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Radiology Group in Washington- DC
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Radiology Group in Washington- DC
Overview
Privately held Radiology group in Washington- DC
Specialty: Radiology
Over 70-years of history of providing the highest quality imaging care for patients throughout DC metropolitan area
Clients’ Revenue per year > $56.4M
Implementation
Daily claims submission
Follow up date based collection follow ups
Optimized collections and denial management process through SYNERGEN Collections and Denial Management system (CDMS)
Real-time Analytics reports (DOCTRIX®)
Weekly progress reports
Monthly Revenue analysis report
Quarterly Onsite Strategy Discussions
Best Practices recommendations
PQRS initiative
Quality Enhancement Process Automations
Billing process streamlined by automating claim uploads and nuance verification through SYNERGEN Billing Interface
Challenges
An average of a 7-day delay in claim submission
Coding and Documentation
Increase in the 90+ Insurance AR – 40% on average
Increasing days in AR – 49 Days on average
Time of Service patient collections
Payment portal integration with Billing system and Patient statement mailing systems
Transition from outdated Practice Management System to new Practice Management System
Result
Billing turnaround time improved from 7 to 4 days
Seamless transition to new improved Practice Management System helping with the coding and documentation challenges
Reduction in the 90+ Insurance AR from 40% to 15%
Reduction in the Days in AR from 49 Days to 25 Days
Clean Claim rates improved to 99%
Consistently maintained Zero pay claims at less than 2%
Resolved claim % at 90 and 120 days is 99%
100% transparency into RCM processes
Best in class & compliant business processes
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