Physicians are increasingly faced with the escalating cost burden of practicing medicine in an era of managed care, declining reimbursement and growing demands for documentation. The sheer hassles associated with determining if a patient is eligible for service, obtaining authorization to refer or admit, and getting paid take more and more of a physician's time and result in lower and lower reimbursement.

What is needed is a low cost means of automating complex administrative, financial and clerical work so that the physician’s valuable time is spent caring for his patients.

Indyasoft has the latest technology accompanied by skilled personnel for outsourcing billing process from India. With Digitally encrypted data circuits connecting the Indyasoft California Head Office with India’s offshore site, which ensures the transfer of dedicated data to the staff in India. 

Services offered by Indyasoft :

We offer a comprehensive package of billing and practice management services that cover every step of the billing process - coding to provider enrollment assistance to account receivables management with confidence born of the first hand experience.

You may choose the level of services you require, from the full list below.

 Coding ICD 9, CPT, HCPCS
 Claims data entry
 Claims generation/submission, both electronic and paper
 Payment posting
 Denials/rejections analysis, re-billing
 Accounts receivables analysis and management
 Patient billing
 Under paid/unpaid claims appeal, follow up and UR analysis
 Customized reports as and when required (Month-End Activity and Financial Reports)

Copies of patient demographic sheets, charge sheets, patient cards, referrals, pre-authorizations, cash deposit files, and other necessary records are scanned from the US and transferred over a dedicated bandwidth.

Our qualified staff is fully trained in regulations pertinent to Medicare, Medicaid, Blue Cross/Blue Shield, Managed Care, Third Party Liability, Workers Compensation, Preferred Provider Organizations and have a complete understanding of CPT, HCPC, ICD-9 coding Level I, II, III as well as having the ability to identify data as relates to submitting a clean insurance claim for reimbursement by insurers.

A 100% quality control program is instituted on start up of a new client contract to assure the agency of accurate data entry to specifications as initially outlined. Then a random program is maintained as a mechanism to monitor staff and for ongoing personnel training.

The Indyasoft billing process requires very little from the client and has many advantages like cost, time control with no special software required.

Indyasoft insists that the client dedicates a system with access to file uploading, downloading, maintenance and assign a first point contact person for communication between both the offices. The client, if necessary, should submit also a profile of a practice with any specific billing.

Helping the Physicians in preparing pre-formatted Super bills for accurate and error free entry of the patients data.

We follow the following steps in ensuring stringent quality of the information we get from the clients.

 First of all, the information is sorted out and totaled. 

 The complete information can be faxed, scanned or picked up from the provider’s site by our US office staff.

 All documents are then scanned in the 'tif' format and saved with a specific batch number. 

 After automatic downloading of all the files, they are printed, checked and filed. 

 A transaction journal is printed for each batch and the entries are checked against the source document for quality assurance. Any missed information is conveyed to the source immediately for rectifications. 

 All electronic documents are preserved for about 120 days unless otherwise specified with all paper documents being destroyed. 

 Email, fax and voice are the means of communication with clients. Templates and protocols have been developed to streamline the everyday communication process. 

 Claims process done at offshore by the qualified staff.

 The accuracy will be checked by the Quality analysts and then uploaded thru encryption of data to the NT based Servers.

 The claims are electronically submitted to clearing houses and Insurance companies.

 Payment postings done once the EOB’s received from respective Insurance companies.

 Follow up for the unpaid claims and rejected claims within the prescribed periods.

 Generation of Weekly and monthly reports.

 Regular communication with the clients for smooth operations. 

Advantages of Outsourcing :

Indyasoft offshore processing center is strategically located in New Delhi, India. Our low cost structure allows Indyasoft to offer medical providers a reduction in their staff operating expenses by outsourcing their data entry to qualified team members who have expertise in the medical billing field. The Indyasoft corporate framework was designed to identify and encompass clear demonstrated guidelines as an assurance to medical providers that Indyasoft is committed

 Advanced Technology
 Legal Certifications
 Human Resources
 Clear understanding of billing needs
 Methods to resolve issues quickly and fairly
 Communication, initial and ongoing
 Cultural Fit
 Reasonable price
 Performance measures
 Financial Stability Site visits
 Contract agreement - with service levels and consequences
 Dynamic, India operations structure and systems mirrored to US operations needs
 Data confidential, retention, destruction protocols

Communications :

Communication between Indyasoft Indian and US office happens thru dedicated lease lines and implementing 112-bit encryption of data in compliance with HCFA standards. Backup ISDN lines connectivity to internet thru different ISP’s make our operations 100% uptime.

The data is encrypted before sent by the Indyasoft Offices to the Clients offices. The Clients decrypt the data for the processing, ensuring maximum safety over internet transfers. The porting of data happens on High secured NT servers with 99.9% uptime to support seamless data transfers between locations.  

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