Helped A Florida-Based Medical Practice to Bring Down Outstanding AR Under 10%

The Brief

• Client Profile Established in 2009, our client is a recognized medical practice based in Florida, consisting of over 20 proficient practitioners providing diverse medical aid services.
• Company Size 20+ practitioners.
• Industry Domain Healthcare
• Challenges Faced The client struggled with inconsistent charge flow, improper claims processing causing contract policy violations, follow-up necessities on claims, enrollment-related issues leading to increased claim denials, coding errors, and system issues causing underpayment or non-payment of claims.
• Project Objective The main aim was to streamline medical billing processes, reduce AR days, maintain consistent charge flow, resolve claim issues, and address enrollment challenges.

The Solution

Backoffice Pro employed its expertise to identify the root causes of underpayment and non-payment. A comprehensive approach was undertaken to streamline the medical billing workflow, which included the implementation of structured reporting, seamless workflow processes, and effective communication strategies. The solutions provided included:

• Identification of underpayment and non-payment causes.
• Streamlined medical billing workflow.
• Structured reporting.
• Improved communication via calls and emails.
• Seamless workflow processes.

The Outcome

Implementing the solutions significantly improved the client's medical billing processes. The positive outcomes included:

• Streamlined workflows and comprehensive medical billing.
• Implementation of a structured reporting system.
• Efficient communication leading to improved outcomes.
• Enrollment of non-par physicians with non-government and government carriers.
• Resolution of issues affecting physician revenues.
• Reduction of outstanding AR to under 10% and halved AR days.
• Addressed authorization-related problems.
• Enhanced follow-up methods and appeals processes.

Final Take

By partnering with Backoffice Pro, the Florida-based medical practice witnessed a revolution in its medical billing processes. The streamlined workflows and targeted goals reduced AR days and outstanding AR to under 10%, enhancing operations and fostering growth.