RCM Multispecialty Surgical Practice
Client Profile
Our client is a RCM Multispecialty Surgical Group located in South FL. The practice provides comprehensive inpatient and outpatient advanced technology surgical care in general surgery, bariatric surgery, cardiac surgery, and thoracic surgery.
Project needs
Our client contracted with ESN Technologies to provide healthcare coding, billing, A/R, and a customized end-to-end solution. Our services ease our customers’ administrative and financial burdens, so they can focus on their principal objective of providing high-quality patient care. We ensure medical coding, billing and insurance carriers pay and process claims correctly.
Challenges
- Lack of standard operating procedures and documentation.
- Huge backlog in all areas – coding, billing, and A/R.
- Lack of automation and EHR support.
Results
Documented the proposed standard operating procedures. With excellent program management and communication, we eliminated disconnects between front-end and back-end teams. We cleared medical coding backlogs and stabilized the coding process. The team scaled into medical billing and A/R in a phased manner, thereby providing end-to-end services. Metrics were instituted to measure service levels and productivity. In a short period of time, the team was able to surpass industry benchmarks.