After having conquered the arena of Training & Development, Transorze has now set forth to conquer new horizons in Revenue Cycle Management services.
Today Transorze is proud to offer world class solutions in
We assist our clients to manage regulatory and compliance requirement which in turn reduces the pressure on the physician and enables more consultations thereby improving the financial outcomes
If the answer to any of these questions is “YES” then it is high time for you to outsource all your healthcare administrative services in order to improve your compliances, increase your profits, and manage your non-core healthcare services.
The increased complexity of payer requirements coupled with the ever changing regulatory stipulations, capturing revenue has become a major challenge for the healthcare providers. Transorze provides effective solutions in order to protect your organization from lost revenue at the same time constraining the overhead expenses by providing a proactive revenue cycle management, real-time reimbursement analysis and rectifying the root causes of denials
Transorze provides RCM-Revenue Cycle Management, and analytics solution to the healthcare industry; starting from patient enrollment, verification, coding, billing & reconciling of accounts, payment posting, AR calling, auditing, and denial management. We combine operational excellence with deep domain expertise.
Transorze provides retrospective and prospective on our clients clinical documentation to ensure that all appropriate diagnoses are captured, helping identify gaps in data collection and submission thus improving clients’ risk score accuracy, thereby ensuring delivery of high quality healthcare to society.
Transorze has expertise in laws, rules, and regulations governing USA insurance policies, and adheres to the specific coding requirements of various insurance payers viz. Medicare, Medicaid Workers’ Compensation State Insurance, and 25+ commercial Insurance providers like Horizon, AETNA, and more.
We track the complete revenue management cycle through all its stages starting from patient access (Frontend) through service delivery (Mid cycle) and right up to receivables resolution (backend). We provide both operations support and clinical automation.
We help to optimize your revenue management cycle by supporting in each of the following stages viz appointment scheduling, automating patient eligibility verification, verification of payment processes, claims scrubbing, efficient billing process, managing claim denials, claims follow & AR calling
We ensure that we track the below KPIs on a single dashboard to ensure a smooth functioning of the RCM relating to the total reimbursement inflow, net collection ratio, first pass acceptance rate, and denial rate
This is the first step of Revenue Cycle management that is initiated when the patient registers a complaint. All information relating to the patient is collected at this stage and is relayed to the patient’s insurance carrier and flows through the provider’s practice management system. Subsequently, the provider is informed about the status of patient’s coverage, entitlements, deductibles, if referral is needed, co-payment and more. This is the most critical step as this is the time when the practice discusses the financials with the patients and charts the payment schedule including no-show & cancellation policy. If this step is not correctly documented then it will lead to excess disputes on claim
At this stage all details are collected relating to patient data, co-payments, referrals, treatment authorization. The patient is made aware of his financial obligations and insurance benefits. A thorough registration ensures that all services are duly recorded to ensure timely disbursements and prevent financial repercussions
At this stage, monetary value is assigned to patients accounts based on the medical codes received along with the corresponding fees schedule. This maybe done automatically or through human intervention
After the charges are entered, information on CPT code and diagnosis code is sent to the insurance carrier and the same is verified by the revenue cycle team to see if the codes match with each other. Claim scrubbing is done by sending the claims from your practice management system to a clearing house from this is sent out to different payers. This process is performed to ensure that claims are clean and going in the door correctly before disbursement.
After the practice’s claims have been sent out, it is time to receive the remittances. The practices are informed what they got for the services rendered which was already determined at the time of signing of contract between the practice and the insurance company. It is critical to regularly review the system to avoid missed payments.
There are occasions when there are write offs (contractual and non-contractual). While the contractual are unavoidable as they involve contracted rates, the non-contractual write offs should be minimized to the maximum extent possible. These result from breakdown in the providers remittance process which include – no authorization, no referral on file, claim not submitted in a timely manner and more.
Transorze provides end-to-end solutions for all your revenue cycle management requirements. Transorze boasts of 12+ years of experience with proven track record and provides turnkey solutions in the areas of:-
Revenue Cycle Management Services
Analysis and tracking of sales, revenue, and other financial activities with the aim to enhance cash flow and improve compliance
Medical Scribing Services
Accurately chart Physician – patient encounters in real time. Complete all forms needed for patient care
Medical Coding Services
Accurate identification of the code to prevent claims denial and speed up the disbursement process
Medical Billing Services
Accurate claims submission and timely posting of payments to prevents claims denial and improve cash flow
Medical Transcription Services
Accurate and speedy transcription of audio files to increase collaboration and patient outcomes
AR Calling Services
Accurate and timely follow up with insurance companies to ensure speedy disbursements. Help the healthcare providers to manage their finances on a timely basis.
Transorze provides real time medical documentation solutions to healthcare providers and also supports physicians in their quest for providing quality patient care. Physician burnout is one of the major occupational hazards cited by providers and physicians alike.
Transorze provides an AI enabled platform that records the physician – patient encounter which is HIPAA compliant and is converted by the virtual scribe into charts and directly integrated into your EMR system using HIPAA compliant technology. The encounter recording can take place on various devices such as Android, iPhone, iPad, or Mac. Subsequent to the session, the provider uploads the recording through a secure HIPAA Compliant secure platform which accessed by the virtual scribe siting at a remote location who works directly into the provider software environment to enter notes as per standard documentation guidelines, thereby allowing the provider to focus on patient care which is primary duty of the provider.
We provide a flexible workflow model wherein our virtual scribes serve as dedicated personal assistants to the physician and relieve them from their documentation specialist duties thereby increasing patient face-to-face consultations and reducing physician burnout
WHAT WE DO
Transorze provides world class medical scribing services to hundreds of healthcare organizations and thousands of provider across the USA, thereby boosting clinical and financial outcome and at the same time helping physicians regain their work-life balance. Transorze provides Virtual scribing services at 3 basic levels viz real-time scribing encounters, recorded encounters, and poster encounter note support.
Our medical scribes from remote locations reduce provider keyboarding time, facilitate increased patient loads during normal workday schedules, and provide accurate chart reports which in turn help to optimize relative value units (RVUs).
WE PROVIDE REAL-TIME DOCUMENTATION DIRECTLY INTO PHYSICIAN’S EMR ALONG WITH VIRTUAL BACK OFFICE SERVICES!!
On an average we are able to enhance the efficiency of providers by
Real-time Scribing Encounters
Recorded encounters
Post Encounter Note Support
PROCESS
Workflow
Specializations
Transorze provides Physician coding, emergency room e-code evaluation, chart audits and code review, and ICD-11/DRG Code Validation.
Our coding experience covers all types of encounters viz inpatient, outpatient, ER, HCC,
We have dedicated quality coding resources who deliver accurate codes, meet coding deadlines, maintain accounts receivables. Our coders also have the experience to minimize DNFB (Discharged, Not Final Billing), denials, and compliance risk.
Clinical Automation
Transorze has shifted its focus to clinical automation to reduce the resource intensive tasks as well as the critical tasks which are prone to errors. Thus we are able to reduce the turnaround time for coding and charge capture resulting in reduced backlog and DNFB, thereby improving cash flow.
AI Customization
Transorze has evolved beyond Computer Assisted Coding and Natural Language Processing to providing AI solutions based on which clinical metadata is generated which in turn classifies clinical semantics and determines the relationship between clinical concepts accurately. Once the relationship is established accurately, the charges and codes are autonomously derived from the solution based on tailored rules processing and learning engines. Incase there are any deviations from the norm, the given codes are routed to appropriate coding resources for finalization
Clinical Documentation Integrity (CDI) Review
All processes and data are continuously streamlined to CDI Experts for pre visit and post visit review. These experts coordinate with providers to bridge documentation gaps and gaps against billing data to deliver Risk Adjustment Factor (RAF) Score integrity
What a CDI Export does
Pre-visit review
Post-visit review and reconciliation
No revenue cycle management can be complete without timely and accurate billing of accounts. Accurate billing is instrumental in timely disbursement of claims. Transorze ensures that 98%+ claims are settled within 60 days. Our experts make all efforts to prevent denials through the use of AI software and meticulous compliance processes. Incase of denials, we handle appeals, and follow up on all outstanding claims to ensure a timely payment. Our services include pre-authorization, claims management, payment posting, Chart & Coding Audits, Denial Prevention, Denial and Appeals Management, Patient Statements & Calls, Financial Reporting & Analysis, Provider Enrollment & Credentialing, Payer AR Follow-Up, and Self-Pay Collections.
Transorze helps you in reducing your costs and maximizing your revenue by regularly auditing patient charts, ensuring fast and clean submissions, compliance with payer requirements, consistent Payer follow up and Patient follow up for payments, prevention of denial, immediate analysis and denial management
We provide medical billing services in Ambulatory Surgical Center, Anesthesia, Cardiology, Cardiothoracic & endovascular surgery, Dermatology, Emergency Room, gastroenterology, Orthopedics, pain Management, Plastic Surgery, Podiatry, Pulmonology, Radiology, and more
Why Transorze For Coding & Billing
5. Ability to scale up operations to meet the client’s growing needs
Transorze provides backend support to its clients in the USA for Medical Transcription. The most important aspect of medical transcription is the quality of the reports that we produce. In such a quality conscious market our healthcare documentation specialists will have an edge over all the others. This is because they are well grounded in medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments and convert audio files to medico-legal documents with 98%+ accuracy. Our specialists are well versed in complex and speciality specific medical terminology, and are able to understand complex dialects. They are also adept in document formatting, medical reports and abbreviations Hence they are able to correctly transcribe the audio, and are able to identify any inaccuracies in the transcript which is critical to reducing the chance that patients will get ineffective or even harmful treatments.
AI driven technologies such as speech recognition, machine learning, and natural language processing have become more prevalent due to the increase in audio, video and textual content in the Healthcare industry.
We have deployed the above technologies effectively in order to improve the overall experience of our customers based on their requirements.
We have the necessary know-how and experience in integrating our AI solutions with your networks. Our software is 100% HIPAA compliant and has the ability to connect directly to your servers and your EMR / EHR systems to ensure speedy data processing. Furthermore, it ensures smooth and seamless integration with most RIS, HIS, and LIS software systems thereby improving patient care, coding/billing processes as well as profitability and operational efficiency.
Our Healthcare Document Specialists are well trained and aided by the most advanced AI algorithms. We specialize in using speech to text technology for converting speech files from all sources viz recorded audio files, videos, webinars, phone calls, podcasts etc. into various formats. Audio files in combination with our technology driven document management platform has greatly aided us in delivering quality and accurate transcribed reports at an affordable cost. Our documentation management system effectively handles all stages starting from dictation capture to document archival / storage to delivery of output into the below mentioned formats:-
Being 100% HIPAA Compliant, We are committed to confidentiality by automatically filtering out sensitive and confidential information. We are capable of providing timely and accurate transcription services for all specialities viz Radiology, Pathology, ENT, Emergency Room, General Surgery, Ophthalmology, Neurology, Cardiology, Dermatology, Urology, Pain Management, Physical Therapy, Rehabilitation, Psychiatry, Anesthesia, Gastroenterology, Internal Medicine, Obstetrics & Gynecology, and Chiropractic, endocrinology, dentistry, family practice, critical care, nephrology, immunology and more.
We are proud to deliver 98%+ accurate files at a very competitive and affordable rate.
We effectively deploy AI -based speech analysis technology to review important data points / keywords in order to enhance the overall quality of the transcription. After using speech to text technology, our Healthcare Documentation specialists are able to identify areas of correction using speech analysis software.
We use text analytics to automatically detect, analyze, and quantify all reference to targeted keywords in order to create accurate reports with actionable insights thereby avoiding costly mistakes and becoming customer friendly. We are able to achieve better end results by eliminating the chatter from the audio files and extracting the date into relevant and accurate actionable reports.
Why should you choose Transorze to for Medical Transcription requirements
Our AR calling services are extremely cost effective without compromising on accuracy, security, or quality. They are designed to deal with the key finance functions that impact cash flow required to maintain a robust business. We enable better cash flow with consistent follow-up on outstanding invoice and all inclusive reporting structure thereby facilitating speedy payments.
Our services include both Insurance Follow up as well as patient collections. Keen review is required to ensure that all the remittances are received from the insurance provider as well as the patient. With regard to the patient, a detailed discussion is required to determine the payment plan and schedule.
Our AR callers review, and verify the claim against services rendered and contact both the payer for the disbursement and the patient for the uninsured amount. They prepare call notes, initiate / execute the required actions by forwarding the required information to the payers
What we do
How do we help to improve your financial health
We provide customized AR management solutions and maintain high standards of data integrity which enables you to get your payments in time and also helps you to maintain excellent relationships with your patients. We provide a centralized system which prevents confusions and creates a transparent billing process thereby reducing the delays in payment.
Our experienced and well qualified AR callers adhere to superior payment practices while following up on invoices and effectively help you gain control over your cash flow
We adhere to the international best practices with regard to data security.
It is critical to have quality assurance / quality control in place in order to ensure proper controls, accurate documentation, reduced turnaround time, improved revenue,
Quality Assurance processes include regular QA checks, daily, weekly and monthly reports, customizable feedback reports and meetings to analyze progress.
Transorze has the skill of working beyond technology and practices with the aim to improve documentation quality and eliminate denials, thereby enhancing the quality of customer service. We achieve this by using process checklists, performing regular audits and employing best practices.
We provide three level quality assurance
Data security
Transorze is 100% HIPAA compliant and is totally committed to ensuring data integrity, and confidentiality at the same time allowing for accessibility to concerned stakeholders.
We ensure 100% data integrity, and security through complex and sophisticated firewalls, antivirus and malware protection, strong SLAs with third parties, secure Wi-Fi, data masking and encryption.
What is NSA
The No Surprises Act (NSA) establishes new federal protections against surprise medical bills that take effect in 2022. Surprise medical bills arise when insured consumers inadvertently receive care from out-of-network hospitals, doctors, or other providers they did not choose.
Transorze helps by creating a GFE (Good Faith Estimate) which is basically a notification that summarizes the uninsured (or self pay) component for a scheduled or requested procedure or service. We allow the providers to collectively a GFE that is delivered directly to patients. Further it allows inclusion of a co-provider when the co-provider chooses to balance bill a patient
Transorze has more than 12+ years experience in offering training courses in Medical Scribing, Medical Coding, and Medical Transcription. Our training is focused on the exact requirements of the Healthcare BPO industry. We provide hands-on training to our students with keen focus on real life situations. This is supported by our unique learning management system to facilitate learning. Our trainers are certified and have rich industrial and training experience.
Transorze understands your requirements and is well geared to meet the same because we have :-
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