Your Healthcare Experts for comprehensive Clinical and Practice Management Services
We at Global Sourcing , understand the significance of effective management of clinical operations while ensuring high-quality patient care to maintain a robust healthcare practice management system.
Therefore, we offer comprehensive clinical and practice management services customized to your unique requirements and business goals. We have a team of seasoned professionals who understand the multifaceted challenges healthcare providers face, from optimizing revenue cycles to navigating complex regulatory changes and enhancing patient experiences.
Global Sourcing is your partner for outsourced healthcare services, empowering you to focus on what truly matters – your patients’ well-being.
Our Healthcare services include;
- Physician Referral Services
- Revenue cycle management services
- Patient Vitals (via Electronic medical record / Electronic health record/(EMR/EHR) technologies )
- Clinical and practice management
- Medical billing services for medical accounts including Eligibility and benefit Verification
Our process of Clinical & Practice Management
Step 1: Patient Scheduling & Appointment Booking
We have an efficient and user-friendly system in place to facilitate patient scheduling and appointment booking. At Global Sourcing , our aim is to reduce wait times for patients and improve their overall healthcare experience through our impeccable appointment scheduling services.
Our team provides timely updates on appointment confirmation, reducing no-show rates to ensure a smooth practice for healthcare providers. Moreover, we keep patients engaged by sending timely reminders to reduce appointment disruptions.
Step 2: Patient Intake
We offer a streamlined patient intake process with efficient electronic systems to avoid hassle and enhance data accuracy by eliminating paperwork. At Global Sourcing , we provide exemplary patient intake solutions to improve administrative efficiency, allowing healthcare providers to focus on exceptional patient care and healthcare experience.
Step 3: Efficient Collection of Patient Vitals for Diagnosis & Treatment
The collection of vitals is a critical step for accurate diagnosis and treatment. We at Global Sourcing , have a team of professionals who are highly trained and experienced to employ advanced technology, thus ensuring precise vital signs monitoring and guaranteeing accurate and reliable collection of patient vitals data.
Step 4: Physician Referral Services
We at Global Sourcing , have an extensive Physician Referral network to connect patients with the right specialists and facilitate seamless collaboration among healthcare providers, promoting exceptional patient care through efficient diagnosis and treatment recommendations.
Step 5: Collection of Demographic Information
We gather and collect demographic information of patients to maintain up-to-date patient data for efficient care coordination. At Global Sourcing , we ensure secure patient data integrity by complying with privacy regulations.
Step 6: Eligibility & Benefit Verification
We have a team of professionals to check the eligibility of patients for insurance coverage to prevent billing complications and claim rejections. Our team assesses the extent of insurance coverage to verify benefits.
It helps both healthcare providers and patients understand their financial responsibilities. We at Global Sourcing , aim to assist patients with their insurance benefits and ensure to provide top-notch treatment facilities without creating a financial burden.
Step 7: Patient Billing
The final and most crucial step of our clinical and practice management services is patient billing. We take responsibility for generating statements and invoices for the services rendered to patients.
This process includes calculating the patient’s financial responsibility (deductibles, copayments, or uncovered medical expenses), follow-ups, processing, and posting patient payments, and mailing and posting payment receipts.
Effective patient billing promotes transparency and ensures fair compensation of healthcare provider services, thus helping patients understand their financial obligations. In short, patient billing plays a significant role in maintaining the financial health of hospitals or healthcare organizations while encouraging open communication and fostering trust.
We take pride in being one of the finest healthcare outsourcing and practice management solution providers in the US. Our experts take a comprehensive and all-inclusive approach to handling clinical and practice management processes.
We at Global Sourcing , provide exclusive and comprehensive clinical and practice management services to ensure better patient care, improved healthcare management, and compliance with regulatory policies.
So, if you want to streamline your clinical and practice management processes, Global Sourcing is your one-stop solution for exemplary healthcare practice management services!
RCM Services
Choosing the right revenue cycle management vendor is crucial for effective healthcare services. We at Global Sourcing , employ a well-coordinated RCM approach to ensure timely claim submission, accurate coding, proactive follow-ups, address authorization requirements, and proper payment processing.
Our team conducts regular analysis and provides accurate reports to refine these RCM consulting services over time, ultimately improving the overall financial stability of healthcare providers.
The process of our RCM billing services
1. Coding (ICDs, CPTs, Modifiers, etc.)
Accurate coding is the base of an efficient RCM system. Our expert coders at Global Sourcing , ensure precise CPT, ICD, and modifier codes are applied to accurately reflect the services rendered during a patient’s visit. The goal is to minimize errors, prevent claim denials, maximize reimbursement, and ensure correct reimbursement while complying with coding guidelines.
2. Claim Filing / Claim Submission
After coding, the next crucial step of our RCM services includes claim filing or submission. This process involves sending the verified accurate coded information of patients to insurance companies for reimbursement using an electronic claim submission process for faster processing.
Our team ensures to submit all relevant documents including medical reports to ensure error-free claim submission and avoid rejections or denials at any cost. We at Global Sourcing , help healthcare providers to maintain a steady cash flow.
Insurance Follow-ups
3. Insurance Follow-ups
Our team ensured follow-ups of claimed insurance to track their status. This meticulous follow-up helps to keep the rejections or denials in check and ensures speedy reimbursements. We maintain open communication with insurance companies to check the status of claims. In case of denial or refusal, we ensure to rectify the errors by providing the required explanations and documentation.
4. Payment Posting
Our team maintains accurate records by reconciling and recording all the payments received from patients and insurance companies. It helps in identifying any discrepancies and maintaining accurate financial records. This step involves verifying the payment received matches the expected payment, allocating payments to the respective patient accounts, reconciling payments with outstanding balances for accuracy, and documenting all payment Postings for future auditing and reference.
5. Denial Management
Claim denials can have a significant impact on the revenue cycle of healthcare providers. We at Global Sourcing , ensure to employ an effective denial management approach.
Our process of denial management involves the identification of denial reasons, preparing new appeals with proper documentation, implementing changes to coding and billing processes, training staff to avoid controlling and managing future denials, and continuously monitoring denial rates to take corrective actions swiftly and promptly.
6. Obtaining Prior Authorizations
Our team conducts prior authorizations for certain medical treatments, services, or medications to avoid claim denials and enhance the reimbursement ratio. We ensure to diligently observe the requirements for insurance or coverage services, submit the required documentation for prior authorizations, monitor the status, keep track, and maintain records of all the requests made, for reference.
7. Daily/Weekly/Monthly/Yearly Reporting
Regular reporting is critical to maintain a healthy financial performance and identify loopholes or areas for improvement in revenue cycle management. We at Global Sourcing provide reporting on a daily, weekly, monthly, or yearly basis, depending on the unique needs of the healthcare organization.
Our reporting process includes the collection of relevant data on key performance indicators (KPIs), analysis of the data to identify areas of improvement or issues, development of efficient action plans based on the results and findings, monitoring KPIs to optimize revenue cycle processes, and track progress toward goals and sharing of reports with relevant stakeholders to ensure collaboration and transparency.
8. We Are Committed to Your Success
At Global Sourcing , we take a comprehensive approach to providing the best clinical and practice management services to our clients. We employ the brightest minds and invest in the latest tools and technologies to provide unparalleled services.
As a business process company, our mission is to ensure seamless operational processes for our clients by providing accurate claims and error-free billing processes. We offer end-to-end practice management services starting from patient intake to coding, claim submission, follow-up, denial management, and detailed real-time reporting.
Join hands with Global Sourcing , if you want to see increased reimbursements and collection ratio and reduced operating costs. We ensure to address ignored claims, and underpayments to streamline your revenue cycle and bottom line, which can help you focus on the primary goal—patient care.