Case Study: $200K Recovered: A Radiology Underpayment
Read how we recovered $200K in underpayments for an Atlanta radiology practice, restoring lost revenue and improving cash flow.
A Case Reports in Cardiology: 15% Drop in Denials and 67% Faster Appeals
Read a Case Reports in Cardiology billing on how we achieved a 15% drop in claim denials and a 67% boost in appeal resolution.
Case Study: Accurate coding of Podiatry Encounters Improves collections by 25%, reduces denials by 23%
Invalid Diagnosis codes can cause coding errors and inflate claim denial rates. Often, healthcare providers tend to utilize superbills and mark the nearest available codes on the superbills. One of our clients, a podiatry provider, used superbills. The providers habitually marked the 99309 procedure on the superbill and notified the billing team for processing. However, as per Medicare and Medicaid regulations, 99309 and 99252 need to be entered for the claims to get reimbursements. Due to the lack of a clear understanding of the coding guidelines, the providers marked invalid diagnosis codes on the superbill.
Achieving Revenue Cycle Results for a California-based Mental and Behavioral Health Provider
Understanding California, Payer, and Behavioral health-specific nuances and diligent focus on enrollment, timely filing, and payments reconciliations reduced denial rates and increased collections by 52%.
Case Study: Physician Education Resolves $37K BMI Diagnosis Claim Denials
Many Primary Care Physicians lose money because of lack of understanding of payer specific claims submission guidelines. Educating physicians on their documentation responsibilities is an iterative process, that requires an understanding of the reasons for claim denials, ability to nail-down the issues that are causing the denials, determining the corrective actions, and hosting timely sessions between the denials team and the physicians to discuss them.
Case Study: Electronic Podiatry Claims Cut Denials by 23% and Boosted Collections by 25%
Bad quality scanning of superbills and lack of adoption of electronic claims submission creates a charge backlog situation and consequently, result in increased denials on account to timely filing dates not being adhered to. Read this case study about how our structured approach, technical expertise, and revenue cycle rigor combine to create value for our client.
Case Study: Addressing Notice of Levy issues to Improve Reimbursements
Notice of Levy issues may be wrongly construed to be claim denials if a thorough investigation is not done to understand the reason behind such cases. Further, it is imperative that physicians pay their taxes on time. By educating physicians/practice teams on the importance of filing taxes, an artificial surge in denials on account of notice of levy cases can be avoided.
Case Study: Revenue Cycle Improvement for a Physical Therapy Clinic – Collections Double, Denials Reduce to 50%
Physical Therapy billing requires expertise to ensure holistic and sustainable improvement. Medical Necessity and prior authorization issues can cripple a practice’s financial health. Structured revenue cycle processes can help Physical Therapy clinics grow and thrive. Diligent tracking of issues and working with physicians can yield as much as 2X improvement in collections and reduce denials by as much as 50%. Get the strategies in this case study.
Supported a 10-fold Increase in Monthly Collections from Physical Therapy Worker’s Compensation Claims
Worker’s Comp Claims present unique challenges to billers and claims follow-up agents. By following the processes and guidelines outlined by the Payer, you can improve collections multi-fold.
Correct Coding & Re-Submission of Pain Management Claims Recover $300K A/R
Standardized billing and coding practices for Spinal Cord Stimulator (SCS) Procedure Code 63650 reduce medical necessity denials and help collect 281 claims valued over $ 300K in 2 years. The Customer saw over 36% improvement in Collections, as much as 75% reduction in old AR over 61 days, and reduction of denied SCS claims from 68 to 8 over a 7 month period.