A multi-state, home health and hospice provider in the Midwest.
The provider had more than $428,000 in aged receivables, 39% of which was aged over 360 days, and struggled to resolve the aged receivable before the timely filing deadline. The provider was short-staffed and did not have the time or internal resources to dedicate to billing at the time.
In addition, the agency had recently transitioned from McKesson to Allscripts. During the new system implementation, the agency struggled to maintain their current cash flow while training staff on their day-to-day functions with the new system.
To boost cash flow, we tasked our consultants with billing and claim resolution expertise to assist in collection efforts for commercial payers. Utilizing their payer specific knowledge, the team appealed accounts and reviewed payer contracts and regulations to ensure each account was pursued to its limit. McBee assisted the provider with updating invalid billing codes, resolving legacy system claim generation issues, reporting, reviewing document compliance, resolving charge description master issues, and determining gross billing rates.
During bi-monthly calls with the provider, we updated leadership on current issues discovered during account review and resolution. These updates provided insight into their day-to-day operations and suggestions for improving processes while transitioning to the new system.
While engaged with this home health and hospice provider, we recovered more than $322,000. Our consultants educated internal staff on best practices in billing to maintain consistent cash flow over the long term.