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| Home » Healthcare Case Studies |
Healthcare Case Studies |
| Case Study - 1 |
Medical Billing Services |
| Industry : |
Healthcare |
| The Client : |
A large Cardiology Practice in Central Florida |
| The Challenge: |
- Specialty Hospital means more services for high risk patients.
- More patients mean more investment in Infrastructure and Drugs.
- In-house billing was unable to generate revenue with the rising cost.
- High uncompensated care affecting the Collection Ratio
- Average AR days increased consistently
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| The Engagement: |
The current engagement is in the US Healthcare Provider Business, with InfiniteBPO providing Revenue Cycle Management Services. The process involves patient data entry, claim generation, submission to Insurances, collections, research & provider contract. |
| The Solution: |
- Offered an offshore delivery model for meeting end-to-end physician billing needs and to reduce the AR days
- InfiniteBPO analyzed the company’s process to improve the process flow.
- InfiniteBPO set up the process flow for the doctor’s office.
- A team has been deployed to analyze the denied claims and consistent follow up has been done
- Receivables were appealed for the payments at higher reimbursement rate compensating for delay.
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| The Results: |
- Improved and automated process reduced the redundant Data entry and increased the Quality
- Improved money flow for the Client, increase in the Collection Ratio
- AR days for the claims got controlled
- Streamlined operations helped achieve turnaround times of 12-24 hours
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