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Case Studies
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 the 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- Transition from outdated Practice Management System to new Practice Management System
Results
- 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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