Case Studies

MedBilling Experts improved support services by reducing data management time and leveraging technology for a USA Healthcare BPO.

Our team incorporated a robust medical billing system that reduced the time spent on tasks and increased operational efficiencies, with an accuracy of 98% and more consistently.

Our client is a medical practice with over 20 medical practitioners working for them. They are a Florida based medical group that provide a range of medical aid services.

The client is a North Carolina based healthcare provider with over 500 beds and specializing in orthopedic treatment.

The client is a renowned California based- health insurance company, with a substantial online presence.They specialize in assisting US-based employees obtain the most appropriate need-based health coverage.

The client is a California-based medical imaging firm. Known for quality medical imaging services they specialize in MRI, CT, X-ray and more....

The client is one of the largest Minnesota based medical billing and consulting service provider, working with over 100+ accounts (Clients/Doctors) across multiple specialities. Over the course of almost 15 years, the company had developed deep relationships with its clients by providing high ...

The client wanted to move to a new EHR software for enabling better billing and revenue cycle practices. For this, they had to process around 3000 cases related to rehabilitation care, obtain detailed transcription of each and convert and store them in electronic format...

Our team of 500+ coders were able to design and implement a comprehensive phase-by-phase transition approach to move to the new coding system. This included creation of General Equivalence Mapping (GEM) that covered examples of how several ICD-9-CM codes can be mapped to only one ICD-10 code.

Our team of highly experienced medical transcriptionists was able to seamlessly process 3000 rehabilitation reports, deliver high quality transcriptions and sync them in accordance with the EHR software requirements in quick time. This helped the client to move to the new EHR software without any fuss.

We started the project by understanding the root cause of the denials. For this we analyzed three months of denial data through a root cause analysis method. Our AR experts then studied, compared and analyzed denial and error occurrences, including the type and frequency. Based on the study, we recommended the corrective actions.

Managing patient demographic proved to be a complex task for a growing number of reasons. With the help of our services the client could simplify the demographic entry workflow, reduce returned claims with accurate processing of insurance information and improve collections and payments.

Having built many solutions for hospital and clinic billing needs, we believed there was an urgent need to have a dedicated team for the project. The team redesigned the existing billing and AR processes which made it easy to spot coding and documentation errors.

Our team designed a comprehensive phase-by-phase transition approach to clear the backlogs which included creation of a more efficient document management system and implementation of an automated system to quickly capture multi-page claim forms.

Drawing on our experiences from the past, we knew for an effective solution we needed to cleanse the data first. So, our team first evaluated the data for quality, accuracy and usability. This helped us identify and eliminate data that was responsible for inaccurate results.

In this case, we found that the client’s billing system was too time consuming, which severely impacted its efficiency. To overcome this problem, we used the Medisoft software to integrate the client’s EMR and billing systems so that uploaded patient data could be seamlessly transferred between systems.