Case Studies

House Call Doctors

As reimbursement rates for hospitals and physicians continue to decline, exceptional Practice and Revenue Cycle Management is becoming more and more important. Here is the case of a passionate family physician providing care for the under served and less affluent communities. With Medicare and Medicaid reimbursements rates already the lowest in the Nation, exceptional billing and revenue cycle management is essential for survival. Working with Claim Resolutions allows this practice to focus on patient care knowing that practice revenue is being taken care of.

ISSUES

  • Very high days in A/R
  • Poor coding and A/R follow up

SOLUTION

  • Tactical Billing

RESULTS

  • Significant decline in average days in A/R
  • Collection time averages under 30 days
  • Accurate tracking and managing of delinquent accounts
  • Reduced number of patients sent to collections
  • Patient satisfaction improves
  • Increased opportunities for bench marking and data analysis

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The Arbor

As the saying goes, some specialties are tougher than others. With that being said, Behavioral Health and Chemical Dependency treatment can be a particularly daunting task. Patients and their families are going through an incredibly difficult health issue and financial issue at the same time. Bottom-line is this type of healthcare is expensive and insurance companies will do anything they can to keep the money in their bank account! Effective billing and revenue cycle management is essential from the point of admission until long after discharge. It often takes a tooth and nail type of approach to get paid. Here is the story of one of the Nation’s most well respected Behavioral Health providers and how Claim Resolutions improved workflow, saved staff time, and increased practice revenue.
ISSUES

  • Poor insurance reimbursement
  • Staff time spent on phone with insurance carriers

SOLUTION

  • Tactical Billing

RESULTS

  • Significant decline in average days in A/R
  • Staff Relieved of 70% of phone time
  • Accurate tracking and managing of delinquent accounts
  • Reduced number of patients sent to collections
  • Increased number of authorized days of treatment
  • Increased Practice Reveneue

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