Many healthcare organizations struggle to maintain medical records, reduce costs, and ensure billing. Even some hospitals are not able to deliver quality treatment to their customers due to mismanagement. So, taking BPO solutions for your medical and nonmedical services for your healthcare organization is a great way to treat your patients and customers.
In this blog, we are going to discuss an ultimate guide to outsourcing a healthcare business in 2023.
Healthcare BPO:
Healthcare business processing outsourcing is a process of hiring third-party vendors by healthcare providers to handle or maintain non-medical and medical operations.
The non-clinical tasks of healthcare business processing outsourcing are:
- Medical billing
- Claims processing
- Data management
Nowadays, healthcare outsourcing is covering more topics such as:
- Patient care
- Remote patient monitoring (RPM)
- Telehealth
Outsourcing Healthcare Services Market Trends:
After the Covid-19 pandemic clinical business processing outsourcing services is become a market trend. Third-party healthcare service providers started to offer direct patient care, remote patient monitoring (RPM), and telehealth services. Here we are going to discuss some common market trends of healthcare BPO:
- Impact of Covid-19:
Healthcare providers hire third-party for non-core functions which will help protect healthcare professionals and staff. Telehealth and RPM services are provided by advanced communication technologies and digital tools.
- Healthcare Cost Discount:
For medical organizations, the pressure of lessons rising healthcare costs is a major problem. Healthcare business process outsourcing decreases operating costs and also helps in generating more revenue cycle management (RCM) for maximum business profits.
- Artificial Intelligence:
Another popular trend of 2023 is the use of artificial intelligence. Outsourcing providers use artificial intelligence (ai) for drug formulation and other discoveries, which makes the process successful and efficient.
- Data Protection:
Medical data security or protection is the main concern of healthcare providers. About 1/3rd of data breakage leads to the theft of medical identity. BPO providers ensure the safety of medical data through their expertise and security technology.
Types of BPO services:
The types of healthcare business process outsourcing are:
- Non-clinical operations
- Clinical operations
1. Non-clinical Operations:
Healthcare business process outsourcing is best to handle non-clinical or non-medical operations. Organizations outsource by keeping in mind the main purpose of letting their health professional team take care of the patients attentively. Outsourcing is also the best way to reduce operating costs.
Explore with us some non-clinical functions that healthcare organizations outsource:
- Medical Billing:
Medical billing includes superbills and filing claims. It also uses some medical codes which include the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).
- Claims Processing:
In this process, the outsourcing team reviews the claims submitted by the patients, makes insurance payments, and verifies health coverage. Outsourcing these complex tasks is a practical way to boost your work productivity.
- Data Management:
Data management services are organizing, recording, and protecting patient health information (PHI). Medical providers must observe the 1996 Act of Health Insurance Portability and Accountability (HIPAA). BPO healthcare providers ensure privacy, data accuracy, compliance, and security.
- Medical Transcription:
A process in which an audio medical file is converted into text form is known as medical transcription. It is a complex process and you required an expert with a professional medical background to understand the communication of medical professionals. For the accuracy of medical reporting and recording, business process outsourcing is the best solution.
2. Clinical Operations:
Before Covid-19 clinical operations are not covered by BPO but now they cover clinical operations effectively as well. The pandemic transformed many industries into digital. Similarly, advanced digital technologies and tools used by business process outsourcing allow the vendors to offer great services which include:
- Patient Care:
In clinical operations, BPO provides medical services to patients. If you do not have enough staff, advanced technologies, and resources, then outsourcing BPO is the best practical solution. For example, healthcare organization hires medical imaging centers and laboratory for diagnostic services.
- Telehealth:
Telehealth as the name suggests provides remote healthcare services to the patients by using effective communication technologies. Patients get diagnoses, virtual consultations, and treatments without visiting healthcare or a doctor’s office.
- RPM:
Remote patient monitoring tracks the status of patients at home or in a remote area. Advanced technology allows the business process outsourcing to monitor the patient effectively regardless of the distance.
Reasons to Hire Healthcare BPO:
There are many reasons to outsource business process outsourcing for healthcare organizations. Some of them mostly relate to healthcare or medical functions and reducing operating costs. Some main reasons for hiring a BPO provider are given below:
- Focus More On Medical Operations
- Significantly Lessened Operating Costs
- Expert Workforce
- Advanced Technologies
- Data Accuracy
- Service Efficiency
- Productivity
- Scalability
- Growth
Bottom Line:
In 2023, the best solution for medical or healthcare organizations is to outsource business process outsourcing for both clinical and non-clinical operations. Healthcare business process outsourcing effectively handles all the matters and issues of the patients and improves your medical tasks. But before you hire BPO providers, you must understand what healthcare BPO is about, what services they offer, what industries they cover, and why you need to hire BPO providers. We hope this blog has covered all these questions well for you.
