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Dr. Rodney's Journey Towards 200% Rise

Case Study

Practice Profile

LOCATION

WASHINGTON

SPECIALTY

PAIN MANAGEMENT

PHYSICIANS

2

LOCATIONS

2

Services Provided

  • Charge Review
  • Claim Submission
  • Denial Management
  • A/R Follow-up
Challenges Faced​

Challenges Faced

  • Before partnering with us, Dr. Rodney’s practice encountered difficulties in managing their revenue cycle. 
  • The denial rate was alarmingly high, resulting in delayed reimbursements and mounting financial pressure. 
  • Their billing system proved to be inefficient and error-prone, leading to frequent claim denials, rejections, and billing inaccuracies. 
  • These challenges not only strained the practice’s cash flow but also hindered its overall profitability and growth potential.

Collaborative Approach

In response to these critical challenges, we adopted a collaborative approach, working closely with Dr. Rodney’s practice to orchestrate a comprehensive revamp of their revenue cycle management.

Collaborative Approach:​

The following strategies were implemented

  • Streamlined Coding and Documentation 

Thorough guidance on compliant coding practices, documentation requirements, and the appropriate utilization of modifiers were provided.

  • Focus on Claims Management

We effectively identified potential coding and billing errors and flagged all potential coding and billing errors before submission. 

  • Denial Management and Appeals

Our team carefully reviewed their denied claims, identified underlying causes, and initiated necessary corrective actions. 

Results

Together, we achieved a remarkable revenue cycle transformation for Dr. Rodney’s practice, resulting in a 200% increase in collections.

Here’s how:

  • Decreased Denial Rate

Accurate coding, comprehensive documentation sped up claims, significantly boosting revenue flow.

  • Improved Reimbursements

Efficient claims, proactive denials, and diligent appeals led to higher reimbursements and faster payments.

  • Enhanced Cash Flow

With a streamlined revenue cycle management process in place, Dr. Rodney’s practice achieved all the uncovered revenue.

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Conclusion

In conclusion, Dr. Rodney’s decision to partner with GreenSense Billing to streamline revenue cycle management proved to be a game-changer for his chronic pain management practice.The achievements obtained were nothing short of remarkable.