GOALS

• Achieve a consistently high clean claims rate by implementing robust coding and billing processes that minimize errors
• Enhance patient satisfaction by providing transparent and easy-to-understand billing statements and payment options
• Improve operational efficiency and staff productivity by automating manual tasks and streamlining workflows through technology solutions.

Frustrations

• Managing a high volume of claims with limited staff, leading to delays and potential errors
• Dealing with constantly evolving payer rules and regulations, making it challenging to stay compliant
• Lacking real-time visibility into the revenue cycle, making it difficult to identify and address bottlenecks promptly.

GOALS

• Transition to a value-based care model that rewards quality and efficiency while maintaining financial stability
• Empower front-desk staff with tools and training to effectively manage patient intake, eligibility verification, and billing inquiries
• Reduce administrative burden on physicians, allowing them to focus more time on patient care and less on paperwork.

Frustrations

• Reconciling claim payments from multiple insurance providers, often with varying fee schedules and reimbursement policies
• Training and retaining billing staff who are proficient in medical coding and billing regulations
• Managing patient collections, particularly for high-deductible health plans, without alienating patients.