SCALE began working with a multi-specialty practice with approximately forty providers on a host of performance improvement initiatives.
The practice decided that it had insufficient leadership and expertise to improve and turn around its billing operation and so it engaged SCALE to provide all RCM services. In a matter of weeks, SCALE took over the billing function and began improving performance.
STEP 1:
Preparation
STEP 2:
EMR & IT
STEP 3:
Billing
STEP 4:
Take Over Centralized Eligibility
STEP 5:
Old AR Transition
Days to bill improved by 68% and days in AR improved by 39% despite complication of transitioning billing systems
Days to pay improved by 58% and AR greater than 90 days improved by 47%
Five months in, SCALE achieved a tight, industry best practice collection cycle, improving unfulfilled encounters by 68% with the only outstanding claims represented by patient responsibility and claims that were denied or underpaid and needed to be appealed
Better coordination with internal operations team and less distraction
Centralizing eligibility has eased onsite burden and resulted in improved performance
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