Health information deals with a patient’s clinical history, including symptoms, diagnoses, procedures, and outcomes.
BVoc in Health Information Science is a unique all inclusive course that addresses the complete revenue cycle management process of the Healthcare BPO (HBPO) industry. India is the most favored destination for HBPO projects as it is politically stable, has low labor cost, is technologically advanced and has a large pool of skilled professionals.
The HBPO industry is expected to grow at a CAGR (Compound annual growth rate) of approximately 9.71 % and reach $873.8 billion by 2032.
The high rate of growth HBPO industry is largely driven by the demand for cost-effective healthcare solutions, the rise of patient-centric care, adoption of advanced technologies as well as new statutory requirements.
The HBPO mainly deals with the Revenue Cycle Management (RCM) and creation / maintenance of Electronic Health records (EHR). It covers a wide range of clinical and non-clinical services outsourced to third-party providers, including key areas like Medical Transcription, Medical Coding & Billing, Medical Scribing, patient care support, telehealth services, AR calling and more.
Clinical Services:
Telehealth support aides patients to access their health information remotely, manage chronic conditions, and guide the family caregivers
This is a holistic and all inclusive approach to aide patients to manage their health, schedule appointments and involve assessment, diagnosis, planning, implementation, assessments and providing interventions for patients in order to improve their health outcomes.
Subsequent to every patient-physician interaction, audio files are generated to capture all clinical details.family history information, recommended laboratory tests, procedures, diagnoses and more. These audio files are converted into electronic health records (EHR)
Medical coders analyse the patient records, like lab results, radiology findings, and physician notes.and generate universally recognized codes which are used to raise invoice to Insurance providers, track clinical outcomes.
Based on the medical codes generated, Medical Billers identify the services to be billed and raise invoices to appropriate Insurance agencies for reimbursement to patients / hospitals as applicable. Medical Billers also generate itemized bills for patients including out-of -pocket expenses
The Medical Scribe maybe defined as the next gen Physicians assistant who observes patient - physician interaction and generates EHR, Medical Codes, Generates invoices and other non-clinical tasks required for RCM
Non-Clinical Services:
RCM is the process of tracking the complete HBPO cycle and involves, patient registration, insurance verification, claims submission, Invoicing, reimbursements, and collections.
RCM plays a crucial role as it reduces errors / claim denials, ensures timely reimbursements to healthcare providers and also helps patients to understand their financial responsibilities.
AR Callers act on behalf of healthcare service providers and act as intermediaries between patients, insurance companies, and healthcare providers.
They assist patients by resolving billing issues, explaining the medical bills, and setting up easy payment plans
They maintain accurate patient records and navigate complex billing and coding processes
QA / QC involves compliance adherence in navigating Health Insurance Portability and Accountability Act (HIPAA). It ensures strict data privacy standards when handling administrative tasks like medical coding, billing, patient data management, and appointment scheduling, ultimately aiming to improve patient experience and ensure accurate financial reporting for healthcare providers
Essentially, it ensure high-quality healthcare service by maximizing efficiency, and prioritizing patient-centric operations within the outsourced healthcare processes and minimizing errors.
Customer Service:
Customer Service involves all components of creating an ecosystem for a satisfying patient experience and contribute to positive health outcomes. Customer Care Executives are at the forefront and enable to healthcare providers to understand the patient needs.
Health Information Systems (HIS) & Health informatics:
Human Resource Management:
Supporting with administrative HR functions for healthcare organizations
