The Client:
The client is Cardiology practice based in Dallas, Texas.
The Challenge:
- Delays in payment posting
- Loopholes in the verification process
- Delays in sending patient statements
- Limited in-house billing resources
- Shortage of certified coders to audit Superbills
Solutions: Identified and Implemented by Plutus Health
- Rigorous claims scrubbing before submissions
- Proactive fixing of rejections
- Timely eligibility verifications
- Monthly sending of patient statements
- Aggressive follow-up of all account receivables
- All payments posted within 2 days
- Claims transmitted daily within a 48-hrs Turn-Around-Time
Result: Improvement in AR
| Month |
Age 0-30 |
Age 31-60 |
Age 61-90 |
Age 91-120 |
Age 120+ |
Total |
| Day 1 |
$554,059.65 |
$573,379.31 |
$588,298.54 |
$557,551.61 |
$553,997.44 |
$2,927,266.55 |
| 120 days later |
$511,492.61 |
$229,587.37 |
$10,248.58 |
$7,768.70 |
$31,961.51 |
$791,055.17 |
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