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Case Study on Full Service Billing by using the Medisoft Software

Case study on Medisoft Software Billing

The Customer:

An Internal Medicine practice in Florida.

The Challenge:

O2I was approached by the clinic to take care of Full Service Billing. The problems that the client was facing were:

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

O2I had promised that it will show improvement in the collections.

The Project:

  • To provide Full Service Billing using Medisoft software
  • To handle an average of 1000 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
  • Follow-up on denied claims
  • Client had some problems with BCBS and were unable to send claims electronically. It took 2 months to get the payment when submitted through paper
  • O2I resolved this issue and helped the client in getting payment in 3 weeks

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 141 to less than 40 days
  • Witness that the collection percentage increased from 60.6% to 75.5%
  • O2I worked on old AR and collected money for the practice
  • The Client was able to focus more on patients. The patient base increased from 600 to 1000
  • There is a regular flow of patient payments after O2I started providing services to the practice
  • The cash flow has increased due to O2I's QA done on the claims before submitting to the insurance company

Please see the graphs below:

Progress since we started
2008
2007
2006
2007
2008
Progress since we started
Collections % (2008 vs 2004)
2008
75.5%
2007
83.8%
2006
81.0%
2007
76.9%
2008
60.6%
Progress since we started
Average A/R Days
2008
40
2007
34
2006
33
2007
36
2008
141
Progress since we started
A/R over 90 days as % of total
2008
9
2007
9
2006
8
2007
-
2008
-
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