DME Service Solutions

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Document Follow-up

Document follow-up ensures accurate record-keeping and regulatory compliance. Its efficient implementation optimizes healthcare procedures and billing transactions.

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Transform Healthcare with Precision Document Tracking

Trust us for unparalleled efficiency in medical data management. Our document follow-up services ensure swift billing, regulatory compliance, and operational excellence.

Our Document Follow-up Service Process

  • STEP 1: INITIAL ASSESSMENT

    We first review the incoming documents to understand the specific requirements and the nature of the healthcare data.

  • STEP 2: CATEGORIZATION

    We categorize each document based on its type, purpose, and priority.

  • STEP 3: DATA ENTRY AND VERIFICATION

    We meticulously enter the relevant data into the system and double-check for accuracy, eliminating any discrepancies at the earliest stage.

  • STEP 4: REGULATORY COMPLIANCE CHECK

    We cross-reference each document with current healthcare regulations to ensure full compliance, reducing potential legal risks.

  • STEP 5: TRACKING AND MONITORING

    We actively track the progress and status of each document, keeping a close eye on any pending or delayed files.

  • STEP 6: QUERY RESOLUTION

    Should there be any ambiguities or issues, we promptly reach out to the relevant parties, ensuring that queries are addressed and resolved efficiently.

  • STEP 7: BILLING

    For billing-related documents, we check the information to make sure every service is accurately represented for reimbursement.

  • STEP 8: DOCUMENT ARCHIVING

    Once processes are complete, we archive documents to make them retrievable for future reference.

  • STEP 9: PERIODIC REVIEW

    We periodically revisit our document follow-up process. We incorporate the best practices so our approach remains at the forefront of healthcare BPO efficiency.

Our Comprehensive Document Follow-up Services

Medical Records Retrieval: Ensuring the healthcare customer’s medical records are obtained on time for various purposes like audits, claims, or legal cases.

Claims Processing: This encompasses the submission and follow-up of claims with health insurance companies to ensure the payment of services provided by healthcare entities.

Claims Adjudication: This ensures the validity of an insurance claim and determines the correct payout amount.

Payer Contract Management: Managing and tracking agreements with insurance providers to ensure adherence to stipulated terms.

Denial Management: Identifying why insurers denied claims and taking corrective measures to resubmit and ensure payment.

Document Verification: Ensuring that all  healthcare customer records, insurance details, and other related documents are complete and accurate.

Regulatory Compliance Monitoring: Ensuring all processed documents comply with local, state, and federal regulations.

Eligibility Verification: Verifying a  healthcare client’s insurance eligibility and benefits before services are provided.

Accounts Receivable Follow-up: Tracking unpaid  healthcare customer accounts and ensuring timely collection.

Prior Authorization: Ensuring that necessary pre-approvals for specific medical services are obtained from insurance providers.

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Why Choose Our Account Management Services

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Precision-packed Processing

Every document is reviewed and verified to drive driving error-free outcomes.
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Regulatory Compliance Mastery

We guarantee complete document compliance. Our deep industry knowledge safeguards clients from potential legal pitfalls.
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Swift Billing Solutions

Speed meets accuracy in our billing services. We fast-track document processing, ensuring rapid, yet precise billing operations, leading to increased revenue and reduced turnaround times.
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Proactive Problem Solving

Our proactive approach identifies potential issues before they escalate. We immediately address discrepancies, ensure timely resolutions, and maintain a seamless document flow.
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Integrated Data Management

Our end-to-end services promise consistency, clarity, and top-tier efficiency from entry to archiving.
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DME Service Solutions - The Leading Service Provider in the Healthcare Industry

At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.

+347%

Maintained support for Increase in call volume

-41%

Decrease in average days to collect documents

~15

Days average TAT for hiring

+166%

Increase CGM Orders YOY Q1-22 vs Q1-23

94%

Consistent service level results

-17%

Decrease in avg handling time​

Build your outsourced team to streamline your business performance and increase your customer satisfaction.

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