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Case Study on Billing |
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Client : An Internal Medicine practice in Florida
Challenges :
MDCP was given Entire Billing Service of the clinic to take care of the problems that the client had:
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The billing was taking more than 24 hours to get completed
Collections were decreased to a larger extent
Poor quality of work done by in-house billers
AR was piling up and getting worse |
The Project :
To provide Billing Services using their database management system.
To handle effectively and efficiently an average of 2,000 claims every month
To send statements to patients follow up, customer care and collection
Solution :
A dedicated Account Manager, supervisor with the team was deputed to handle the problems of billing
The team consisted of full time employees for medical billing, medical coding and AR experts.
Prompt follow-up and resolution for rejected and denied claims.
One of the major problems was; claims were being sent on paper to BCBS and through paper it was taking more than 60 days to get paid.
MDCP resolved this major issue in a week’s time by submitting electronic claims, which helped the client getting payment in less than 2 weeks.
Results :
Outsourcing medical billing functions to MDCP made dramatic changes in the Revenue Cycle Management.
Client witness that the average AR days were brought down from 141 to less than 35 days
Client witness that the collection percentage increased from 60.6% to 79.5% MDCP worked on old AR, cleared it and collected money for the practice.
There is a regular flow of patient payments after MDCP started providing services to the practice by sending patient statements and collection.
The cash flow increased due to quality checks done on the claims before submitting to the insurance company. |
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 Dr. Marder |
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You guys have always done an excellent job. Very accurate and always deliver the work on time... |
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