Transorze Solutions Franchise Cost – How to get, Contact, Apply, Fee

Transorze Solutions: Empowering Healthcare BPO Services and Growth Opportunities

Introduction to Transorze Solutions

Established in 2010, Transorze Solutions has carved a niche for itself as a reputed leader in the healthcare business process outsourcing (HBPO) industry. Headquartered in India, Transorze operates across seven centers and is actively working on expanding its presence by setting up new centers. The company is dedicated to providing a wide range of services in Medical Coding and Billing, Medical Transcription, and Scribing processes, positioning itself as a key player in the global healthcare outsourcing market.

At Transorze, the motto is clear and ambitious: "Leading Innovation, Skill Development, Excellence, and Employability." This mission underscores the company’s commitment to not only delivering high-quality services to clients but also fostering a culture of continuous improvement, employee development, and long-term sustainability. By offering solutions that combine operational efficiency with deep domain expertise, Transorze aims to improve the overall healthcare ecosystem while enhancing the capabilities of its employees and partners.

Transorze's Credentials and Certifications

Transorze Solutions stands out in the industry due to its commitment to maintaining high standards of quality and compliance. The company is ISO 9001:2015 certified, a testament to its effective quality management systems and commitment to continuous improvement. Furthermore, Transorze is a registered training partner of the National Skills Development Corporation (NSDC), an initiative under the Ministry of Skill Development and Entrepreneurship in India. This partnership enables Transorze to play a key role in skill development within the healthcare industry, training individuals in medical coding and billing processes to meet the growing demand for skilled professionals in the field.

In addition to these certifications, Transorze is a corporate member of the American Academy of Professional Coders (AAPC) and adheres to the norms and regulations set forth by the Association of Healthcare Documentation Integrity (AHDI) and the Health Insurance Portability and Accountability Act (HIPAA). These affiliations further reinforce Transorze’s commitment to delivering high-quality, compliant services that meet the global standards of healthcare documentation and billing.

Core Services Provided by Transorze Solutions

Transorze Solutions offers a wide range of services aimed at streamlining and optimizing the revenue cycle management (RCM) process for healthcare providers. These services are crucial in ensuring that healthcare providers receive timely reimbursement for the services they deliver. Here’s a breakdown of the core services Transorze offers:

• Revenue Cycle Management (RCM) Transorze provides comprehensive RCM services, covering all stages from patient enrollment, verification, coding, billing, and reconciling of accounts to payment posting, accounts receivable (AR) calling, auditing, and denial management. By handling all aspects of the revenue cycle, Transorze enables healthcare providers to focus on patient care while ensuring that they receive the payments they are due in an efficient and timely manner.
• Medical Coding and Billing Medical coding and billing are at the heart of Transorze’s offerings. The company employs skilled coders who use internationally recognized coding systems such as ICD-10, CPT, and HCPCS to accurately translate medical records into standardized codes that are essential for billing purposes. Transorze ensures that all appropriate diagnoses and procedures are captured, reducing the likelihood of claim rejections and ensuring timely reimbursement.
• Clinical Documentation Review Transorze provides retrospective and prospective clinical documentation review services. By analyzing clinical documentation, Transorze helps healthcare providers capture all appropriate diagnoses, thereby identifying gaps in data collection and submission. This not only improves the accuracy of risk score calculations but also helps in optimizing reimbursement from insurance providers.
• Auditing and Denial Management Transorze provides a robust auditing process to ensure that medical claims are accurate and compliant with relevant coding and billing guidelines. Additionally, the company offers denial management services, helping healthcare providers address and resolve claim denials efficiently. This service is critical in minimizing revenue loss due to rejected or denied claims.
• Physician Coding and E-Code Evaluation Transorze specializes in physician coding, including evaluation and management (E&M) coding, emergency room (ER) coding, and ICD-11/DRG code validation. The company’s coders are trained to apply the appropriate DRG and APC codes, modifiers, and add-on codes, depending on the patient's plan, ensuring accurate and compliant billing.
• Quality Assurance and Reporting To maintain high standards of accuracy and efficiency, Transorze incorporates comprehensive quality assurance (QA) processes. These include regular QA checks, customizable feedback reports, and progress analysis meetings. The company ensures that clients receive timely and accurate reports, which are essential for maintaining transparency and ensuring compliance.

Infrastructure and Workforce

Transorze Solutions prides itself on having a state-of-the-art infrastructure that supports its extensive operations. Each center is equipped with a minimum of 50 seats, high-end computer systems, and secure LAN networks, ensuring smooth operations and data security. The centers are also supported by updated internet security systems, firewalls, and antivirus software to safeguard sensitive patient data.

Transorze boasts a highly skilled team of over 50 medical coders and billers, all of whom hold certifications from AAPC and have at least two years of experience in the field. These experts possess in-depth knowledge of multiple clinical specialties and are proficient in coding and billing across a range of insurance providers, including Medicare, Medicaid, Workers' Compensation, and 25+ commercial insurance providers like Horizon and AETNA.

In addition to medical coding and billing expertise, Transorze employs advanced computer-assisted coding systems (CACS) such as Medisoft, Practice Admin, Advantx, and eClinicalWorks, which streamline the coding and billing processes and improve overall accuracy.

Client-Centric Approach and Customizable Services

One of the key strengths of Transorze is its ability to offer customizable solutions tailored to meet the specific needs of clients. Whether it's adjusting the Turnaround Time (TAT) or adhering to specific Service Level Agreements (SLAs) and Non-Disclosure Agreements (NDAs), Transorze ensures that its services align with the client’s requirements. This client-centric approach enables Transorze to build long-term, trusted relationships with its clients, helping them achieve operational excellence and improve their financial performance.