The Problem

An ENT practice in Bellevue, NE had worked with an RCM service that wasn’t performing satisfactorily. Practice wished to transition the functions in-office, with guidance on transferring payor access, fee schedule information, and credentialing requirements.

The Approach

Ben Marcus worked with the practice to develop a transition timeline, as well as what software and payor access would need to be transferred. An assessment of accounts was performed to determine where the practice would need to focus its initial A/R management to prevent loosing balances to timely filing.

Ben Marcus worked directly with the clearinghouse to update connections, including setting up electronic claims and remittances for all applicable payors. Practice was trained on how to use the self-enrollment feature of the clearinghouse for payor additions and updates. Practice was trained on how to run billing reports to facilitate A/R management and track its performance.

The Value Provided

The practice was able to transition RCM functions to its office manager in just under two months, and fully released the RCM service at the end of its 3 month cancellation period.

Practice was provided with templates to develop and track a fee schedule matrix, as well as template workflows to better incorporate functions into its front desk and back office.

Practice receives ongoing advice on topics ranging from developing a private pay fee schedule to engaging a collections agency.