Background

The client was one of the leading healthcare centers based in China, providing full range of services in healthcare. The Client had 7 offices across different parts of the state. Having grown through acquisitions, the client lacked a streamlined process for revenue cycle management such as billing, charge entry, payment posting, and accounts receivables management such as receivables analysis, underpayment analysis and payment follow up. Client was unclear on the completeness of its billing, capturing the correct treatment given, making the correct claims to the insurance companies and collecting the amounts due from insurance companies and patients. This was leading to loss of revenue for the client.

The client approached Accexperts to assess the situation and propose a solution.

The Solution

Accexperts, by virtue of its business focus and experienced team, quickly identified the process gaps and bottlenecks which were responsible for the prevalent problems and loss of revenue. Accexperts streamlined the collection of superbills from each of the client's offices to reach the central billing center. Our team would efficiently check insurance information and enter the superbills in the billing software for timely and accurate submission of claims. Our experienced professionals focused on operational efficiencies to maximize billing. Quality processes were implemented for continuous improvements.

Client's Benefits

Accexperts was able to streamline processes, shorten billing and collections cycle and reduce back office costs to the Client. We shortened turnaround time for submission of clean claims. Using Accexperts's services, the Client was able eliminate 6 months billing backlog to being current and faster their business growth without adding to cost. The Client also increased collections by over 50% due to our efficient coding and billing, timely submission of claims, analysis of unpaid claims and payment follow with insurance companies.