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Leading Pediatric Multi-Specialty Group Optimizes Billing with GeBBS Healthcare

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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

There’s Strength in Numbers, Improve Accounts Receivable with GeBBS

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