Case Study on Full Service Billing for an Urgent Care Practice

Case Study on AdvancedMD Software Billing

The Customer:

Our customer's clinic started in the year 2005, in response to the growing need for high quality and convenient medical care in a warm, friendly environment. Some of their treatments include:

Colds, coughs and flu
Cuts and bruises
Ear aches and infections
Broken bones and fractures
Burns, rashes and bites
Sprains and strains
Vomiting and diarrhoea
Allergies and asthma

They have 1 Doctor who works on a full time basis and 2 Doctors who work on a part time basis.

The Project:

The customer's accounts receivables was getting older and they didn't have the time or resources to handle them. The customer finally approached Outsource2india in September 2007 when all their in-house efforts failed to manage their A/R in a cost effective manner. The customer also faced problems in billing like:

The billing was not completed within 24 hours
Steep decrease in collections
Inconsistent cash flow

The customer wanted to hand over full service billing to Outsource2india in 2 months if they were satisfied with our AR follow-up capabilities.

The following was their AR structure before Outsource2india was contacted.

The Solution

The customer signed up in just 1 month for full service billing after gaining confidence in the way Outsource2india did AR follow-ups with insurance companies
A dedicated account manager and team were deputed to handle the account
The team consisted of full time employees for medical billing, medical coding and an AR specialist
Outsource2india developed a medical billing process and an AR process to make sure that billing takes place within 24 hours after the doctor has seen the patient
Outsource2india followed-up on denied, underpaid and unpaid claims
Issues with insurance companies were addressed and resolved quickly
Outsource2india maintained a knowledge base of issues and solutions and documented them in a business process manual

The Results

By outsourcing medical billing to Outsource2india, the customer 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
Experience significant improvement in the cash flow as a result of an increase in collection ratios
Concentrate on patient care and see more patients, with the availability of more time and a clutter-free office
Enable employees to focus on core business aspects, instead of billing related tasks
Eliminate fluctuations associated with backlogged claims and employee turnover
Increase operating efficiency and reduce administrative costs

The following statistics will show how Outsource2india made tremendous improvements in increasing collections and making the cash flow consistent for the customer.