Medical Billing Services

Outsourcing medical billing is a popular option in today's highly competitive healthcare industry. Outsourcing your medical billing process to us ensures that you get high quality services in addition to cost benefits.

If you are a healthcare service provider, a medical billing company or an insurance company, BPOlogy services can provide medical billing services to you by using your existing process and software. Thus giving you prompt turnaround time on your data processing functions with assurance of a high quality service.

Like most of BPOlogy's Services, we are looking for effective ways to implement Medical Billings solutions and reduce overall operational costs. To be a long-term partner BPOlogy Services has had the opportunity to look to provide high quality and cost effective complete billing solutions.

BPOlogy along with Healthcare-IQ is a health information company that enables health care providers to manage cost-effective health care delivery and reimbursements.

BPOlogy's Unique Products

• Impact Analysis
• Denial Management
• Pre-Adjudication
• Practice Management

Services leverage our proprietary database, Rules Based Engine and artificial intelligence to decrease costs, increase revenues and improve the quality of service you provide.

Our unique Practice Management and Additional Services make BPOlogy the ideal solution for large and small healthcare providers.

BPOlogy’s dynamic Rules-Based Engine (RBE) tracks, updates and maintains a comprehensive knowledge-base specific to the health industry on both the local and national level.

The RBE applies a series of sophisticated, clinical and financial based edits analyzing the following relationships:

• Insurance company
• Coding edits
• Coverage issue
• Financial outcomes, i.e. Reimbursements
• Clinical policy
• Utilization guidelines
• Employer sponsored benefit plan provisions-exclusions-limitations
• Line-item information contained in insurance claim or remittance statement

All benefit plan provisions, including clinical and financial rules are directly aligned with the following edit criteria:

• Single medical bill
• Single patient
• Provider specialty
• Place of service
• Same date of service

BPOlogy’s Artificial Intelligence maps directly to the clinical, financial and business rules that impact insurance companies, managed care organizations, health care community and employers.

The intelligence is our Rules-Based Engine identifies and automatically updates the edit criterion used to establish public and private sector benefit plan adjudication rules.