Summarization and Retrieval for Medical Exam Management Company

Overview

Summarization and Retrieval for Medical Exam Management Company

eNoah successfully implemented ICD 10 coding, medical record retrieval and summarization for a Medical Exam Management company working for Hospitals and Insurance Cos at Waco USA

Challenges

High Turn around time to retrieve medical records and summarize it for underwriters in short time
Absence of skilled underwriters in the Industry
Psychiatric medical records and hand written records were hard to understand and summarize
Quality of summarized reports were inconsistent
Lot of rejections from Insurance Company

Our Solution

Deployed an onshore underwriter and a team at Off shore office to ensure smooth transition
eNoah employed experienced , multi specialty Physiotherapists, Nurses, Pharmacists to summarize medical records with a TAT of 24 hours
eNoah set up a back office team to coordinate with Hospitals to get medical records of patients within 7 business days to speed up underwriting process

Key Benefits

Client were able to prepare summary reports with ICD 10 codes that improved policy approvals of patients
Seamless transition ensured business continuity and support with onshore – off shore model
Cost savings to client on outsourcing without compromising on quality of delivery.

Key Differentiators

eNoah’s well defined training methodology and work flow tools like e-Touch, e-Smart, e-eXtracter helped eNoah team to quickly take up this assignment
Medically qualified staff with specialization in Insurance knowledge helped eNoah to scale up very quickly to meet client requirements

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Accreditation / Certifications

AICPA SOC

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