Case Study: Correct Coding and Electronic Submission of Podiatry Claims reduce denials by 23% and improves collection by 25%

Bad quality scanning of superbills 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. Read this case study about how our structured approach, technical expertise, and revenue cycle rigor combine to create value for our client.

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Case Study: Improved Revenue Cycle Workflow and reporting functionality accelerates Cash Flow

Most revenue cycle systems have a wealth of unutilized functionality. Revenue cycle professionals need to evaluate workflow and reporting functionality on the revenue cycle system to not only ease their workload but also improve revenue cycle outcomes. Read more in this case study.

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Case Study: Addressing Notice of Levy issues to Improve Reimbursements

Notice of Levy issues may be wrongly construed to be claim denials if a thorough investigation is not done to understand the reason behind such cases. Further, it is imperative that physicians pay their taxes on time. By educating physicians/practice teams on the importance of filing taxes, an artificial surge in denials on account of notice of levy cases can be avoided.

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Correct Coding and Re-submission of Pain Management Claims help Recover $300K of A/R Backlog

Standardized billing and coding practices for Spinal Cord Stimulator (SCS) Procedure Code 63650 reduce medical necessity denials and help collect 281 claims valued over $ 300K in 2 years. The Customer saw over 36% improvement in Collections, as much as 75% reduction in old AR over 61 days, and reduction of denied SCS claims from 68 to 8 over a 7 month period.

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4 Reasons for Physical Therapy Claim Denials and Solutions

Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.

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Improving Days in A/R: A Best Practices Guide to Optimize Your Revenue Cycle

Improving days in A/R to MGMA benchmark of fewer than 40 days requires a comprehensive relook at the entire revenue cycle and concerted efforts to improve. In this article, we bring you insights on how to reduce the number of days in AR.

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