• Join NextServices
  • Newsletter
  • Become a Partner
  • Schedule a Demo
  • Free Consultation
  • Contact Us
  • enki login
  • Solutions
    • Solutions – Overview
    • The Gastro Suite
    • Labs
    • Ambulatory Surgery Centers
    • Specialty Groups
  • Services
    • Services – Overview
    • Billing
    • Coding
    • Health IT
    • Consulting
    • Analytics
    • MACRA
  • Products
    • Products – Overview
    • enki Gastroenterology EHR
    • enki Office EHR
    • enki ASC EHR
    • enki Endoscopy Report Writer
    • enki Patient Portal
    • enki HIS Platform
  • About
    • Company
    • News & Events
    • Case Studies
    • Contact Us
    • Free Consultation
    • Schedule a demo
    • Become a Partner
    • Join NextServices
  • Resources
    • COVID-19 Resources
    • Interviews with GI Leaders
    • Resource Library
    • What’s Next [Blog]
  • Schedule Call
NextServices
  • Solutions
    • Solutions – Overview
    • The Gastro Suite
    • Labs
    • Ambulatory Surgery Centers
    • Specialty Groups
  • Services
    • Services – Overview
    • Billing
    • Coding
    • Health IT
    • Consulting
    • Analytics
    • MACRA
  • Products
    • Products – Overview
    • enki Gastroenterology EHR
    • enki Office EHR
    • enki ASC EHR
    • enki Endoscopy Report Writer
    • enki Patient Portal
    • enki HIS Platform
  • About
    • Company
    • News & Events
    • Case Studies
    • Contact Us
    • Free Consultation
    • Schedule a demo
    • Become a Partner
    • Join NextServices
  • Resources
    • COVID-19 Resources
    • Interviews with GI Leaders
    • Resource Library
    • What’s Next [Blog]
  • Schedule Call

Growing Reimbursements and Volume

DATE
April 17, 2016
CLIENT
Pathology Lab
CATEGORY
Billing, Labs
SHARE
VISIT WEBSITE

Growing Reimbursements and Volume

 

This is a pathologists-owned and operated, diagnostic company located in Flushing, New York. The lab offers a variety of services that include histopathology, immunohistochemical analysis, cytology, urine analysis, and molecular pathology.


CHALLENGES

‣ Establishing an entirely new lab.
‣ Setting up practice management system for billing.
‣ Incorrect patient insurance information leading to high denials.
‣ Data extraction from Lab Information System (LIS).
‣ No access to paper remittances for timely payment reconciliation.


SOLUTION

‣ We established a process for daily patient information extraction and verification.
‣ Setup Direct Deposits and Electronic remittance for major insurances for quick payments.
‣ Negotiated contracts with TPAs and established global agreements for higher reimbursements.
‣ Started sharing billing summary with the business owners on a weekly basis.
‣ We created carrier specific coding and billing guidelines for clean claims submission.
‣ We also assisted the lab in building process for managing patient receivables.


RESULTS

‣ Negotiations with TPAs resulted in agreements for 90% payments.
‣ 15% increase in payments from two major insurances due to clean billing.
‣ Overall collections improved by 31% between 2014-15.
‣ Closed 90+ insurance AR at 9% by the end of 2015 (industry average for 120+ insurance AR is 12%).
‣ 2x increase in the samples screened due to streamlined operations.

 

 

 

Post navigation

Achieving Strategic Growth through Optimized Operations
Surviving a Meaningful Use Audit

More Case Studies

Setting up a dermatology practice
Getting a lab credentialed despite insurance closing doors
Optimizing overhead costs for a multi specialty surgery center
SOLUTIONS

  • Solutions – Overview
  • The Gastro Suite
  • Labs
  • Ambulatory Surgery Centers
  • Specialty Groups


  • Disclaimer
  • Privacy Policy
SERVICES

  • Services – Overview
  • Billing
  • Coding
  • Health IT
  • Consulting
  • Analytics
  • MACRA

PRODUCTS

  • Products – Overview
  • enki Gastroenterology EHR
  • enki Office EHR
  • enki ASC EHR
  • enki Endoscopy Report Writer
  • enki Patient Portal
  • enki HIS Platform
ABOUT US

  • Company
  • News & Events
  • Case Studies
  • Free Consultation
  • Contact Us
  • Schedule a Demo
  • Become a Partner
  • Join NextServices

  1(866) DOC-NEXT
        1(866) 362-6398

  1(866) 362-6398

  sales@nextservices.com
        media@nextservices.com
        hr@nextservices.com

   USA:
        500 E. Eisenhower Pkwy
        Suite 130
        Ann Arbor, MI 48108
        P: (734) 677-7700

        INDIA:
        604-605, Eureka Towers,
        B-Wing
        Off Link Road Mindspace,
        Malad (W),
        Mumbai - 400064
        P: +91-22-4003-9395

© NextServices. All Rights Reserved 2021.
[Free Ebook]
[Free Ebook]
[Free Ebook]
[Free Ebook]
[Free Ebook]
[Free Ebook]
[FREE GUIDE]
[FREE GUIDE]
[HOW TO GROW YOUR LAB THROUGH REFERRALS]
[HOW TO GROW YOUR LAB THROUGH REFERRALS]
[Adenoma Detection Rate Infographic]
[Adenoma Detection Rate Infographic]
[Referrals: Your Most Powerful Network]
[Referrals: Your Most Powerful Network]
[The Ultimate Guide To Boost Your Online Ratings And Grow Your Patient Volume]
[The Ultimate Guide To Boost Your Online Ratings And Grow Your Patient Volume]
[The Ultimate 13-Point Checklist To Increase Patient Volume]
[</span></span></span></span></span></span></span></span></span></span></span></span><span style="font-family: Lato;"><span style="font-size: 20px;">The Ultimate 13-Point Checklist To Increase Patient Volume</span></span><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-size: 20px;">]
[ The Handy AR Bundle - 4 pre-designed templates to help you get paid faster]
[ </span></span></span></span></span></span></span></span></span><span style="font-family: Lato;"><span style="font-size: 20px;">The Handy AR Bundle - 4 pre-designed templates to help you get paid faster</span></span><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-family: Lato;"><span style="font-size: 20px;">]