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Case Study on Accounts Receivables Management & Medical Billing

The Customer:

An Urgent Care practice in Maryland.

The Challenge:

O2I was initially approached by the clinic to take care of Account Receivables Management. The client was also facing a problem on the billing side like:

• The billing was not completed within 24 hours
• Steep Decrease in collections
• Poor quality of work done by in-house billers

The Client wanted to hand over the billing side to us in 2 months if he gets satisfied with our ability on the AR Management (we did a good job and the owner of the clinic handed over the billing part as promised).

We had to use a new software namely AdvancedMD for carrying out the operations. We got cross-trained over phone on the practice management software.

The Project:

• To provide Full Service Billing.
• To handle average of 700 claims every month

The Solution:

The following measures were taken to improve collections and productivity:

• A dedicated Account Manager and Team were deputed to handle the clients account
• The team consisted of full time employees for medical billing, medical coding and an AR expert
• Evolved a medical billing process and an AR process to make sure that billing takes place within 24 hours
• Follow-up on denied claims
• Address issues with insurance company and get them resolved
• Maintain knowledge base of issues and solutions

The Results:

By outsourcing their medical billing functions to O2I, the CLIENT was able to:

• Witness that the average AR days were brought down from 34 to 23 days within 6 months
• Witness that the collection percentage increased from 53% to 61% within 6 months
• Have significant improvement in the cash flow as a result of increase in collection ratios
• Concentrate on patient care and see more patients, with the availability of more time, and a clutter free office
• Decrease reliance on employees and eliminate fluctuations associated with backlogged claims and employee turnover
• Increase operating efficiency and reduce administrative costs

Please see the graphs below:

Progress since we started	2008	2007
Collections % (rolling 6 months)	61.60%	53.20%
Average A/R Days	26	34
A/R over 90 days as % of total	15	21

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