RCM Case Study
Customer Situation
Our client, multi-specialty physician group, was undergoing challenges in getting low reimbursement and staff turnover, which contributed to cashflow disruptions.
Root Cause Analysis
Our initial analysis revealed that there was no defined work flow and no clarity on the focus areas.
Challenges
Delayed and incorrect billing, inappropriate coding, lower clean claim percentage, manual posting, inefficient bookkeeping, no vigorous follow-up, increased denials and AR days.
Solutions and Results
