MediDecoder Provides Expertise to Cut A/R Time by 50%

MediDecoder began offering EMS ambulance revenue cycle services to Saint Clare’s Health System (SCHS) following a year-long sales effort. SCHS is a major multi-hospital provider in northern New Jersey, handling a substantial EMS call volume of 40,000 transports and generating over $19 million in annual gross revenue. Before partnering with MediDecoder, SCHS had a dedicated team of ambulance billing staff within the hospital billing offices. As part of our sales strategy, we requested to conduct a targeted audit of claims to demonstrate that expert knowledge in EMS revenue cycle management would yield significant financial results.
pexels-photo-263402-263402.jpg

Solution

Our internal audit and compliance review revealed unrealized billable events, resulting in over $200,000 in additional annual revenue. Poor billing and coding compliance posed a risk, leading to an estimated $300,000 in lost revenue each year. Additionally, outdated charges and contracted rates amounted to approximately $325,000 per year in lost gross revenue. Days outstanding were at 140, compared to 80 days with our existing customer. We provided SCHS’s field team with training on documentation, which helped bring claims management back into compliance and ensured accurate billing and coding. The lack of up-to-date ambulance industry expertise and leadership led to the decision to partner with MediDecoder.

Results

We reduced A/R and denials across all categories by 45%. As projected in our sales presentation, SCHS has greatly benefited from our expert EMS revenue cycle services. Over the next 18 months, we improved SCHS’s cash flow by $1.1 million

Get a Free Revenue Assessment

Scroll to Top