Case Study for a Comprehensive Gastroenterology Practice: Medical Billing and Coding

Overview

OSI (Outsource Strategies International) is offering complete revenue cycle management service including medical billing, coding verifications, and insurance follow-up and collections for the highly rated gastroenterology practice of Dr. Joe Black based in Oregon since 2010.

The Challenge

Dr. Black needed professional assistance in managing medical billing and collections since he had been single-handedly taking care of this with help from his wife. It was consuming quite a lot of their valuable time. They did interview other companies before zeroing in on OSI.

The Solution

OSI, along with the client, decided to allocate a team specialized in gastroenterology billing for managing end-to-end flow. The enrollment and billing were started using the web-based software of OSI since the client did not own any software. The OSI software is employed for all the practice management functions at the office of the client including patient enrollment, billing, coding and AR management. Weekly meetings are conducted with the client for monitoring and analyzing issues arising during the week. Monthly practice management reports are provided to the client.

Results

This ongoing project has given the client great satisfaction, and they are particularly pleased with the great communication and accessibility we offer – they can always reach the MOS billing agent and accounts manager. Our communication with the client takes place on a monthly basis for discussing their account. We check patient accounts, payment, AR, and billing issues if any. The monthly meetings give great satisfaction to the client.

Considering the challenge involved in gastroenterology billing, when claims are denied by insurance companies, healthcare practices stand to lose a significant amount of money through improper billing. MOS, however, provides experienced billing agents in various fields of medicine. Like Dr. Joe Black, clients of MOS can rest assured that with every medical billing assignment we undertake they will receive the highest possible reimbursement.