Provider Services

Enhance the quality of patient care while we manage your administrative costs

Overview

Healthcare providers are competing to deliver first-rate healthcare services while adhering to regulatory norms and reducing the administrative costs with no compromise on the quality. Our Provider solutions help you to remain focused on delivering quality services to the patients while we enhance the revenue generation, streamline and manage your cash flows along with significant reductions in cost and complexities.

Datamatics offers wide-range of provider solutions that help you automate care management, gain easy access to patient information and make faster payments. Our team of experts is capable of deploying tailored solutions to streamline and standardize your revenue cycle management (RCM) processes for improvedpatient care. 

DATAMATICS ADVANTAGE

  • Increase revenue
  • Increase profit margins
  • Reduction in DIAR & Ageing
  • Accurate processing
  • Safety security & adherence to healthcare regulatory guidelines
  • Scalability & Flexibility
  • Blend of offshore, near shore & onsite models

Our Services

Revenue Cycle Management Services

Datamatics offers resolution-centric Provider solutions for enhancing your RCM processes. Our domain experts understand the unique issues confronting hospitals, physicians, and healthcare providers and help you extract more out of your revenue cycle. We work in collaboration with you to understand issues and develop customized solutions that can help you optimize your revenue cycle.

Benefits

  • Increase Revenue
  • Increased Profit margins
  • Reduction in DIAR & Ageing
  • Accurate processing
  • Scalability & Flexibility
  • Blend of offshore, near shore & onsite models
  • Safety security & adherence to healthcare regulatory guidelines

Eligibility Verification/Benefit Verification

Eligibility verification is the critical checkpoint while processing a claim; if done inaccurately, it can lead to customer dissatisfaction, ageing & reduction in revenue. Datamatics has proven expertise in providing robust eligibility and benefit verification processes to help you improve revenue cycle management; reduce denials and lower administrative cost.

Benefits

  • Domain experts with experience
  • Web Crawlers for Web-Checks
  • 270/271 EDI Integration
  • Error free processing due to man-machine collaboration
  • Automation driven processing to reduce cycle times by upto 15% 

Payment Posting & Charge Entry

Payment posting and charge entry are critical stages in medical billing which ensures that patients are billed for the services they utilize. Datamatics Payment posting and charge entry team ensures that information is entered quickly and accurately, thus securing accurate and quick reimbursement. We ensure that the payment is posted to the right account and is reconciled with the bank’s deposit sheet on a daily basis to reduce AR workload (Paid not Posted).

We specialize in:

  • Demographic entry
  • Charge entry 
  • Payment posting
  • Denial posting
  • Reconciliation
  • Refunds
  • Provider data updates

Benefits

  • Highly skilled staff
  • Best practices and automation tools to drive process efficiency and effectiveness
  • Better compliance, standardization and reduced closing cycle time
  • Reduced TAT

Accounts Receivable & Denial management

Datamatics specializes in maximizing the cash flow by keeping timely follow-ups and reducing days in accounts receivable (AR) and improving the collection ratio. Our skilled team of AR experts ensures constant coordination with Payers to ensure maximum collections. We identify billing/payer trends and flag them; leading to reduced denials. Datamatics closely monitors and reports the AR metrics against the market benchmarks.

We specialize in:

  • Insurance follow Up
  • Denials management &appeals
  • Self-pay follow-up

Provider Credentialing

Datamatics team specializes in providing credential management services solutions. We manage the entire credentialing end-to-end by interfacing with external verification repositories such as NPDB or OIG, thereby providing you with an exhaustive credentialing process.

Benefits

  • Automation using web crawlers 
  • 276/277 EDI integration
  • AR analytics used to design the AR Plan

Credit Balance Resolution

Our dedicated Credit Balance team whose members come from a finance background coupled with Revenue Cycle Management knowledge helps the client reduce the Credit Balance by identifying and rectifying the incorrect adjustments, erroneous payment posted, etc. Datamatics’ analysts are also trained on creating Patient / Insurance refunds for true credits.

Benefits

  • Highly skilled resources with finance background &healthcare industry knowledge
  • Best practices and automation tools to drive process efficiency and effectiveness
  • Better compliance, standardization & reduced errors
  • We get much more attention from Datamatics Team as a third party service provider. Our other vendors are not as supportive and focused.

    Gate Gourmet
    Gate Gourmet
  • We are very pleased with the quality of service the Datamatics team continually provides. Datamatics has consistently made extra efforts to assist us with the sometimes difficult requirements and helping us to complete our projects on time.

    EDS
    EDS
  • We have built a partnership with the SharePoint technical team of Datamatics over last three years. Having a dedicated SharePoint team from Datamatics, that truly understands our environment, our project plans. Datamatics delivery capabilities have enabled the Jet Intranet portal to be accessible 24X7.

    Jet Airways
    Amol Baadkar, Manager Communications - Jet Airways (India) Ltd.
  • We value Datamatics’ creative thinking, responsiveness and deep understanding of technology. This has helped our Application development initiatives with data visualization for customer insights.Datamatics collaborates with us in several areas including ideation and provides recommendations on application development, ways to streamline our business, creation of new tools for our research applications, as well as on programming and data production services in support of our day-to-day business. Datamatics has been a reliable, go-to partner delivering with quality for several years. We look forward to growing our relationship in the future.

    Buzzback
    Carol Fitzgerald, President & Co-Founder - BuzzBack
  • Datamatics has provided us the best Business Analytics product – nSights. It has empowered us to stay on top of our business intelligence requirements. The seamless implementation and upgradations done by the teams from time-to-time, while least affecting our business-as-usual have held us in awe of the support and development teams.

    We have been working with the Datamatics team for many years and want to sincerely appreciate the team for their quick response to the issue resolution and efficient services.

    Looking forward to continuing to work with the Datamatics team in the years ahead.

Results

Test Automation for Giant Australian Healthcare insurance provider

A Healthcare Insurance giant needed test automation for their back office applications comprising various modules including member enrolment, claim processing and compliance reporting. Datamatics deployed DARTENIUM, its state-of-the-art automation framework for intensive multiple browser regression testing. The client was able to react quickly to changing business needs along with 40% reduction in maintenance& support costs and 60% improvement in test coverage on all browsers.

ERP Migration for a Homeopathy Giant

A Homeopathy giant wanted to upgrade their ERP as their existing system was built on obsolete technology. Datamatics successfully migrated the client’s traditional ERP system to the latest ERP version thereby ensuring that all migrated application were running seamlessly across all its 110 clinics. The solution helped the client realize significant cost savings along with 30% improvement in the performance of the application.

Healthcare Giant Explores New Business Opportunities with Improved Decision Making

A large US revenue cycle management company was facing strategic problems with respect to segmenting the market and cross-selling their products. Datamatics came up with a workflow-based solution devised to effectively convert unstructured data into a digital format and feed it into the BI system using IBM’s Cognos Express platform featuring automated on-the-go information access. The solution helped the client realize enhanced decision making which was more prompt and fact based than ever before. Subsequently, generating new business opportunities for the client as well as cross-sell services to the right existing customers

Test Automation for Giant Australian Healthcare insurance provider
ERP Migration for a Homeopathy Giant
Healthcare Giant Explores New Business Opportunities with Improved Decision Making