Expert Medical Billing and Collections Guidance Helps New Practice Take Off

With vast professional experience in Full Cycle Medical Billing and Collections, and Verifications, OSI has helped many health care practices improve patient care and revenue. Our client is a board-certified anesthesiologist and pain management physician located in the Miami section of Florida. He wanted to set up his own practice and committed to his plan, but wasn’t sure how to engage the necessary expertise to help realize his goals.

After looking at many alternatives, he chose Outsource Strategies International because of our broad expertise in the various aspects of pain management billing and collection. He also relied on the reputation that we had with many other pain management practices that we work with.

Challenge

This physician was working in a group practice, and although he found that group practice fulfilling in many ways, he decided that it was time for him to go out on his own. He shared with us that he was planning on opening his practice within the next 6 months and needed our help to implement an EHR software. He liked the fact that we could work on any software that he chose to implement. Opening his own practice was a big step, a huge financial commitment, so it was critical that he made the right decision in choosing the best partner to work with.

Solution

Outsourcing his billing, collection and verification service proved a very cost-effective solution for his practice. We first put together a team of billing experts for his project with a specially assigned project manager. At the same time, we also implemented a quality assurance schedule. Maintaining strict HIPAA compliance, all client data was transferred to OSI through our secure web-based portal. Services we provided covered the following areas:

  • Patient Enrollment: Demographic and insurance information, insurance verifications and authorizations
  • Coding
  • Billing and Reconciling of Accounts: Charge entry, cash posting, and reconciliation
  • Accounts Receivable Collections: Insurance collection, patient collection, and AR follow up and collections

Our follow up team aggressively pursued all unpaid insurance claims. We evaluated denials and appealed incorrect claim denials. We followed up all patient dues and helped set up convenient payment plans for them. We were able to provide our client with the coding guidance, revenue cycle management guidelines and the billing support that he needed to get his practice off the ground. We were proud to be able to support a new provider who was branching out on his own and in helping his practice grow.

Result

The physician reports that he is very happy with the guidance that we have provided so far. Our monthly financial summaries help him keep track of the progress. He is confident in our ability to manage his billing and collections for maximum reimbursement.