CASE STUDY
Charge and Payments
OVERVIEW OF THE BUSINESS SITUATION
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A multi-specialty healthcare provider with 15 physicians covers diverse specialties like Internal Medicine, Orthopedics, and Dental Billing, supported by a team of 17 dedicated employees, including quality auditors and specialists in
charge entry and payment posting. -
Responsibilities include meticulous charge capture, precise claim submission, and proficient management of claim rejections to ensure high-quality, patient-centered care.
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Using advanced billing software like Nxtgen, Dr.Chrono, Epic, and others, the provider aims for clinical excellence and exceptional patient satisfaction in healthcare delivery.
THE CLIENT'S PREFERRED PARAMETERS
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The client prioritized precise billing and coding for improved revenue cycle efficiency, aiming to streamline workflows, reduce Accounts Receivable days, and enhance cash flow.
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Robust denial management and appeals protocols were emphasized to ensure regulatory compliance and audit readiness.
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Adoption of advanced billing software with automation aimed to enhance patient
engagement, supported by detailed financial analyses for cost-effective decisions.
