CLIENT OVERVIEW

Our client is a multi-specialty healthcare provider with 15 physicians across diverse fields, including Internal Medicine, Orthopedics, and Dental Billing. Supported by a team of 17 staff members, including quality auditors and payment specialists, the client emphasizes accurate charge capture, claim submission, and rejection management to provide high-quality, patient-centered care. Utilizing advanced billing software like Nxtgen, Dr. Chrono, and Epic, the provider strives for clinical excellence and exceptional patient satisfaction.

BUSINESS SITUATION

The client sought to enhance revenue cycle efficiency by focusing on precise billing and coding. They aimed to streamline workflows, reduce Accounts Receivable days, and improve cash flow. A robust denial management system and adherence to regulatory compliance were also key priorities. Additionally, the integration of advanced billing software with automation aimed to foster better patient engagement and informed decision-making.

ACHIEVEMENTS

By optimizing revenue cycle management, we significantly boosted revenue growth and productivity. Key improvements included a shortened claims life cycle, leading to faster reimbursements and enhanced revenue realization. Patient complaints decreased, and satisfaction rose, alongside a 40% increase in staff productivity. Operational costs were reduced, and overall cost efficiency improved.

This case study showcases our ability to optimize billing processes and drive significant improvements in both financial and operational performance.

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