Business Process Solutions for Healthcare Providers / Medical Billing

Reduce payroll costs, boost revenues, ensure administrative process quality, and enhance physician and patient satisfaction with healthcare provider business process solutions from Perot Systems.

Challenge
Concerned about lagging revenues? Plagued by staffing issues? Worried over quality control and regulatory compliance?

Solution
Perot Systems Business Process Solutions group can help. We're a leader in offshore transaction-processing services for healthcare providers, serving more than 35 medical specialties in multiple states and over 15 hospital and physician management systems.

We can help you significantly reduce payroll costs, accelerate revenue cycles, assure transaction-processing accuracy and regulatory compliance, and enhance patient and physician satisfaction. We:

• Focus on low-value, low-margin accounts that make it difficult for you to profitably recover your revenues
• Generate cleaner, faster claims with extensive healthcare business process knowledge, multiple layers of quality control and compliance checks, and quick turnaround in upstream billing processes such as coding and charge entries
• Attain better yields at lower cost through our efficient payer follow-up and denial/rejection processes
  

The solution you need is easy to implement, even for high-volume transaction processing, because we adapt readily to each customer’s existing infrastructure and software. We can replicate your procedures to make the transition process seamless, and we scrupulously maintain the confidentiality of customer and patient data throughout the revenue cycle.

Our highly trained associates, proprietary workflow technology, quick ramp-up, and meticulous compliance processes will free you to focus on business-building core capabilities. And increased patient and physician satisfaction means more business for you.

Our services include:

• Coding. Our highly trained coders enhance accuracy of claims and compliance with insurance and regulatory standards.
• Charge Entry. We provide 24-hour turnaround for large and small accounts across multiple specialties.
• Payment Posting. We analyze and post payments into the Hospital Information Management System. For partial payments, analysis is done and corrective action is taken.
• EOB Follow-Up & Denial Analysis. Associates with substantial experience in the U.S. healthcare industry analyze Explanations of Benefits and claims, and take the necessary actions to recover the due amount.
• A/R Payer and Self-Pay Follow-Up. We reduce days in A/R, improve collection ratio, and increase the probability of payment through timely follow-up with trained agents.
  

Results
With Perot Systems® Medical Billing / Healthcare Providers Business Process Solutions, your organization can enjoy:

• Improved coverage of unpaid accounts
• Higher profitability
• Increased productivity
• Improved patient and physician satisfaction
• Reduced staffing issues and training time