case study
WE DO NOT JUST BUILD APPLICATIONS. WE CRAFT TOP-NOTCH MOBILE & WEB EXPERIENCES
The Client is a leading healthcare provider company in USA with its headquarters in New Jersey, United States of America. The medical billing process can be a pain point for many providers because it involves an array of healthcare stakeholders and each step to getting paid relies on the previous interaction. Claims management is complex process for the entire healthcare organization.
One-third of providers still use a manual process for denials management, reported HIMSS Analytics. By passing along the traditional A/R complexities to an experienced company that Automate and streamline billing processes and maximize collections rates with the facility to see a swift spike in collection rate results. About 90 percent of the 12.7 million individuals participating in the 2016 open enrolment period selected a high-deductible insurance plan, according to CMS.
THE CHALLENGE
The major common medical billing challenges are Failure to capture patient information leads to claims reimbursement delays. The medical billing process usually starts at the initial point of contact between a patient and a healthcare organization. During this interaction, front-end staff must collect patient information that will lay the foundation for billing and collecting. Neglecting to inform patients about financial responsibility spells collection issues. Manual claims management processes create administrative burden, more A/R days. Inaccurate coding remains a top medical billing error.The assessment and the Proof of Concept concluded that the process
was viable for automation and demonstrated an effective business case.
our clients
