Overview
- Our client is a Florida-based medical practice, established in 2009, seeking efficient medical billing solutions.
- Their objective is to reduce AR days, ensure consistent charge flow, and solve claims issues.
- We're providing comprehensive solutions, including identifying underpayment causes, streamlining billing, and improving communication strategies.
The Story of our Customer
- The client is a renowned Florida-based medical practice with over 20 skilled practitioners offering diverse medical aid services.
- Their healthcare services include diagnostics, treatment plans, surgeries, consultations, medication management, and preventive care.
- Their expert team focuses on catering to varied patient needs, ensuring optimal health outcomes and patient well-being.
The Challenge
- Inconsistent charge flow leads to claims accumulation.
- Contract policy violations due to improper claims processing.
- Need for follow-up on claims.
- Enrollment-related problems cause increased claim denials.
- Delays from coding errors during claims processing.
- System issues resulting in underpayment or non-payment of claims.
- Claims denial due to authorization issues.
The Result
- Streamlined workflows and targeted goals for comprehensive medical billing.
- Implementation of a well-structured reporting system.
- Efficient communication via calls and emails.
- Enrolled non-par physicians with both non-government and government carriers.
- Resolved issues affecting physician revenues.
- Reduced outstanding AR to under 10% and halved AR days.
- Addressed authorization-related problems.
- Enhanced follow-up methods and appeals processes.
- Offering lasting solutions and escalating issues appropriately.
Leverage OutsourceRCM to Serve the Customers Better
OutsourceRCM is a leading business process outsourcing firm with five global centers. We offer a range of services including inbound support and outbound call center solutions. Our approach combines human expertise, technology, infrastructure support and quality assurance to enhance your business operations.
If you seek a dependable, lucrative and synergistic healthcare BPO partner to reach your goals, you can contact us promptly.
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