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Medical Health
Overview
An outpatient mental health care provider in the United States encountered difficulties in receiving payment for the services given, resulting in a significant backlog. The in-house and domestic teams performed poorly, resulting in a backlog.
Challenges
Huge backlogs
No of days in A/R was 72
Outstanding A/R of 120+ was 38%
Eligibility verification success rate was < 75%
High front-end rejections
Profitability was suffering
Solutions
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Denials Analysis
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Denials Management
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Effective Eligibility Verification
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Timely Follow-up
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Operational Rigor
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Feedback loop
Capability
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Aged Accounts Receivable
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Effective Denial Management
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0 Days Backlog
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Timely Eligibility Check
Results
Backlog reduced from 12+Days to
0-2
Days
Days in AR from 72 to
40
Days
Eligibility success rate improved from 75% to
94%
120+ Days in AR from 38% to
17%
