Healthcare

3 Methods to Amp Up Your Healthcare Team

Having a competent and skilled team of healthcare professionals is key to quality patient care and in the long run, it can guarantee business’s success. According to the National Academy of Medicine (NAM), a great team of healthcare specialists each play an important role in patient treatment. With varying skills and experiences, they collaborate and coordinate for the common purpose of meeting patient needs. And to ensure reaching the goals of your organization, we listed ways to amp up your healthcare team.

Top 3 Methods:

It is important to constantly introduce improvements to your healthcare team to certify the quality and efficiency in the service that you provide. To help you out, here are some practical ways to make your healthcare team more effective:

  1. Encourage trust and collaboration

In general, teamwork is what makes a team great. Effective teamwork, as stated in the aforementioned NAM report, depends on the members’ ability to trust one another and communicate a mistake, question, or suggestion without apprehensions. It allows them to learn together and collaborate regardless of positions and status.

In healthcare, teamwork is crucial for patient safety in terms of minimizing errors that may result from miscommunication and misunderstanding as well as reducing factors that may lead to burnout in the workplace. Bringing a group of multidisciplinary healthcare professionals together is indeed challenging. With this, you can introduce initiatives that can strengthen teamwork within your team such as team-building exercises where they can feel more engaged and connected to their place of work, and regular huddles where the teams can briefly discuss concerns and updates for each department, which can increase awareness and encourage better communication.

  1. Incorporate telehealth in your operations

Nowadays, the power of technology has permeated every industry. For medicine and healthcare, telehealth is a welcomed innovation that entails countless benefits for patients, healthcare providers and your business.

By integrating digital and communication technologies such as computers and mobile devices, it makes healthcare services remotely accessible to patients and most importantly the medical professionals. In effect, it improves the healthcare delivery system, allowing your team to manage diagnosis, treatment, charting and communicating to the patient and with each other more efficiently.

Incorporating telehealth in your operations is one sure step to enhance your healthcare team in such a way where they can expand their workload and avoid overworking themselves since through virtual visits and online consultations, making their schedules more flexible. In return, as your team accepts more patients and renders more services, you can expect a growth in revenue in your business.

There are still a plethora of benefits that telehealth can provide your business ranging from increased patient satisfaction and engagement to creation of a digital portal for your patients. To experience these, you may want to consider the option of adding an outsourced telehealth support in your team today.

  1. Know the importance of an RCM team for your business

When it comes to the business side of healthcare, a highly skilled revenue cycle management (RCM) team is what you need for success. This group of people composed of medical coders, billers, and other specialists handles important transactions such as patient scheduling and registration, insurance eligibility verification, medical coding, claims submission, claims management, payment collection and reporting.

Just like in telehealth services, outsourcing a dedicated RCM team can do wonders for the improvement of your overall healthcare team. For one, it allows the rest of your staff to focus more on caring for patients as they do not need to handle the time-consuming administrative tasks and paperwork anymore.

You can also expect an increase in care efficiency and enhanced patient experience when partnering with the right outsourcing company because of their access to certified and high-performing RCM experts. Together with the use of technology, this can significantly reduce standard billing errors such as incorrect name of the patient and wrong CPT codes, which can elevate your healthcare facility’s reputation and help you deliver the best service to your patients.

Virtual RCM team is also key to increased revenues linked to accurate coding and billing rules and timely reimbursements, and reduced operating costs as your outsourcing partner can look for a team of highly trained and available experts for a fraction of your local cost.

How build a great team 

Find a trusted healthcare outsourcing partner.

The right partner can help you build a great and dedicated healthcare team composed of experts for your unique telehealth, RCM and other healthcare needs. It can assure you of minimal denial and turnaround time for your claims while optimizing reimbursement. There is also no need to worry about spending so much on telehealth equipment and training staff as your outsourcing partner can streamline and make it more affordable for you with a 70% savings on operational cost.

When it comes to healthcare, the right outsourcing partner is ISO 27001:2013 and ISO 9001:2015 certified and HIPAA- and GDPR-compliant because they understand the importance of securing your company and patient’s data.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential.

We can build you a great, high-performing Healthcare team composed of:

  • Medical Coders
  • Medical Billers
  • Patient Concierge
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Care Navigators
  • Outbound/Inbound Collections
  • Other RCM Teams
  • Other Healthcare Support

Let’s work together to build a great Healthcare Team

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

1 week ago No Comments Views

Top 3 Teams to Build for RCM

Without a doubt, a team of skilled RCM experts expand growth significantly.

And building a great RCM is every healthcare business’s goal. Employing the right team makes your organization successful. That’s why, it is imperative that you know the top 3 RCM teams to build for your company.

Importance of Creating the Right RCM Team 

One of the main goals of any healthcare business is having the right team in place to function at peak performance. You must include experts and specialists in various disciplines within the Revenue Cycle. In this article, you will not only know what teams to build but the skills to look for.

Assembling RCM experts is never easy. However, with the right outsourcing specialist you can be confident that you are getting the absolute best. The goal is always to improve the services offered to your patients and ensure that your medical team is not overworked. By recruiting a great RCM team, healthcare becomes more efficient and effective.

The top three positions for your RCM team are: 

  1. Medical coders

Medical coders are an important member of the RCM team because they are the backbone of converting patient’s records as readable medical codes for different healthcare personnel. With medical coding, modern healthcare care becomes connected.

With accurate coding, medical billers and insurance companies can work together to secure fast billing processing. Medical coding serves to classify all medical procedures and treatments in easy-to-understand codes that enables all healthcare professionals to comprehend the medical journey of a patient. Also, medical billing relies on medical codes to ensure that all healthcare providers are paid for their services and all claims are handled smoothly and efficiently for patients. 

Primary skill to look for:

Analytical and evaluation skills

Medical coders review patient records and identify different illnesses, symptoms, diagnoses, procedures and treatments and assign specific codes to each element. It is then expected for them to have good analytical and evaluation skills because there are illnesses and treatment that may appear similar yet are categorized differently.

Also, since coders translate medical documentation into a uniform set of codes, this makes them the backbone of cataloging patient information essential for tracking patient outcomes, organizing clinical databases, and maintaining population health statistics and accurate billing. Simply put, wrong coding merits wrong billing.

  1. Medical billers

Another team to add in your RCM are medical billers. It is probably one of the most critical components of any healthcare business practice because they secure revenue. A team of skilled medical billers is responsible for submitting medical claims to insurance companies which is critical for the financial cycle of your company.

Medical builders have specialized knowledge on payments, bill adjustments, claim follow-up, claim denial resolution, and collections management. All of these components must be managed correctly to guarantee revenue flow.

Primary skill to look for:

Attention to detail

Medical billers work with vast information and convert them into claims to submit to insurance companies. Therefore, they need to have precise attention to details to make sure that your healthcare business is compensated properly, the patient is billed correctly, and timely payments are made.

Although the medical biller is not directly interacting with the patient and involved with care, he or she should have a good understanding of medical terminology to be able to discuss medical bills with both insurance carriers proper billing is accounted for.  Intricate attention to details allow them to identify codes properly and eliminate any billing errors.

  1. Patient Concierge

This team enables patients to easily inquire about a doctor’s schedule, the type of tests they need to submit before a consultation or inquire about the lab test schedule and corresponding fees. They also maintain quality patient experience while improving patient satisfaction by assisting patients during their check-in processes and answering any inquiries or concerns the patient might have about their health concerns. They are the first “touch” in a healthcare provider’s facility, so even by speaking over the phone, they already must show empathy and genuine care.

They also reduce long wait time by managing calls, appointment-setting, and other administrative patient needs. In fact, a survey talks about how 90% of patients are satisfied with their care through patient concierge, and around 97% mentioned that the healthcare provider they are in contact with takes a personal interest in their health than those in a traditional clinical setup.

Primary skill to look for:

Communication Skills

In the healthcare industry, effective communication is a must. However, a patient concierge specialist should have the ability to work with complex information such as medical diagnosis, assessment and proper charting to communicate the patient’s concerns accordingly and refer them to the right healthcare specialist.

All information must be communicated accurately and in a truly clear and precise language. In addition, they need to convey the proper message to different healthcare staff and provide accurate data and analysis so patient’s concerns are understood and communicated precisely. Ideal communication involves not only speaking but also the ability to listen to the patient with their concerns. If the patient feels that their needs are promptly heard and addressed, this can result in high patient satisfaction.

Building Top RCM Teams

Building the right team creates a well-oiled RCM process. And turning to a trusted outsourcing company to help you build this team gives you access to a world-class pool of talents all the while saving up to 70% operational cost without compromising quality of work and maintaining operational excellence.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize its full potential.

Infinit-O Key Benefits:

We can build you a great, high-performing RCM team composed of:

  • Medical Coders
  • Medical Billers
  • Patient Concierge
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Care Navigators
  • Outbound/Inbound Collections
  • Other RCM Teams
  • Other Healthcare Support

Let’s work together to build a great  RCM Team.

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

2 weeks ago No Comments Views

Here’s Why Your Healthcare Team is Exhausted and What You Can Do About It

No matter how skilled and efficient experts are with their jobs, healthcare workers are still humans who get tired and burned out at the end of the day. Stress and lack of rest can affect their performance and morale in the workplace resulting in low productivity, decreased patient satisfaction, and replacement costs. All of these can hurt your business if gone unaddressed.

The blog provides practical tips on how to avoid burnout and healthcare fatigue.

Why are they exhausted?

To alleviate this problem, you need to first determine the factors that make your healthcare team exhausted to know what areas need to be improved on and to better support your workers. Generally, the high workloads in healthcare is one of the main reasons why health workers are tired. In a study on the relationship of workload, burnout, and job control, it is found that “an increase in the workload was significantly associated with higher job exhaustion.”

A recent report from the CIPD and Simplyhealth also listed workloads as one of the top three causes of stress-related absence in the workplace together with management style and relationships at work.

High workloads can be attributed to the shortage of trained staff due to the unequal demand and supply for different healthcare professionals nowadays, and the multifunctional nature of healthcare professionals which allows them to take on several roles within their practice, adding to their workload and even leading them to compromising other core responsibilities.

With more tasks on their plate, healthcare professionals resort to extended working hours, missing out on adequate rest and work-life balance. Eventually, this will lead not only to exhaustion but to low morale among the employees as well.

What can you do about it?

Just like any other workplace, communication is important in healthcare. Assure your employees that you are open to listen to them when it comes to issues and concerns in the workplace. By doing this, you can also have an insight on things you need to look into when it comes to employee management and such. Recognizing achievements and rewarding good performance are also things you can do to make them feel appreciated for their efforts and will most likely drive them to do their best at work.

More importantly, you need to find ways to effectively manage the workload in your healthcare business so that you avoid getting your staff overworked. These two sure fire ways can be the solution you need:

  1. Employing telehealth in your operations

The field of telehealth empowers how patients, doctors, nurses, and other healthcare professionals experience healthcare. Regardless of the service needed—whether a doctor’s consultation or prescription—patients conveniently access these through smart devices such as laptops and smartphones. The physical distance is crossed with the quick, real-time access of a virtual one.

Among its many benefits is the flexibility in scheduling, which helps in workload management. Since telehealth can be used virtually anywhere and anytime, healthcare professionals have more freedom in their schedule and can balance their workload for the week, for example, by offering extended hours or even weekend operations without requiring the physical office to be staffed. With this set-up, work-life balance among workers can also be attained or improved.

You can look into expanding your healthcare staff by employing RCM experts as part of your Telehealth operations. Outsourcing a great RCM team can do wonders for your business. It allows you to focus more on caring for patients, increases revenues, and is cost-efficient. More importantly, it lightens the load of administrative tasks which contributes to managing the overall workload in your healthcare facility.

  1. Hiring back-up support

When all else fails, it’s never wrong to add more people to your team if it means getting the job done without sacrificing the well-being of your employees and patients. Outsourcing your healthcare workers and even telemedicine services as back-up support is one the best ways to manage workloads without breaking the bank when compared to simply hiring staff members.

Through a trusted healthcare solutions partner, you would be able to build a dedicated team of well-trained healthcare practitioners & RCM professionals specifically designed for your unique needs. Your company can also save up to 70% on operation costs employing an outsourced team and guarantee excellent work quality and performance on the job.

The right partner also has speed to market hiring process of 30 to 45 days of hiring to onboarding, your hospital staff can focus on their core function to provide care and treatment while your outsourced back up support team takes on operational responsibilities.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential.

Infinit-O Key Benefits:

We can build you a great, high-performing RCM team composed of:

  • Medical Coders
  • Medical Billers
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Care Navigators
  • Outbound/Inbound Collections
  • Other RCM Teams
  • Other Healthcare Support

Let’s work together to build a great, high-performing RCM Team

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

3 weeks ago No Comments Views

4 Reasons How Outsourcing Health Informatics Can Transform Your Healthcare Business

Healthcare organizations are feeling the heat to maintain all aspects of their health informatics service while still functioning on a tight budget. With the increase of healthcare demand due to the pandemic, health informatics through telehealth services are now being more utilized.

Hence, outsourcing health informatics has become quite common practice due to the cost savings and enormous benefits of welcoming skilled and dynamic professionals to an HC team. In this article, we will explore the leading 4 ways that outsourcing health informatics is transforming healthcare businesses. 

The Popularity of Outsourcing Health Informatics 

A recent Black Book poll looked at 1,600 hospital executives and 807 CIOs to find that about 34% of the organizations were expected to dramatically increase their level of HI outsourcing over the next two years. The poll also revealed that a dramatic 58% planned to outsource for experts with health informatics certifications to bring in new skills and value so they can stay on top. Without a doubt, welcoming expert health informatics personnel onto the team provides optimum technology resource skills and improved patient outcomes. 

Advantages of Outsourcing Health Informatics 

Clearly, cost reduction, access to the latest technology, data security, patient empowerment, improved communication/information exchange, and access to specialized, skilled professionals are just a few of the advantages of outsourcing health informatics.

Any healthcare business or practice wants their healthcare team to have quick access to all patient history, clinical notes, lab results, medications, x-rays, and more. In addition, they can quickly collaborate with each other from one convenient platform. Patient satisfaction is also crucial, especially since the healthcare industry has become so competitive. Without a doubt, patients benefit from better outcomes and are also able to have full access to their health records, so the entire experience is vastly improved on all fronts.

1.    Substantial Savings by Outsourcing 

So you got a great EHR system. Now you need a great team to operate and utilize the EHR, right? You have two choices, one is in-source with high price talent and the other is to outsource and save 70% with the same talent. 

All companies want to save money and stay within budget.  In fact, in some areas of the United States, the high-cost labor involved in bringing in in-house seasoned individuals to maintain critical applications is extreme and out of the budget of most businesses. Outsourcing is the perfect affordable solution to save up to 70% on operational cost and still work with seasoned professionals. 

Cost Savings Calculator

The cost of healthcare continues to go up every year. With inefficient information sharing and errors continuing to throw a wrench in the system, HC businesses must step back to figure out ways to cut cost while still maintaining a high level of care and service. Trying to fall within or under budget is a nightmare in many cases. However, outsourcing has become a cost-effective way to stay on top of technology and offer superior communication for everyone involved. 

2.             24/7 Operations 

A great outsourcing partner operates 24/7/365. This ensures that more work is being completed as compared to a regular 9 hour shift in-house staff. 

Outsourcing health informatics welcomes in the creme de la creme of skilled professionals who can seamlessly perform RCM related tasks and can support cutthroat HI softwares and apps. They work round the clock like any other healthcare professionals with a similar 24/7 shift in a hospital. This means that charts are coded almost real time and other RCM functions are completed promptly.

3.             Staying on Top with Technology

The value of health informatics lets a hospital or care center businesses stay on top of technological advances without breaking the bank. With the right outsourcing company, they will comply with the necessary software updates you need for your company. 

In many cases, it is simply impossible for the HI team to have the skill and experts needed to handle all the various software and EHR applications. However, the right outsourcing partners can build a great HI team with required expertise and competencies that can stay up to date with the latest HI technologies. They can also ensure that the tools used by the HI team are streamlined with your company’s required software updates and versions.

4.             Enhanced Security 

In addition, with the advances in technology come vulnerabilities that are a significant threat. A healthcare facility can easily become the victim of a full-scale cyberattack. In 2017, McAfee reported that the healthcare industry was the number one most attacked realm due to an increase of malware by 67%.  Clearly, the importance of protecting vital systems and data from a hacking attack cannot be overlooked. Thankfully, outsourcing helps substantially by avoiding such missteps and being ready to instigate innovating emergency protection measures when necessary if a security breach should occur. 

Data confidentiality has never been more important for patient privacy. Medical professionals have been turning to blockchain technology and methods of data encryption to stop data breaches and compromised files. Health informatics stays compliant with health security rules, policies and  all the other parameters needed to maintain patient privacy such as HIPAA and DPA2012 compliant.

Lastly, Always seek an outsourcing company that offers state-of-the-art information security to ensure that all data and patient information stays confidential and safe. 

To Sum It Up

The contribution of health informatics in healthcare is substantial and essential. Therefore, finding the right outsourcing partner for your business is crucial to reach your company’s growth and success. They can build you a great team of HI experts with access to an impressive pool of talent through their A+ recruitment team and speed to market hiring process of 30-45 days time period of hiring to on-boarding, all the while allowing you to save up to 70% on operation cost. The right partner will take care of complemental operational tasks while you focus on achieving your business goals.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential.

Below are some examples of Health Informatics experts that we can recruit to build a team just for you:

  • Clinical Data Processor
  • Nurse Informatics
  • Clinical Data Analysts
  • EHR Onboarding Specialists
  • EHR Account Managers
  • Electronic Medical Record (EMR) Keepers
  • Medical Coders
  • Medical Billers
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • IT consultant specializing in HI
  • Other Healthcare roles

Let’s work together to build a great, high-performing Healthcare Team

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

3 weeks ago No Comments Views

5 Skills to Look for in a Medical Coder

Medical coders play an important role in a healthcare business as they are involved in revenue cycle management. Specifically, they are tasked to translate patients’ medical reports that are utilized by insurance companies to reimburse the provider. With a role as crucial as this, it is a must to hire medical coders possessing the adequate credentials to do their jobs effectively.

The Edge of Skills and Certifications

Education and certification are among the first things you should look for in an applicant. But nowadays, a college diploma or anything of the same regard may not be enough. They should also have at least six-month training experience or even better, a certification from accredited organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

When it comes to skills, on the other hand, the following are what your applicants should possess to ensure they can perform well on the job:

5 Top Skills of a Medical Coder

  1. Attention to detail

Since they will be working mainly in assigning alphanumeric codes to different medical procedures, diagnoses, and medications, having a strong attention to detail is a valuable skill a medical coder should have. A coder who is detail-oriented can easily identify the smallest differences between codes and will not be mixing them up, which if happens, is very dangerous to the patient.

Coders should also be able to handle various paperworks and documents without sacrificing quality.

  1. Knowledge and understanding of medical terminologies

Medical coding is not just a clerical job. It also requires coders to have extensive knowledge of anatomy and physiology, disease processes, pharmacology, the different classification systems, and more to be able to properly assign diagnostic and procedural codes to terminologies.

At the same time, they need to have expertise in various code sets for diseases and other medical ailments like the ICD-10. Each disease has its own unique ICD-10 code, and the codes are updated from time to time. As a result, medical coders need to keep abreast of the large number of current codes, and they need to be aware of any changes made.

  1. Computer literacy

To make coding more accurate and faster, medical coders now use coding software programs like Epic, Centricity, AdvancedMD, Homecare, Homebase, DrChrono, Nextivity and others to input correct procedure and diagnosis codes. Most healthcare facilities nowadays also have digital databases that medical coders should know how to navigate.

Not only do medical coders need to be familiarized with these programs, they must also be excellent in typing, preferably with 10-key speed and accuracy.

  1. Good communication and interpersonal skills

Since medical coders don’t often interact with other healthcare staff face-to-face, they need to have effective english communication skills and interpersonal skills to be able to communicate well with doctors, nurses, surgeons, and other healthcare professionals, and discuss patient records effectively even through other channels.

This is important to assure that vital information doesn’t get lost in translation, may it be verbal,  written or computer-mediated.

  1. Ability to work independently

The nature of the job for medical coders does not require them to be always under close supervision of a manager. This is why they need to have the focus and drive to finish tasks on schedule even with the presence of distractions in the environment. Even without constant external feedback, they should maintain productivity and good performance during work hours.

By outsourcing this function with the right partner you’ll be able to build the right team of medical coders that can work with minimal supervision.

Building a Great Team

Not all medical coders are the same so it’s very important to carefully select those who have the right credentials and skills for the job. By doing this, you are assured of accurate reimbursements and documentation of patient care history. Incorrect coding can not only harm your business but patients’ lives as well.

Medical coding is a high priced job in most markets. In fact, according to data from the American Academy of Professional Coders, the average salary in the US of a medical coder is $54,890, 2019. 

But the right outsourcing partner with an excellent recruitment team will have access to world-class talents, increasing your chances of building a great medical coding team.

A trusted healthcare outsourcing partner can help you build a dedicated RCM team that can assure you of minimal denial and turnaround time for your claims while optimizing reimbursement. When it comes to healthcare, finding the right outsourcing partner can assist you whether they be growth, better productivity or simply bottom-line cost savings of up to 70%. ISO-certified, HIPAA- and GDPR-compliant are also crucial things to consider for a great partnership to secure your company and patient’s data.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential.

Infinit-O Key Benefits:

Below are some of the experts we can gather for the unique RCM and healthcare needs:

  • Medical Coders
  • Medical Billers
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Care Navigators
  • Outbound/Inbound Collections
  • Other RCM Teams
  • Other Healthcare Support

Let’s work together to build a great, high-performing RCM Team

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

4 weeks ago No Comments Views

Licenses and Certifications Your Medical Biller and Coders Should Have

Having a competent and high-performing team of medical billers and coders is an important aspect in running your healthcare business smoothly and successfully as both are crucial to revenue cycle management. Medical billers submit and follow up claims with insurance companies to receive payment for services rendered by a healthcare provider while medical coders translate medical reports like diagnoses, medications, and procedures into codes that are used by insurance companies to reimburse the provider.

Medical billers and coders should be equipped with the adequate skills and knowledge needed in their fields including understanding how to read medical records and being familiar with the three key code sets among others to be more efficient with their responsibilities that are crucial to the financial resources of medical organizations. One way to ensure the credibility of your billers and coders is to hire those who are not just highly skilled but are certified by accredited organizations.

To help you out, here are different kind of certifications granted to medical billers and coders and the organizations that grant them:

Billing certification (Medical Billers)

American Academy of Professional Coders

Medical billers can earn their Certified Professional Biller (CPB) credential from the American Academy of Professional Coders (AAPC). According to AAPC, this certification guarantees that a biller has an understanding of various types of insurance plans, expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs) for successful claim submissions; knowledge of CPT, ICD-10-CM, and HCPCS Level II coding guidelines; successful navigation of healthcare industry rules and regulations; an understanding of the life cycle of a medical billing claim and how to improve the revenue cycle; and expertise in effective claim follow-up, patient follow-up, and denial resolution.

American Medical Billing Association

The American Medical Billing Association (AMBA) offers their Certified Medical Reimbursement Specialist (CMRS) Exam, the longest standing and most thorough exam for professional medical billers. Those who pass the exam and qualify for the certification are recognized as competent and proficient in the field, and are committed to promote ethical and professional medical billing.

Coding certification

American Academy of Professional Coders (AAPC)

AAPC’s certifications for medical coders are nationally recognized and deemed as the gold standard in the healthcare industry. They offer multiple types of certifications for all levels of experience and types of specialties:

●        Certified Professional Coder (CPC) and Certified Outpatient Coding (COC) certification holders from AAPC have a proficiency in the correct application of CPT®, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes used for coding and billing in a physician’s office and in an outpatient hospital or facility, respectively.

●        Certified Inpatient Coder (CIC) and Certified Risk Adjustment Coder (CRC) certification holders, on the other hand, have extensive knowledge in the correct application of ICD-10-CM diagnosis codes used for coding and billing for medical claims in an inpatient hospital or facility and used in risk adjustment payment models, respectively.

●        The Specialty Coding Certification is given to expert coders to demonstrate superior levels of expertise in their respective specialty disciplines. AAPC is currently offering over 15 types of specialty certifications.

American Health Information Management Association

The Certified Coding Associate (CCA) certification granted by the American Health Information Management Association (AHIMA) signifies that the holder possesses coding competency across all settings, including hospitals and physician practices and commitment to the profession. To be eligible to take the CCA exam, candidates must at least have a high school diploma. Having experience in coding or completing a coding training program is also recommended but not required.

Board of Medical Specialty Coding and Compliance

For experienced medical coders, clinicians and compliance professionals, the Board of Medical Specialty Coding and Compliance (BMSC) is the provider of specialty medical coding certification, education and training for them as part of its advocacy of creating a career ladder for medical professionals through multiple layers of coding and compliance education. As of the moment, testing for new candidates is not available and BMSC only allow recertification of the following:

●        Specialty Coding Professional (SCP)

●        Advanced Coding Specialist (ACS)

●        Certified Compliance Professional – Physician (CCP-P)

While having a certification is not a requirement to be a medical biller or coder, it is still a valuable credential that can help them stand out in a pool of applicants. Holding a certification shows that one has an extensive knowledge and tangible experience in the said fields. Certified billers and coders also have an edge over their non certified colleagues when it comes to staying up-to-date on regulatory changes that affect their practice. This is because they have to  complete a specified number of continuing education units every two years after being awarded with their certificate to maintain the validity of certification.

If you’re looking to hire certified and trained medical billers and coders, your best option is to outsource from a reputable company with access to trained professionals. Outsourcing can solve the common problems that arise during the hiring process including the shortage of qualified candidates and shouldering expensive training and recertification.

A trusted healthcare outsourcing partner who can help you build a great  RCM team such as certified medical billers and coders assures you an accurate deal with medical bills and claims as well as the resources to handle your claims quickly, with minimal denials, minimizing turnaround time while optimizing reimbursement. When it comes to healthcare, finding the right outsourcing partner can assist you whether they be growth, better productivity or simply bottom-line cost savings of up to 70%. ISO-certified, HIPAA- and GDPR-compliant are also crucial things to consider for a great partnership to secure your company and patient’s data.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential.

Below are some of the experts we can gather for the unique RCM and healthcare needs:

  • Medical Coders
  • Medical Billers
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Care Navigators
  • Others

Let’s work together to build a great Healthcare Team.

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

1 month ago No Comments Views

Benefits of Outsourcing Revenue Cycle Management

The increased demand for care is placing a huge burden on medical service providers. While healthcare providers face challenges when processing essential business transactions due to limited IT integration and automation, collecting payments, tracking and coding claims, and determining the patient’s eligibility and authorization may add another layer of responsibility to them. 

Revenue cycle management (RCM) plays an integral role in managing these types of activities in the healthcare setting where it caters patient scheduling and registration, insurance eligibility verification, medical coding, claims submission, claims management, payment collection and reporting. In return, you can enjoy the benefits of outsourcing RCM in the healthcare sector.

Outsourcing RCM allows you to focus more on caring for patients

The administrative tasks and paperwork consume a lot of time and effort. Outsourcing RCM helps the healthcare staff focus on the other medical services of the institution and core activities of health care. All the team will have all hands on deck dedicated to patient care. Monitoring RCM may only distract them from maintaining high standards in medical diagnosis and intervention.

It increases care efficiency and enhances your patient’s experience

Outsourcing enables you to acquire highly skilled personnel with enough experience capable of achieving the quality output you desire. These personnel can achieve efficiency and develop strategies that optimize profitability. With skilled RCM professionals to be part of your team coupled with the right technology at hand, standard billing errors like entering the incorrect name of the patient, and wrong CPT codes can be significantly reduced. Error-free billing helps a healthcare facility improve its reputation and lessen unnecessary stress to your patients which results in a more pleasant care service experience.

It lightens the administrative workload

In the healthcare sector, paperwork and medical billing tasks are tedious and tiresome, especially during treatment updates and changes. It would be best if you got experts to avoid stress and frustration involved in learning new processes, rules, and procedures which can be effectively handled by RCM experts. They can take care of day- to- day RCM activities like patient scheduling and registration, insurance eligibility verification, medical coding, claims submission, claims management, payment collection and reporting.

It increases revenues 

The use of experts enables healthcare providers to optimize reimbursements. A devoted revenue management team streamlines and simplifies the recording and administration tasks, making it more controllable and transparent. The professional expertise guarantees effective management of services by applying accurate coding and billing rules leading to improved performance.

Your outsourcing RCM partner can ensure timely reimbursements because they don’t handle medical functions and can fully focus on collecting and verifying patient’s insurance and document the diagnosis and treatment correctly for proper medical coding. This gives you more time to focus on patient care and other billable patient activities. 

Cost-efficient

Most importantly, outsourcing RCM services should greatly reduce your operating costs. Local talent is costly, and RCM services require dedicated, highly trained employees and regular oversight. By contrast, a good outsourcing company will be able to quickly find highly trained and available experts for a fraction of your local cost.

Partnership with Infinit-O

Infinit-O’s mission is to create endless opportunities for your company to realize your full potential. 

Below are some of the experts we can gather for the unique RCM needs:

  • Medical Coders
  • Medical Billers
  • Clinical Abstractors
  • Patient Concierge
  • Medical Review Specialists
  • Others

Let’s work together to build a great Revenue Cycle Management (RCM) Team.

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

2 months ago No Comments Views

Denial Management in the Time of Pandemic

Health crises such as COVID-19 pandemic are putting a strain in the healthcare system. In the lens of health insurance, policy cancellations add a different level of burden. While the government has support implementations such as Coronavirus Aid, Relief and Economic Security Act which helps fund businesses for business continuity and retain employees, there is still an expected increase in policy cancellations as a result of unemployment and the overall economic downturn.  It is also uncertain as to whether the government will provide relief to the insurance industry.

Despite the increased insurance cancellations, health insurance companies are taking the toll on paying for expensive tests and treatments for those policyholders that have COVID-19 coverage. According to American Academy of Actuaries, insurance companies without large cash reserves could have problems because expenses related to COVID-19 treatment are expensive and there is a widespread waiving of cost sharing. It is then crucial for insurance companies to have accurate medical coding and billing processes to avoid mistagging insurance coverage and ensuring that cash flow is managed correctly.

Although the US administration declared a national emergency by granting HHS authority to waive certain Medicare, Medicaid and CHIP policies, pandemics are a phenomenon that not all health insurance companies have prepared for. There will be confusions over what the blanket waivers do insurance policies cover in an attempt to manage health crises with a finite amount of resources.

To track the spread of coronavirus and get paid for testing and treatments, having accurate billing and coding processes are the key in helping providers in overcoming the challenges of a pandemic now and in the future. Also, having accurately coded medical procedures streamlines communication across the health system and reduces administrative rework decreasing costs at a time especially with the scarcity of resources. Prior to the pandemic, health insurance companies are already facing high volume of claims and billing errors. When the economy reopens, there will be a definite surge in medical claims and billing.

But since this is a new health crisis that health insurance companies are facing, some treatments and procedures will fall under the denial management system.

How, then, can you effectively manage denial claims in times of crisis?

Understand how and why claims are denied at the first place

Knowing why claims were denied is important in streamlining your process to maximize your collections revenue and preventing future denied claims from happening. Since most if not all of the patients are knowledgeable about the insurance denial system, it is your job to educate them on how they can solve the issue. But you can only do so if you and your team members are aware of the reasons for denied claims. This will also give you an avenue to create action plans on organizing and creating a system in place to keep track of your denials. 

Many health insurance companies and hospitals are adopting tools and technologies in assisting them in tracking the ‘when’ and ‘why’ the claims are being lost in the shuffle. This will help your company in managing denials and keeping an eye on which ones still need attention in the best way to maximize denial collections revenue. Keeping track of denied claims will help you see which areas in your denial management process are working and which need further support. Documenting both wins and losses, in regards to your unpaid claims helps in improving the efficiency of your organization and sticking close to the analytics in your strategy in denial management.

Identifying common denial trends and updates in medical codes

Being aware of the common denials is a crucial component of establishing an effective denial management process. Although each health organization may have a unique list, there are top causes for coding and billing denials common to every health insurance company which are; Coordination of Benefits, PIP Applications, Accident Details, Pre-existing Conditions, Name Misspellings and new emerging illness and diseases.

These denials may seem like a small problem initially but with continued tracking and analysis it may reveal larger issues within your health insurance company. Creating a system in the denial management strategy of your organization helps ensure that these problems are addressed on the set and also creates foresight for trends five years from now. Plan ahead, and you may see your list of common denials start to lessen. 

Being updated with the new codes in enabling COVID-19 tracking and billing can help in capturing testing and treatment claims. CDC announced in March that it has added the new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) emergency code created by the World Health Organization earlier this year. According to official guidance from the CDC, health insurance providers should only use U07.1 to document a confirmed diagnosis of COVID-19 as documented by the provider, per documentation of a positive COVID-19 test result, or a presumptive positive COVID-19 test result. Being aware of these updates and codes also helps in decreasing denied claims.

Outsourcing denial management process and team

It is then very crucial for health insurance companies to minimize their operational cost and secure accurate medical coding and billing processes to avoid mistagging of insurance coverage and making sure that cash flow is managed correctly especially in the midst of the recovery phase caused by the pandemic. Having a team of reliable and experienced medical coders, billers and claims processors who are crucial to accurately translate patient data into alphanumeric codes and properly tag which treatment and tests are covered by the insurance plan to make sure that the medical expenses are accounted for correctly and accurately. 

Partnering with a reputable & trusted outsourcing company that specializes in Revenue Cycle Management services and has expertise in denial management. Top denial management providers build great teams of highly trained billers and coders that are working with, negotiating and navigating the complexities of the insurance system. By outsourcing your denial management tasks, you’ll have more time to focus on the core areas of your business that require your attention. When choosing which outsourced company to partner with, there are two questions you should ask:

  1. Will they ensure exceeding customer satisfaction?
  2. Will their claims management assistance refute denied claims and increase cash flow?

Expanding other non-clinical related concerns such as medical billing, coding, claims and health insurance processing by partnering with an outsourcing company that is an expert in the Revenue Cycle Management (RCM) process who can provide these extended services virtually can be one of your key weapons in keeping your healthcare business afloat. This team can help in accounts receivable management including follow-ups of unpaid claims and resolution of denials. They can also take care of filing claims to health insurance carriers, post payments received, send patient statements and stay updated with the trends and changes that may affect client’s reimbursements. This results in >95% claims accuracy, 1 hour turnaround time and minimal to none denied claims by getting it right the first time.

At Infinit-O Global, we build great teams of medical billers, medical coders, clinical and medical abstractors that resolve claims denied by medical insurance carriers, stay up-to-date with the changes that affect client’s reimbursements and understand how the medical insurance industry works. Our aim is to create long lasting partnerships and endless opportunities for your business to grow on top of saving at least 70% on operational cost. We render a strong combination of business consultancy, process optimization, and outsourced services; all utilizing the latest technology to provide excellent value for our clients. We are ISO-certified, HIPAA– and GDPR-compliant, so your company and data are safe with us.

Infinit-O Global’s aim is to create long lasting partnerships and endless opportunities for your institution to grow while managing the sudden demand for healthcare. We render a strong understanding in medical review and analyzing clinical abstractors for health institution consultancy, process optimization, Revenue Cycle Management (RCM) process and outsourced healthcare services; all utilizing the latest technology to provide excellent value for our clients.

Let’s work together to Build a Great Denials Management Team.

4 months ago No Comments Views

Flatten The COVID-19 Curve Through Telehealth

Historically, healthcare is immune to business vulnerability during a recession because there will always be a constant need for care and treatment as illness and diseases happen with or without crisis. Hence, the demand for healthcare is relatively constant across a business cycle. However, some crises such as a pandemic have a different tale to tell. Implementations such as physical distancing and lockdowns to reduce the risk of virus spread has affected the mobilization of healthcare across the country and across the globe and health care offices are feeling the pinch.

Not a single company in healthcare is not at risk for business vulnerability in any type of crisis. Especially with a health-related crisis, the bulk of the responsibility is carried by the providers of clinical care. If this won’t be contained and the curve of spread doesn’t decrease through time, the effect of a crisis upon the health and care system poses a vulnerability in the industry and goes beyond economic concerns.

telehealth

As of this writing, the COVID-19 pandemic has reached 3.51 millions cases with over 248,310 deaths and 1,156,991 recovered individuals. The US is now top one in terms of number of infected people, higher than China where the virus first spread. In only 2 months, China was able to flatten the curve of infection through aggressive testing and quarantine efforts. Another country that successfully flattened the curve of the pandemic is South Korea by preventing and delaying the spread of virus so that large portions of the population do not get sick at the same time. These countries were able to stamp out COVID-19 as soon as possible through:

  • Quarantining
  • Encouraging physical distancing
  • Encouraging working from home
  • Closing schools and other institutions
  • Placing hard limits on the size of crowds at events

Without treatment and vaccines available, physical distancing is about the only key to limit the spread of the virus. Reopening businesses and other non-essential commodities when physical distancing measures are in place throughout the country can halt in flattening the infection curve. Yet, enhancing and mobilizing the healthcare industry through telehealth into adapting to the new normal is one key measure to control and limit the pandemic. Now, what is telehealth and how does it help in flattening the curve? 

Telehealth is a virtual platform that allows healthcare interactions such as promoting long-distance clinical health care, patient and professional health-related education, and public health and health administration. The number one job for everyone is to avoid being a carrier or a distributor of the virus. Therefore, virtual healthcare such as telehealth can free up medical staff and equipment needed for those who become seriously ill from COVID-19 especially the people with greater risks like 60 years old and over, children, individuals with underlying health conditions and those with compromised immune systems. Keeping people apart and not congregating in small spaces such as clinics and hospitals can thwart the virus to roam from one person to another or as we all know as physical distancing. But keeping healthcare professionals apart from patients is called medical distancing and can be accomplished through telehealth.

How then can it flatten the curve?

Think of it this way, suspected and probable patients can stay at home and treat the flu-like symptoms instead of going to the hospital. Aside from the influx of patients in and out the hospital, staying at home can limit the spread of virus that can possibly  infect medical frontliners. But of course, these people still need ample treatment from professionals. This is where telehealth comes in. Through the use of video chat or phone call, medical providers can call in to assess and gather information to find out whether care is urgently needed, or self-monitor of symptoms at home is more advisable. It can also be used for regular check-ins during recovery, as needed. 

Sad but true, there are more than 100 healthcare professionals per institution under quarantine because they face head on and are exposed to infected people which in return raises concern on workforce capacity. If the spread will not be managed sooner, it will come to a point that supply of healthcare professionals will not meet the overwhelming demand. 

Another beauty of telehealth is balancing the load through disseminating the needed care to thousands of online clinicians. This helps medical facilities struggling to better serve patients during peak periods of the outbreak. Through telehealth, those under quarantine may still extend a helping hand through virtual check ups and consultations freeing up clinicians in performing in-person care.

While the number of outbreaks is spiralling, the need for healthcare does not exempt those people with high risk non-COVID-19 related illnesses such as cardiovascular diseases, hypertension, diabetes mellitus and cancer. Telehealth can come in handy beyond treating COVID-19 related cases by providing options to other routine care to the elderly and other high-risk patients. This is a calculated strategy to protect non-covid related patients from exposure while not limiting routine care. Limiting their exposure in the waiting room, emergency room or at the doctor’s office promotes decreasing their risk in contracting the virus especially since these people are more often than not immunocompromised.

Now if there will be an increased use of telehealth, what’s next?

If most health institutions use telehealth there will be a significant surge for online waiting queue and virtual healthcare providers may get overburdened. Streamlining up-front screening questionnaires, chatbots, and AI tools aid in making health processes and patient encounters more efficient for clinicians. The strategy of getting patient information while on hold helps practitioners by having already available data about medical history, symptoms, and other information needed to accurately diagnose.

It is also important to partner with an outsourcing company that can provide a team of healthcare professionals who can help manage the patient influx from this outbreak with the best healthcare practices at hand. The right outsourcing company can catapult the healthcare industry amidst the crisis by helping get clinicians working as quickly as possible where they’re needed most and at the same time targeting key metrics such as quality improvements in telehealth, decreased turnaround time for claims management, savings operation cost and most importantly access to the right pool of talents in the telehealth field – all while adhering in keeping health risks low through the beauty of being able to perform administrative tasks and support despite geographical distance.

Here at Infinit-O, we understand the impact of telehealth’s contribution in flattening the curve of this pandemic. Operational support and Revenue Cycle Management (RCM) support such as patient concierge, medical review specialist and other patient inquiry-related needs to back up production capacity and freeing clinicians from answering phone calls and responding to appointment inquiries. They can also help oversee the day to day peer review process from acceptance of medical cases for review, facilitating first level screening if applicable and preparation of case review documents to be endorsed to doctors, nurses and other healthcare providers.

We build great teams of registered nurses, clinical data processors, patient engagement specialists, medical coders, certified medical billers for claims concerns, clinical and medical abstractors among others. Our aim is to create long lasting partnerships and endless opportunities for your institution to grow while managing the sudden demand for healthcare. We render a strong understanding in medical review and analyzing clinical abstaractors for health institution consultancy, process optimization, and outsourced healthcare services; all utilizing the latest technology to provide excellent value for our clients. 

We are ISO-certified, HIPAA– and GDPR-compliant, so your company and patient data are safe with us. HIPAA-compliant companies can provide telehealth services during state emergencies and can transmit any health information in electronic form.

By expanding consultation services and other health related concerns such as billing, claims and insurance through telehealth in partnership with an outsourcing company that can provide these extended services virtually can be one of the key weapons in flattening the infection curve. Having an organized health triage system aids the existing burden that in-person clinicians are shouldering.

Let’s work together in Building a Great Telehealth Team who can duly respond with the expanding healthcare needs.

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

4 months ago No Comments Views

The 2 Best Reasons to Get an Expert in Health Informatics

Average read time: 5 mins

  • What is Health Informatics
  • What does an expert in Health Informatics do?
  • Why should we get an expert?

It has become more apparent in this modern time that taking care of our health is not so simple, and it can also be costly and frustrating. Thankfully, with the progress of our technology Health Informatics is reducing the challenges of the medical field such as getting the same information (medical history, test results, allergies, etc) to the nurses, doctors, other healthcare providers and even insurance companies. 

First of all, What is Health Informatics? Health Informatics is the collecting, storing, managing, and studying of medical data. This data will be in the form of EMR (electronic medical records) or EHR (electronic health records), and will be given to all their healthcare providers for maximum efficiency. The main difference between the two is that EHR’s records are more broad while EMR is more specific. The data can include but is not exclusive to contact information, medical history, immunizations, patient’s demographics, allergies, laboratory data, vital signs, and current and past medications, and radiology reports. 

What a Health Informatics expert will do is develop and manage the systems on which all this data is gathered. They provide the software for the hospitals or wherever they work and keep it safe while also analyzing all the necessary information. This way all the healthcare professionals under the same system have the convenience to access all the data easily. If that hasn’t convinced you yet of the usefulness of it then here are the 2 best reasons to get an expert in Health Informatics.

Improved and Efficient Results

blographics stethoscope

Doctors and nurses provide and consolidate the data of their patients so they can take care of more people quickly and effectively. Since everything is more coordinated and organized, there will be no worrying about scrambling for all the necessary information. Instead the only thing the healthcare professionals will focus on is what was always the priority, the health of their patients. The best thing to remember is that the main purpose of Health Informatics is to help healthcare providers save lives. This happens through organizing patient’s information and records for easy access by any healthcare professional, resulting in a quicker diagnosis and treatment, and minimizing miscommunication between each healthcare department. Especially during a pandemic like COVID-19, having organized patient records help healthcare providers in tracking and classifying those who are patient under monitoring (PUM) or patient under investigation (PUI).

Saving time and money

Thanks to Health Informatics more procedures are being automated rather than being handled manually such as the collection and logging of medical information. This helps free up more time for the doctors, nurses, and hospitals to focus on their patients and even leads to saving more money because less work is done. Through proper handling of the information more lives will be saved by avoiding medication errors which killed 550 people daily in 2017, in the US. In the US the healthcare cost due to adverse drug events (taking the wrong medication) was about 136 billion dollars. Other errors can also be because of doctor’s handwriting, misreading orders, poor communication, and poor documentation. An expert equipped with Health Informatics literacy can greatly reduce the costs of healthcare and improve the lives of both patients and caretakers.

Closing Remarks

The world is full of complex and specialized diseases, and the human body is still not fully understood. Problems such as lost medical information, slow or lacking results should not be an issue that hospitals or patients face in these trying times. People deserve the best care that can be provided for them.

At Infinit-O Global, we build great teams. Our goal is to create long lasting partnerships with our clients; rendering a strong combination of business consultancy, process optimization, and outsourced services; all utilizing the latest technology to provide excellent value for our clients. We are ISO-certified, HIPAA– and GDPR-compliant, so your company and data are safe with us.

We understand the value of Health Informatics and how it can drastically improve the lives of those using it. Our priority is to improve your healthcare business through our state of the art technological solutions. We can help provide you with an expert in Healthcare Informatics that has proficiency in information technology, skills in project and data management, and excellent with strategy and planning. It could be a nurse informatics, chief medical information officer, director of clinical informatics, clinical data analyst, or an IT consultant that specializes in Health Informatics. The main goal is to help save lives, and we can achieve that if we work together.

Let’s Build a Great Team for you – starting with Healthcare Informatics. 

Start small. Exceed expectations. Think infinitely. Think Infinit-O.

4 months ago No Comments Views

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