HIPAA Compliant Healthcare BPO Outsourcing Services

Charge entry
& Demographics

Attention to details is key here. Our data entry specialists and streamlined protocols can ensure 100% accuracy for faster claim processing and reimbursements.

Payment
Posting

Timely and precise payment posting goes a long way in handling client denials. Partnering with us ensures efficient and cost-effective payment posting so that you can streamline your revenue processes.

Accounts
Receivable

Follow up is the key here. We will keep your medical claims well organized and up to date consolidating your cash flows in the most effective and professional manner.

Medical
Coding

Our certified medical coders are proficient in CPT, ICD-9 and HCPCS and really make a difference in reducing denials, increasing reimbursements and keeping your financial prospects… healthy.

Denial
Management

Are you handling a large amount of denial claims and finding it hard to tackle the procedures that go with the territory? We got you. Our claims denial management specialists go to great lengths to examine if the claim has been denied incorrectly, and then take all the appropriate remedial actions and resubmit the claim for processing.

Medical record
indexing

Let’s cross index your medical reports so that you can go through them in no time. Our specialists will put in order the bulky workload and organize it impeccably, according to your needs. Naturally, we handle all the data you entrust us with, with the utmost security.

No space for mistakes.

If there is an industry that you really wouldn’t want to see a quality decline due to the day-to-day administration, this would be the healthcare industry. Your performance simply has to remain stellar since your contribution *literally* impacts the lives of thousands of people.

And yet, it is the reality for many healthcare providers that the sheer amount of tedious operations and protocols that need to be performed, become an obstacle in the very cause that they are serving.
Don’t let that happen to you.

Trupp Global

We are a highly skilled, fully HIPAA compliant BPO with significant experience in the industry.

Trust us with your back office workload so you can keep your operations smooth, efficient, and, above all, cost effective.

What is more, we have both the scale and flexibility to cover your needs while expertly managing your healthcare revenue cycle.

Charge entry & Demographics

How we can help?

Charge Entry from Coded Documents into the billing software

Quality Check and Audit

Submission of Medical Claim to Insurance Payer

Denial claim’s Analysis

Expert knowledge in coding and upgrade ICD 9, ICD 10, CPTs and analyzing the DX pointer for the CPT codes

WHY US:

  • We speak HIPAA. With years of experience we know how to navigate within the HIPAA framework, making sure everything is compliant
  • We will boost your performance revenue cycles
  • Our software is state-of-the-art and can be tailored to your needs
  • Security comes first. We have taken every measure to protect the handling of sensitive data at every step of the process. We work with the best. Our team is highly qualified in charge entry
  • We’ll take care of your image. Our team is proficient in developing strong customer relations, building brand trust, and improving customer loyalty and retention

Payment posting

How we can help?

Analyzing EOB

The Explanation of Benefits, otherwise known as EOB consists of sensitive data such as patients’ names, their account numbers, service dates, procedure codes, billed amounts, denials information, deductibles, co-insurances, etc. Once you receive the EOB our dedicated team will go through it carefully, and analyze it to identify patterns like the percentage of insurance receivable, amount outstanding percentage, etc. It goes without saying that the handling of such data is carried out with very strict security measures on every step of the way.

Action and Indexing EOB

Once the EOB is analyzed and documented in a report as to why and what amount needs to be paid by the patient we will pass this EOB on to the billing department, facilitating them to collect the outstanding receivable from the patient easily and swiftly. The indexing of the large volume of EOBs is carried out in a customized software, developed for your specific needs. A tailored and efficient service which will optimize your processes in a time efficient and budget-friendly manner.

Inflow Statement

Let’s keep your revenue steady. Our team can keep a track on any outstanding amounts from patients or insurance providers so that you have a real-time image of your cash flow status and take any actions necessary.

WHY US:

  • We will take it from zero. In order to improve your current payment processes we will analyze your existing system, recommend and implement any changes needed for a smooth operation
  • Deadlines first. Our time bound process ensures delivery before time
  • We keep our services budget-friendly
  • We work with experts. Our team is highly reliable and always at your service
  • We’re there when you need us. We offer you a round-the-clock customer support service

Medical coding

How can we help?

ICD-9, ICD-10, CPT, HCPCS coding

HCC medical coding

Chart audits and code reviews

Payer specific coding requirements

Offshore coding audits

Our coding service also includes coverage restrictions, policies regarding multiple procedures, bilateral procedures, payment for assistant surgeons, and more

WHY US:

  • We have taken every possible measure to ensure that the data we are handling are processed in the safest manner, on every step of the process
  • Years of experience in the field can guarantee that all our actions are fully HIPAA compliant
  • No bugs. Our team of expert programmers can guarantee an error free code
  • No need for you to be on top of this because we will. All you need to do is give us the get-go and we will manage your project end-to-end
  • Our support system is not only efficient but also there for you, 24/7

Accounts receivable

What can we do for you?

Tracking

We will track all your pending claims, find the reasons behind the claims denials and keep a close overview of the outstanding receivable balances of your clients. Yes, we will provide you with a clear and up to date periodic report for this.

Payment of claims

Are you struggling with unpaid bills or incorrect payments of claims? Trust our veteran team to take this thankless task off your hands and restore your revenue flow.

Research

Let’s keep everything in order. We will research all your outstanding accounts receivable balances and distinguish the collectible and uncollectible amounts.

Billing

We’ll sort your billings. We will identify all the deductible amounts, address it to the appropriate payers and take any necessary actions to clean up your revenue stream.

Reporting

Naturally, we will provide you with a coherent and comprehensible report detailing collection progress, including payments and recommending adjustments.

WHY US:

  • We will improve your operations and increase the efficiency of your business.
    Our team is composed only by experts in their field who frequently undergo special training so they remain up to date
  • We will keep your cash flow streamlined and steady with no hiccups
  • We never deliver on the deadline but way ahead of it
  • We are seriously budget friendly. Just ask us! We know what we are doing.
    Our HIPAA-certified experts have many years of experience in Accounts Receivable services

Denial management

Classifying the Denials

First, we’ll put things in order. Once the reason and cause of a claim denial is understood, it is necessary to categorize and assign each claim to the right departments. Sorting denials by category will help identify areas that need to be developed and will point out to the needs of further training that might be required by employees and medical staff so as to achieve lower rates of denials.

Actuate Patient Eligibility

Let’s investigate in depth. Our experts will gather information on the patient's insurance cover and eligibility details. This step allows no space for mistakes as it is crucial in avoiding any issues of claim denials in the future.

Appeals for Denied Claims

Many claims are denied with insufficient causes. In those cases, we will prepare all the necessary appeal letters and send them along with supporting documents, including Medical Records for processing. We will then follow up these appeals with every medium available such as emails, fax and even direct calls.

Determining Pivotal Denial Causes

There is a pattern in the cause denials in a claim and it is a very critical matter to identify it. We will determine the pivotal denial causes by re-examining the entire billing procedure and pinpointing the problematic zone, increasing thus the rate of successful claims in the long term.

Supervision and Interception

You can rely on our expertise in regularly monitoring your internal controls against their efficiency. We can restore the performance of your claims management processes, preventing any future denials.

WHY US:

  • We will provide you with a clear and understandable periodic process report so that you can always be on top
  • We take security very seriously when handling sensitive data
  • All our actions and processes are fully HIPAA compliant. We respect your margins and keep our services affordable
  • We deliver way ahead of our deadlines
  • We only work with experts in the field. We supervise every aspect of the project management so you can focus on more urgent matters while feeling secure that everything runs smoothly

Medical record indexing

How can we help?

Insurance bills and information

Health insurance ID cards

Clinical history

EOBs

Patient records

Medical charts

Medical reports

Healthcare BPO provider notes

WHY US:

  • We know this industry. Our team is composed exclusively of experts seasoned in the field
  • We keep our services fair and cost-effective
  • We will offer you nothing less than 100% accuracy in data management
  • We are there for you. 24/7
  • We have taken every possible measure that your data handling is safe in every step of the process
  • We are accessible and understand your needs in depth