The Problem

Physical Therapy clinic in Council Bluffs, IA was experiencing fragmented job duties, making it difficult to keep up with its increasing claims volumes. The internal staff in charge of the RCM process were wearing multiple hats and found it increasingly difficult to ensure that charges were posted and transmitted in a timely manner. Even with the increased patient volumes, the clinic couldn’t justify hiring more support staff at the same scale they were operating.

The Approach

Ben Marcus consulting provided billing support on an hourly basis while the clinic worked on restructuring how its support staff operated. Clinic was provided with sample job descriptions to assist with this process.

As the clinic was using a free billing software without the ability to check claims for transmission readiness, cheat sheets were developed to assist with charge posting.

The Value Provided

Clinic was able to minimize its staff additions to 1.5 FTE, and was able to take its time selecting a quality candidate. Rejections and denials were reduced 10%, further reducing the workload pressure on existing staff.

Clinic was provided guidance on the benefits of a speciality specific paid software subscription and how to transition to such a set up.