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Radiology Group in Washington- DC

Overview

  • Privately held Radiology group in Washington- DC
  • Specialty: Radiology
  • Over 70-years of history of providing the highest quality imaging care for patients throughout DC metropolitan area
  • Clients’ Revenue per year > $56.4M

Implementation

  • Daily claims submission
  • Follow up date based collection follow ups
  • Optimized collections and denial management process through SYNERGEN Collections and Denial Management system (CDMS)
  • Real-time Analytics reports (DOCTRIX®)
  • Weekly progress reports
  • Monthly Revenue analysis report
  • Quarterly Onsite Strategy Discussions
  • Best Practices recommendations
  • PQRS initiative
  • Quality Enhancement Process Automations
  • Billing process streamlined by automating claim uploads and nuance verification through SYNERGEN Billing Interface

Challenges

  • An average of a 7-day delay in claim submission
  • Coding and Documentation
  • Increase in the 90+ Insurance AR – 40% on average
  • Increasing days in AR – 49 Days on average
  • Time of Service patient collections
  • Payment portal integration with Billing system and Patient statement mailing systems
  • Transition from outdated Practice Management System to new Practice Management System

Result

  • Billing turnaround time improved from 7 to 4 days
  • Seamless transition to new improved Practice Management System helping with the coding and documentation challenges
  • Reduction in the 90+ Insurance AR from 40% to 15%
  • Reduction in the Days in AR from 49 Days to 25 Days
  • Clean Claim rates improved to 99%
  • Consistently maintained Zero pay claims at less than 2%
  • Resolved claim % at 90 and 120 days is 99%
  • 100% transparency into RCM processes
  • Best in class & compliant business processes

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