CHALLENGE
Rising Claim Volume & Staffing Shortages
A large and long-established Southern California comprehensive cardiovascular group faced challenges with staffing and scaling revenue cycle management (RCM) operations in the face of rapidly increasing claims volume.
SOLUTION
End-to-End Revenue Cycle Management Support
That’s when they decided to partner with Infinx for a combination of automation and streamlined billing expertise.
The Infinx team provided an opportunity analysis called an RCM Health Check that resulted in the provision of a comprehensive RCM solution including an enhanced charge pass review, up-to-date claims coding, and resolution on 99.5% of claims processed. The group now feels they have a partner to navigate the ever-changing payer environment and provide the guidance needed to maximize all revenue opportunities.
Staffing inefficiencies were streamlined, allowing team members to focus on patient care. By improving process and system limitations, the partnership has transformed the cardiology group’s RCM processes with enhanced efficiency and strategic insight.
Emphasizing the move to Infinx, leadership highlighted the strategic benefits of outsourcing for economies of scale and reducing staff turnover burdens, marking a significant step towards operational excellence and sustainable growth.
RESULTS
Reduced Denials from 13% to 7%
Accomplished by fixing coordination of benefits and eligibility denials, which improved first pass collections.
Cleared Hospital Charges and Billing Backlog in 2 Months
Hospital backlog charges were cleared within 2 months after go-live date yielding an influx of collections on acute diagnostic procedures, and setting practice best standard for date of service to date of charge entry for hospital place of service.
Improved Collections
Improved collections at both office and hospital place of service and the group will see an annual 2-3% lift in the first three years of the engagement.
“By enhancing our in-house staff to work with Infinx, we were able to make significant improvements. Our mutual goal is to make sure no one has to do the rework. We get the money upfront, we get paid for the services, and everything revolves in a shorter collection cycle.”
— CFO, Large Cardiology Group
If you are looking to achieve similar results at your organization, contact us at https://www.infinx.com/request-a-demo.
See how a long-established Southern California comprehensive cardiovascular group faced challenges with staffing and scaling revenue cycle management (RCM) operations in the face of rapidly increasing claims volume.