Revolutionizing Efficiency and Revenue in Internal Medicine

Overview: 

Our client, a Board Certified Internal Medicine Physician in Florida, faced operational challenges in their primary care practice. From Prior Authorizations to Patient Scheduling, they needed a solution to handle high patient volumes while maintaining quality care.

The Problem: 

The practice struggled with critical processes like superbill verification, billing, and payment procedures, requiring a comprehensive intervention.

The Solution: 

We took a holistic approach, addressing Prior Authorization challenges, improving Copay management, optimizing Patient Scheduling, and enhancing insurance coverage verification. Collaboration with Votion played a key role in advancing provider management.

The Results:

1. NDC Claim Denials Prevention: Robust systems prevented denials, resulting in a yearly payment increase of $1008.
2. Man-Hour Savings: Efficiency gains with a significant reduction in COPAY (252 hrs) and PRIOR AUTH (252 hrs), allowing staff to focus on value-added tasks.
3. RCM Error Rate Reduction: Successful reduction to 4.8%, indicating improved financial accuracy.
4. Provider Collaboration: Integration with Votion fostered seamless coordination among healthcare providers.
5. Increased Monthly Profit: Implementation of Way2Cloud led to a monthly profit boost, reaching nearly $5000.

Client Success: 

Notably, with just three months of collaboration, our interventions have optimized operational processes, resulting in substantial financial benefits, significant time savings, and improved provider collaboration. This case study demonstrates how, even in a short period, targeted interventions can drive efficiency and profitability in healthcare practices.