SUCCESS
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End-to-end Revenue Cycle Management – Podiatry

Background:

The client is a large Practice Management Company with multiple clients across various specialties. They have outsourced one client specializing in Podiatry.

Key Challenges:

• Irregular scanning of files.
• No proper documentation of patient information resulted in wrong patient demographic records in the system.
• Backlog of 3 months.
• Enrollment Issues.

The Medusind Approach & Solution:

• Identified the key areas to fix front-end related issues.
• Focussed on operational efficiency to eliminate unwanted processes.
• Experienced and Efficient Team members were put in place
• Backlog of 3 months cleared in 4 weeks.
• Regular updating of Federal Laws and policies
• Implementation of quality processes for continuous improvement.
• Centered on the key issues that resulted in outstanding AR.
• Resolved enrollment related issues.
• Cleared pending ECS Rejections and technical issues, which were resulting in rejections.
• Setup "Online" facilities with major payers processing 30% of total claims addressed online.
• Daily monitoring of ECS.
• Prompt attention to Denial & ECS rejections processing.
• IVR and AVR technology used to facilitate faster and cleaner processing of claims.
• Regular reporting to Client with value added statistical analysis.

Benefits to Client:

• Reduced turn around time and accurate work.
• Analysis and timely action taken on underpaid and denied claims resulted in improvement in collections up to 25%.
• Systematic Billing and increase in Cash flow enabled the client to give one more additional Podiatry client.
• Increased cash inflow (Client had an average monthly collection of 24K before outsourcing. Medusind's follow-up approach resulted in 8K - 10K average increase in collections for the client. The Total average monthly collection is 35K).
• Client was able to allocate their staff to new business and functions.

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