Backoffice Pro Delivers 98% Billing Accuracy and 24H Turnaround, Elevating Patient Satisfaction

The Overview

• Client Profile Our client is a Southern California-based clinical specialty pharmacy providing home infusion services.
• Industry Domain Healthcare - Specialty Pharmacy
• Challenges Faced An ineffective invoicing procedure resulted in delayed payments and decreased patient satisfaction. The lack of a proper billing system was causing heightened administrative tasks, drawing attention away from patient care. Additionally, inaccurate data collection exposed the client to compliance risks and increased costs due to repeated submissions and delayed claims settlements.
• Project Objective Implement a comprehensive, accurate, and efficient healthcare billing and record management solution to streamline administrative tasks, reduce costs, and improve patient satisfaction.

The Solution

Backoffice Pro seamlessly integrated a robust medical billing system using CPR+ software workflow. The solution aimed to streamline operations, maintain data integrity, and ensure accurate and efficient processing of healthcare service payments.

• Secure Data Storage: All files were securely saved on an SFTP drive to prevent any data leakage during the transition.
• Enhanced Staff Focus: The new system allowed healthcare staff to focus more on patient care rather than administrative tasks.
• High Accuracy Rate: Achieved an impressive 98% and above accuracy rate.

The Outcome

Backoffice Pro's strategic approach modernized the billing workflow, enhancing healthcare staff efficiency, reducing time spent on repetitive tasks, and ensuring precise financial record and claims management.

• High Accuracy Level: Attained accuracy levels of 98% and above.
• 24/7 Turnaround Time: Ensured a 24-hour Turnaround Time (TAT) for every file received.
• Dedicated Resource Allocation: Initial deployment of 1 Full-Time Equivalent (FTE) for comprehensive end-to-end process handling.
• Operational Excellence: Achieved operational excellence through efficient medical billing and claims management resource utilization.

Revenue Enhancements

• Cost Savings: Reduced costs associated with repeated submissions and delayed claims settlements.
• Administrative Efficiency: Lowered administrative expenses by streamlining billing and record management processes.
• Improved Patient Satisfaction: Enhanced patient satisfaction, potentially leading to increased customer retention and revenue.