Answers to some key concerns you may want to address in the area of outsourced Medical Billing with DPS :

Data Transfer:

How do we transfer data from our clients?
We receive documents such as Super Bills, Charge Sheets, Patient Demographics, EOBs, Medical Records and insurance company Newsletters from our clients. These documents are scanned and uploaded in our FTP site by the client and the same is downloaded by us for processing.

Software:

What software do we use?
We generally use the same Software used by our Clients, and have experience in working with over 20 platforms like Medic, FoxMed, Medical Manager, Medisoft, Prime Clinical, Lytec and others. Should a client be using any software that we have not used before, we will be able to learn and start working on the project after a two-day period of training in the new software.

Access to client software:

How do we access your software?
We access our client's software thru internet using various facilities such as VPN, Remote Desktop, and Terminal Emulator. Once we sign the contract, our network professionals will asses our clients system / network and will suggest the best possible method to access the client software.

Clearing House:

How do we transmit claims electronically?
We transmit claims electronically using the same Clearing House used by our clients. When clients assign a project to us, they usually have a Clearing House in place to forward claims to insurance carriers. If a client has a new practice set up, we can suggest a Clearing House. However, enrollment with the concerned Clearing House, or with any other, is the responsibility of the client, and Clearing House expenses have to be borne by the Client.

Submission of Paper Claims:

Do we submit Paper Claims?
We do not encourage the manual dispatch of paper claims from DPS, since this delays payment. Instead, our present practice is to print Claims directly on a Client Printer in the US, placed in our Client's office. Such claims can then be collated in the Client's office and forwarded to the insurance company.

Collection Agencies:

Do we appoint Collection Agents/Agencies?
We do not have any contract with any collection agency or appoint any such agencies for our clients either. However, we can identify accounts for sending to a collection agency, and refer these to our Client. The Client can then appoint an appropriate collection agency and pay the agency for their services.

Patient Follow-Up:

Do we handle patient inbound and Outbound calls?
We have the infrastructure and personnel in place to make calls, and have experience in Patient Follow-Up. However, whether or not we make such calls depends on the individual client and their requirement. We do not routinely offer such services as part of the Medical Billing package.

Team:

Who will be handling our projects at DPS?
Whenever we begin a project for a Client, we assign a dedicated Team for that particular project at DPS. This gives our clients the advantage of dealing with the same person or persons for any queries or support. A dedicated Project Manager is your point person for interaction about your project on a daily basis.

Secondary Claims:

Do we submit Secondary Claims with attachments?
Since all Secondary Claims have to be submitted with attachments, we follow a procedure in this regard similar to the one on Paper Claims. That is, we can print the Secondary Claims and the EOB attachments at our Client's US office on a Client printer. This can then be collected and dispatched to the insurance company. In the case of insurance companies that accept Secondary Claims by Fax, we can Fax the claims from DPS.

Appeals:

Do we submit Appeals?
We prepare completed claim appeals, with accompanying documents and a covering letter. Wherever insurance companies accept such Appeals by Fax, we can Fax them directly from DPS. If such a submission is not acceptable, we can arrange to have the Appeal printed on the Client printer, as in the case of Secondary Claims, and this can be collated and dispatched from the Client's office to the insurance company.

Front End Support:

Do we require personnel at the Client's end?
In order to ensure the smooth execution of some client-centred processes in the Medical Billing area, it is essential that at least one person be assigned in the Client's office to co-ordinate the operations relating to the dispatch of Secondary Claims, Appeals or Paper claims, and the daily communication and interaction with the DPS team. This front end support is vital to ensuring the success of an DPS-client partnership.

Tracking Issues:

What is our process of resolution of pending issues?
We pay the utmost attention to those issues that delay the processing of claims, such as missing information in key areas like patient demographics, medical records, charge or other fields. In order to keep Clients informed at every stage about the status of such issues, we have in place a tracking system known as Offshore Process Management System or OPMS. With this, every day a Client can check on the issues that have been identified during the day, and take steps to address them by providing the necessary information either directly from their own records to DPS, or after checking with the concerned doctor.

DPS does everything to ensure that a Client is kept fully informed about all pending claims and the reasons for their non-completion.

24/7 Support and Service:

What does this mean at DPS?
Operations at DPS are conducted to cover Insurance Follow-Up work in the U.S daytime hours, and Entry Work in the U.S. night time hours. This means that personnel from the DPS team are working on your project full time all hours of the day and night. In addition, we provide a dedicated toll-free number for our Clients to call for support any time they need to.

HIPAA:

Are we HIPAA compliant?
We are compliant with HIPAA guidelines for Medical Billing, particularly those relating to security of data and offshore operations. We make all attempts to stay informed of the latest developments concerning guidelines that are issued from time to time by insurance companies or federal authorities.

Communication:

How do we communicate with clients?
We have the means to stay in continuous communication with our clients for discussion about the execution of their projects. We have a toll free number for our clients to call should they wish to communicate on the phone. In addition, we are available on online chat for immediate queries and exchange of information.

Customized Services:

Are our services tailored to clients' needs?
Clients can choose to avail of specific services that they require, like Charge Entry, Payment Posting or AR, or the complete Medical Billing package that contains all these processes. Whatever be your requirement, at DPS you are assured of meeting it with complete attention to your specific instructions.

On-Site Training and Transition:

Do we provide personnel at clients' sites?
We can provide an on-site team for Medical Billing at a client site if required. This is worked out on a per-project basis under agreement with the client.

........“Our growth is a measure of yours – we grow along with you”