CLIENT SUCCESS STORY

Learn how our medical records indexing and cleansing services helped a healthcare consultant reduce claim denial rates by 40% for their clients.

THE CLIENT

A leading healthcare consultant based in the United States.

Our client, a well-respected healthcare consultant based in the USA, helps healthcare institutions and physicians streamline their medical document preparation for smooth reimbursement from insurance providers. With 95% of Americans having medical insurance, the client’s services facilitate a quick and hassle-free process, allowing healthcare professionals to focus on delivering excellent patient care without concerns about medical procedure reimbursements.

PROJECT REQUIREMENTS

Solution for Efficient Management of Large-Volume Medical Records

The client encountered difficulties in managing and organizing a large volume of medical records from various healthcare facilities to streamline insurance claims and reporting. They required professional support for sorting, indexing, and creating detailed medical logs for patients’ documents. Additionally, the project demanded a team of experts adept at handling sensitive medical records, ensuring full compliance with relevant regulations, and upholding the highest standards of data security.

“After teaming up with new hospitals, our workload skyrocketed by 5X. The surge in medical document volumes required accurate medical records cleansing, indexing, and summarization. After consulting with Adobe and conveying our requirements, we decided to entrust their team with the project. Their expertise and confidence in handling our needs gave us assurance that could successfully resolve our business challenges.”

-Client

PROJECT CHALLENGES

Overcoming the challenge of sorting and indexing medical documents

Upon understanding the client’s challenges and project scope, we proposed establishing a dedicated team to efficiently handle the requirements. This approach ensured:

  • A key challenge involved interpreting a wide variety of medical documents from different facilities, requiring a solid understanding of the medical field and quick navigation of diverse formats and terminology.
  • Another challenge was reading and interpreting handwritten information in PDFs, such as patient names, dates, and healthcare professional signatures. This required a high level of attention to detail and the ability to decipher illegible handwriting.
  • The task involved manually reading instructions from the client and sorting, cleaning, and indexing extensive medical documents, ranging from 50 to 600 pages, which was both tedious and time-consuming.
  • Additionally, we needed to thoroughly examine large volumes of medical documents to extract relevant data (e.g., test results, procedures, impressions) and manually prepare detailed logs for each document.

Ensuring the Protection of Our Client's Data Against Security Risks

To safeguard our clients’ sensitive medical data, we have adopted the following measures:

  • We have signed a Non-Disclosure Agreement (NDA) to ensure the confidentiality of our client’s data.
  • As an ISO 27001-certified company for data and information security, we follow industry-best practices to maintain the highest standards of data security.
  • As a trusted healthcare BPO, we comply with all relevant regulations, including HIPAA, to ensure that our client’s data remains secure.

Project Outcome

project outcome
By accurately filing healthcare insurance documents, the client has significantly enhanced the revenue cycle management for its partner healthcare institutions.
project outcome
Expanded the medical records cleaning and indexing capacity from 2,000 pages per day in 2017 to approximately 6,500 pages per day.
project outcome
Doubling the speed of insurance claim processing.
project outcome
Reduced claim denials by 40% across all facilities through accurate record management.
project outcome
The client has appointed us as their trusted, long-term medical data support partner.