Teams BPO supports revenue-cycle operations for healthcare organizations, including verification, authorization support, billing, claims follow-up, denials and AR. Teams are organized around revenue-cycle workflows and measures such as turnaround, aging, accuracy and backlog.
Teams BPO supports DME and healthcare administrative operations across intake, insurance verification, authorization support, documentation, billing, follow-up and resupply workflows.
Operations that can be supported
Teams BPO can support:
- Referral and order intake
- Eligibility and benefits verification
- Prior-authorization support
- Documentation follow-up
- Order processing
- Claims and billing support
- Denial follow-up
- Accounts-receivable follow-up
Operational support
Teams BPO supports revenue-cycle organizations across verification, authorization support, billing administration, claims follow-up, denial follow-up and accounts-receivable workflows.
Managed delivery
Teams BPO provides managed revenue-cycle support teams across verification, billing administration, claims follow-up, denials and AR. Delivery includes training, team leadership, QA and performance reporting.
Measures that matter
Typical operating measures may include:
- Turnaround time
- Clean-order rate
- Authorization turnaround
- Documentation completion
- Claim status aging
- Denial rate
- Days in AR
Common reasons to outsource
Revenue-cycle organizations use operating partners to increase processing capacity, reduce aging, address backlogs and add experienced administrative resources for recurring workflows.
Start with a specific workflow
Programs can begin with a targeted area such as claims follow-up, denials or AR, with additional workflows added as operating performance stabilizes.