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SYNERGEN health Increases City Doc Revenue by 11% within 120 Days

"As an Oncology practice, it refreshing to work with a company that understood our specific business challenges and provided us with innovative solutions that enabled us to maximize revenue"

Business Overview

  • Urgent Care center
  • 5 Facilities operated in different locations in TX
  • Multiple providers at different levels (MD, DO, NP, FNP, PA) -83% of them are credentialed with Medicare at least for one location
  • Highest revenue generating months: December/January

Business Challenge prior to SYNERGEN Health

  • Resources contrarians to do adequate follow up
  • Insurance AR in 90+ at over 35%
  • Over 8 days taken to close month
  • Provider credentialing delays and errors
  • Lack of transparency to Practice performance
  • Delayed claim submission
  • Difficulty in managing a growing volume
  • ICD-10, PQRS & Meaningful Use

Implementation

  • Systems review and optimal configuration
  • Implementation of Denial Management
  • 21-30 day collection follow up cycles
  • Root cause analysis & preventive actions
  • E&M codes analysis
  • Daily claims submission
  • Weekly reconciliation of Deposits
  • Best Practices recommendations training
  • Standard policies & Procedures for RCM
  • Weekly & monthly reports
  • Doctrix dashboard for reporting
  • Identify & reporting work flow opportunities of front desk staff & providers

Results

  • 90+ AR reduced by 95% from S111K in 2014 to S6K at present
  • Avg. Revenue/Claim increased by 11% (from S133- $148)
  • >95% claims submitted within 24 hours from DOS
  • First time payment rate of 98%
  • Days in AR reduced by 53% (from 32 days to 15 days)
  • Best in class & compliant business processes
  • 100% transparency into RCM processes
  • Close of month reduced to 3 business days

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