Clean claims, fast reimbursements

CHALLENGES

• Physician performs some of the most advanced gastroenterology procedures
• Used an archaic practice management system
• Clean claim submissions
• Managing accounts receivables and controlling denials

PROCESS

• Created coding alerts and updated encounter forms
• 100% patient eligibility two days prior to the date of service
• Insurance follow-up within 20 days
• Detailed analysis on denials and factors influencing revenues
• Setup patient receivables process with customized patient statements as per practice requirements

RESULTS

• Average percentage of collections increased by 8%
• Transitioned practice to a web based practice management system, conducted onsite training
• Total AR days reduced to less than 30 days
• 28% increase in collections in the year of transition
• Consulted the practice on pathology billing increasing the reimbursement by $150,000 annually

“We see checks coming in 2-3 weeks, which was unheard of…”