Case Study on Full Service Billing by using the Medisoft Software

The Customer:

An Internal Medicine practice in Florida.

The Challenge:

O2I was approached by the clinic to take care of Full Service Billing. The problems that the client was facing were:

• The billing was not completed within 24 hours
• Steep Decrease in collections
• Poor quality of work done by in-house billers
• AR was in very bad shape

O2I had promised that it will show improvement in the collections.

The Project:

• To provide Full Service Billing using Medisoft software
• To handle an average of 1000 claims every month

The Solution:

The following measures were taken to improve collections and productivity:

• A dedicated Account Manager and Team were deputed to handle the clients account
• The team consisted of full time employees for medical billing, medical coding and an AR expert
• Follow-up on denied claims
• Client had some problems with BCBS and were unable to send claims electronically. It took 2 months to get the payment when submitted through paper
• O2I resolved this issue and helped the client in getting payment in 3 weeks

The Results:

By outsourcing their medical billing functions to O2I, the CLIENT was able to:

• Witness that the average AR days were brought down from 141 to less than 40 days
• Witness that the collection percentage increased from 60.6% to 75.5%
• O2I worked on old AR and collected money for the practice
• The Client was able to focus more on patients. The patient base increased from 600 to 1000
• There is a regular flow of patient payments after O2I started providing services to the practice
• The cash flow has increased due to O2I's QA done on the claims before submitting to the insurance company

Please see the graphs below:

• 4,968,000 Transcription lines
• 504,000 Payment postings
• 450,000 Charge entries
• 288,000 Demo entries