Overview
Founded in 2006 and based in Houston, TX, our client is a reputable family practice centering on Geriatric medicine. Their expertise lies in offering tailored healthcare solutions for the elderly, effectively addressing their distinct medical requirements.
The client offers comprehensive medical services in Geriatric medicine, catering to the health and well-being of older individuals aged 65 and above. Their services include diagnosing, managing, and preventing medical conditions commonly associated with aging, thereby enhancing the quality of life for their elderly patients.
Med Billing Expert addressed client challenges by evaluating their system, rectifying data flaws, and introducing an effective reporting system for claim denials. The solution enhanced workflow efficiency and trained front desk staff for accurate information handling.
The Story of our Customer
- Founded in 2006 and based in Houston, TX, our client is a reputable family practice centering on Geriatric medicine. Their expertise lies in offering tailored healthcare solutions for the elderly, effectively addressing their distinct medical requirements.
- The client offers comprehensive medical services in Geriatric medicine, catering to the health and well-being of older individuals aged 65 and above. Their services include diagnosing, managing, and preventing medical conditions commonly associated with aging, thereby enhancing the quality of life for their elderly patients.
- Med Billing Expert addressed client challenges by evaluating their system, rectifying data flaws, and introducing an effective reporting system for claim denials. The solution enhanced workflow efficiency and trained front desk staff for accurate information handling.
The challenge faced by our Customer
The client grappled with significant challenges within their operational processes that impeded their efficiency and revenue stream. These challenges resulted in elevated rates of claim rejections, delayed reimbursements, and potential financial setbacks for the client's family practice.
Upon our initial assessment of the client's current system, we identified significant issues:
- Inaccurate data mapping between front-line client software.
- Inadequate follow-up and resubmission of rejected claims.
- Presence of incomplete or unverified patient information.
Our objective was to rectify mapping inaccuracies and ensure error-free claim submissions.
The Solution
The client faced a growing claim rejection rate due to data mapping issues, improper claim follow-up, and incomplete patient information. These issues led to financial setbacks and operational inefficiencies.
- Evaluated data for accuracy and usability.
- Eliminated inaccurate data to enhance quality.
Data Quality Enhancement:
- Developed a precise approach to prevent mapping errors.
- Tested and implemented a reliable map with use cases.
- Created a flexible maintenance program for updates.
Improved Data Mapping:
- Introduced a user-friendly reporting system for denials.
- Integrated design with workflow for efficiency.
- Trained staff in accurate information collection.
Efficient Rejection Management:
The Result
Our solution delivered the following benefits to the client:
- Identify causes of rejections and underpayments
- Reduce the need for resubmissions
- Avoid needless claims delays
- Realize maximum claims
- Map patient data accurately
- Improve front-desk staff accuracy
- Improved and seamless workflow
Elevate Customer Service with Med Billing Experts
Med Billing Experts is a top-tier BPO company offering global expertise from 5 delivery centers. Our inclusive services range from inbound support to outbound call solutions, delivering comprehensive resources for enhanced scalability.
For a reliable, profitable healthcare BPO partner, contact us today.
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