Bolstering Profits with Data Transition and Back-Office Solutions for an American Healthcare Provider

The Brief

• Client Profile: ABC Healthcare, one of the largest independent healthcare organizations in the U.S., specializes in managing hospital visits and patient care.
• Company Size: Large-scale U.S. healthcare provider with significant revenue from broad-ranging healthcare services.
• Industry Domain: Healthcare Services
• Challenge Faced: The client struggled with efficiency issues in back-office processes, medical billing, and patient appointment scheduling. They also faced hurdles in transitioning data from SRS software to NexTech.
• Project Objective: Improve operational efficiency and profitability by streamlining back-office processes, medical billing, denial analysis, and appointment setting.

The Solution

Backoffice Pro introduced bespoke healthcare management solutions to address ABC Healthcare's challenges. Our solutions were designed to optimize appointment scheduling, streamline medical billing processes, and conduct in-depth denial analyses.

• Our team received comprehensive training to ensure accurate medical record interpretation and seamless data transition through NexTech EHR software.
• Regular training sessions were conducted for the client's staff to improve areas that needed improvement and update them on industry developments.

The Outcomes

Backoffice Pro’s collaboration with ABC Healthcare demonstrated the transformative power of efficient back-office processes and strong data transition strategies. Through our comprehensive solutions, we boosted their profitability and streamlined operations, affirming our status as a trusted healthcare BPO partner. Here are the key outcomes:

• Revenue Growth: Implementation of rigorous medical coding audits and denial analysis led to a 25% collection increase within the first few months.
• Denial Reduction: Denial rates were reduced from 17% to 7%.
• Process Efficiency: Streamlined claim submission, payment posting, and appointment setting.
• Patient Experience: Enhanced patient experience, leading to increased satisfaction.
• Profitability Boost: A remarkable 40% boost in profitability due to improved back-office process efficiency.
• Net Collections Rate: The potential net collections rate soared to 90% or higher.

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