Special Edition - Revenue Cycle Industry Case Studies
For most healthcare organizations, it can be difficult to keep up with the changes in healthcare regulations and payer-specific business rules, and develop responses to these changes to transform their revenue cycle. As we work with our clients, we develop and apply best practices to help them achieve market-leading revenue cycle benchmarks.
In this special Case Studies edition of our newsletter, we bring you some of the lessons from our experience of managing billing, coding, accounts receivable, and denial management processes for our clients.
Transforming the Financial Performance of a Podiatry Practice through Correct Coding and Electronic Claims Submission
Bad quality scanning of super-bills 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. In this case study, Medical Billing Wholesalers shares how our structured approach, technical expertise, and revenue cycle process rigor combine to create value for our client.
Physician Education helps resolve BMI Diagnosis Claim Denials of over $37 K
Educating physicians on their documentation responsibilities is an iterative process that requires an understanding of the reasons for claim denials, the 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. In this case study, gain a few insights on how a strong physician education process can help increase collections.
Revenue Cycle Improvement for a Physical Therapy Clinic – Collections Double, Denials Reduce by half
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.
Industry News
Next Gen Technology Optimizes Out-of-Network Claim Savings
Industry Voices—Underutilization of healthcare drives costs, too
AMA announces new CPT codes for COVID-19, flu tests
What are the keys for a successful hospital merger?
Tipping point: Customer experience and the payer industry
The pandemic and the patient experience — 3 health IT experts weigh in
10 patient experience and marketing trends from health system execs
Designing Alternative Payment Models for Health System Resiliency
3 Ways to Improve Medical Coding Quality for Accurate Reimbursement
About Medical Billing Wholesalers
Medical Billing Wholesalers (MBW) provides business process outsourcing, revenue cycle KPI measurement, and robotic process automation tools. The company operates from 5 delivery centers in Chennai and Bangalore and has sales offices in New York, Dallas, Fort Lauderdale, Las Vegas, and Nashville. Through our clients, we support over 2,000 physicians across over 20 medical specialties and uses over 15 EMR/practice management systems today. The company applies proprietary workflow tools, and robotic process automation capabilities to help clients do more with the revenue cycle.
