained staff as per Insurance Carrier and Specialty.
- Accuracy - Complete error free data entry with 2 levels of Quality check.
- Better Process Management- Simplified, controlled and faster process management mechanism through TWIMS.
- Automated Tracking System - The process can be automatically tracked anytime and queries can be resolved real-time through “TWIMS”.
Accounts Receivable Management – Our objective is to improve your cash flow by reducing days in A/R and improving profitability by increasing your collections ration. Our skilled staff is trained to identify trends in billing leading to reduced denials and appeals are completed keeping close eye on AR outstanding Days for accelerated reimbursements.
Services Includes
- Insurance Follow-up
- Self-pay follow-up
- Receivable analysis
- Denial Management
- Eligibility/Benefit Verification.
- Appeal processing/Mail Room Facility.
- Old A/R cleanup project.
- Refund/Credit Balance Resolution
Key Benefits with our A/R services:
- Onsite/Offsite AR subject matter expertise for process consultation
- Improved days in AR
- AR Analytics with enhance dashboard reporting
- Trained AR callers with average 4+ years of healthcare experience
- Team with thorough knowledge and understanding on end to end AR process
- Experience working on multiple practice management platforms and multiple specialties.
- Continuous process learning through continuous training & development programs
- Nearly 3000+ associates across multiple locations
- Industry analysts as well as subject matter expertise in the healthcare space
- Dedicated 3 offshore location for healthcare
- Processing over 100 million transactions every year in Healthcare
- Managed Revenue $800 million per annum
- 5 M Number of customer service call per annum including chat
- Successful in transitioning larger accounts and building a pool of satisfied client base over the years
- Structured, systematic and sustainable transition with quicker ramp up plans
- Certifications from AAPC, AHIMA & AAHAM
- ISO 9001 since 1999 & HIPAA Compliant
- Proprietary knowledge management and workflow tools built for core middle/back office processes for payers and providers
- At 98% accuracy, our adjudicators process medium to high value claims with service levels ranging from 24-48 hours
- Addressing business challenges through analytics such as overpayments, payer/provider CSAT and cash flow from billing
- Ability to deliver across the process value chain – providing high complexity support on Actuarial, Disease management, risk profiling, claim fraud detection, investigation
- 25 Plus clients in Provider ,Payer and Wellness/CRO
Technosoft is committed to offering value added Healthcare BPO + IT solutions to our clients for performance optimization and profitability. We have always aimed to be value partners to our clients, taking pride in their business growth.
We believe true value is best created when our solutions focus on specific client issues and are developed with intensive analysis and expertise. Our diverse bouquet of offerings not only deeply resonates with customer pain points but also provides comprehensive, sustainable, scalable solutions. We have large pool of skilled resources both at our onsite and offshore centers. These skills can be deployed in no time to kick start new engagements.
Some of our differentiators are:
- Vertical Domain specific skills
- Organization with Strong Leadership and a Clear Vision
- Senior leaders to oversee to the success
- Cost Effective Engagement models
- Strong Focus on Business Transformation through Advanced Technology
- Fully Integrated Technological Solutions
- On-shore presence and availability for account management, subject matter expertise and sales assistance.
- Best in Class People & Practices
- End-to-end Management
Accounts Receivable
Client Background
Our client is a medical billing company, with their major specialty in radiology billing and collections. They provide assistance to radiology practices and imaging facilities that allows medical organizations to concentrate on their core competencies.
The Client’s Challenge
The client had certain discernments on the processes and quality standards related to their services. They were facing the following challenges:
- They were looking for a cost-effective alternative to their in-house team of Denial Management.
- As a new outsourcing organization, they were looking for expertise guidance on how to go about the same.
- They wanted to put up certain systems into place that would prevent any increase in AR days and decrease in collections related to filing issues.
- They were looking to work with an expert team who they can handover the appealing on aged and close to timing out claims.
- The client has their own efficient processes and methodologies for appeals and document retrieval systems. They were looking to replicate the same on a global platform and were apprehensive about the capabilities of global vendors in taking on the challenge.
- The client was looking to meet all the above challenges while keeping a steady error ratio below 3%
The Technosoft Corp Approach
The Technosoft team understood the complexities of our client’s business and the priority to keep the processes in line with client internal matrix. We implemented solutions through the following steps:
- We incorporated 5 (five) FTE’s in our client’s denial department. This inclusion was a positive success for our client, as they saw high productivity with minimum cases of error. After three months, we were serving for 10 FTE’s with an error ratio of less than 2%. The number of FTE’s currently stands at 75.
- We replicated their entire onshore process, without major alterations to ensure a smooth transition from onshore to offshore for the organization and bring them on a global platform.
- To ensure that the entire process is followed systematically, a cheat-sheet was prepared and signed off by the client. This sheet is used by the team and is updated in case of any upgradation.
- Technosoft deployed a Quality Control (QC) team with team members of more than 3 years experience in the AR processes. The team carried out 100% audits to meet all quality expectations and ensure process set-ups are followed stringently.
Successful Outcomes and Results
The client appreciated Technosoft method of setting up systems and smoothing processes in their organization. Our solutions resulted in the following outcomes:
- Collections projects handled by Technosoft improved by 15%
- Quality checks on monthly errors went down to less than 2%
- They outsourced any additional denials management and AR follow-up team for all carriers.