Leading Pediatric Multi-Specialty Group Optimizes Billing with GeBBS Healthcare

A leading provider of Health Information Technology (HIT) Solutions and Services based in Miami, FL. Apart from having an in-house operations in Bangalore India, they wanted a provider of revenue cycle management that delivers a world-class infrastructure of highly skilled professionals, robust processes, and proprietary workflow engines.

Client: A leading provider of Health Information Technology (HIT) Solutions and Services based in Miami, FL. Apart from having an in-house operations in Bangalore India, they wanted a provider of revenue cycle management that delivers a world-class infrastructure of highly skilled professionals, robust processes, and proprietary workflow engines.

Challenge

• Reduction of AR.
• Denials management/inventory tracking, referral management, and accounts receivable.
• Wind-Down Inventory for a quick resolution.

The GeBBS Solution

• Know your Inventory (KYI): A process was initiated to strategize AR once a week, including a published execution plan.
• KYI enables you to know where inventory is and where AR needs to systematically put efforts to enable cash and clean ups.
• Priority one focused on accounts nearing timely filing limit.
  Inventory strategies per Quarter (Q1 – top 25% of Inventory, Q2 – Next 25% of Dollar Value followed by Q3 and Q4).
• A clear WFM plan was rolled out on a number of resources as required per workload.
• Plan of attack was addressed two times for new inflow of inventory every week to ensure consistent reduction of AR days and Open ATB.
• KYI/WEP solutions enabled us to strategize, drive and deliver consistently by reducing AR days and boosting collections.

Results

• AR days were reduced 56 days from 90 days; all denials addressed in TAT by 5 business days.
• Clean-up project was completed and delivered within TAT.
• Client collections increased from $5.2M to $6M, a 20% increase in collections.
• Client allocated new scope and converted wind-down to regular flow inventory.

Revenue Cycle Managment At a Glance

• Accounts Receivable (A/R) Management
  • Manages over $7 billion is A/R every month
• End-to-End RCM Solutions
  • Scheduling, Eligibility Verification, and Pre-Authorization
• Credit Balance Resolution
  • 150+ experienced credit balance analysts • Denial Management
  • Expedite insurance company payments • Extended Business Office
  • System agnostic with extensive experience on all major hospital and physician billing systems