Healthcare Services
Healthcare industry consistently outsources functions like medical billing, claims processing, and patient data management as follows:
Revenue Cycle Management (RCM Services)
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Medical billing and coding: Accurate and timely billing is crucial for healthcare providers.
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Claims processing and denial management: Efficiently handling insurance claims and appeals.
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Patient eligibility and verification: Ensuring patients are eligible for services and have active insurance.
Patient Care Management (PCM Services)
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Appointment scheduling: Managing patient appointments efficiently.
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Patient data management: Maintaining accurate and up-to-date patient records.
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Patient support services: Providing assistance with medical inquiries and appointment reminders.
Healthcare IT Services (HIS)
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Health Information Management (HIM): Managing electronic health records (EHR) and health information exchange.
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Data analytics: Analyzing healthcare data to identify trends and improve patient care.
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IT support: Providing technical assistance to healthcare providers.
Essential Tools for PCM, HIS, Medical Coding and RCM Services
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Practice Management Software (PMS): This software helps manage patient demographics, appointments, and medical records.
- Electronic Health Records (EHR): A digital version of a patient's paper chart, EHRs streamline patient care and improve efficiency.
- Revenue Cycle Management (RCM) Software: This software automates various RCM processes, including claims submission, denial management, and payment posting.
- Coding Software: Specifically designed to assist coders in assigning correct codes based on medical documentation.
- Claim Scrubbers: These tools identify and correct errors in medical claims before submission.
Other Services
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Customer service: Handling patient inquiries and complaints.
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Medical transcription: Converting audio recordings into written reports.
JJL CareOps ensure to address the following compliance and specializations:
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HIPAA Compliance: Ensuring strict adherence to healthcare data privacy regulations.
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Specialized Skills: Building a team with expertise in medical terminology, coding, and healthcare regulations.
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Technology Adoption: Investing in the latest healthcare IT solutions.
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Client Relationships: Building strong partnerships with healthcare providers.