A pain management clinic was struggling with low collections and was unable to implement operational changes within its existing practice management system. Despite trying various approaches, including internal billing staff, outsourcing, and a hybrid model, the system was not effective, leading to financial losses. The clinic approached MediDecoder with a complex array of issues, seeking experts to unravel and address the problems. Front office staff were frustrated with billing complaints and struggled to connect the dots, while physicians were dissatisfied with the poor cash flow. In their search for specialists who understood pain management processes, the clinic found MediDecoder through a Google search and reached out for help.
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Solution

By leveraging systems, integration, and process mapping, MediDecoder conducted a comprehensive audit of the schedule for charge completion, ensured all charges were billed, enhanced coding practices, and implemented patient collection tools, including click-to-pay options. They also managed a pay-to-address and banking change for the practice, updating current enrollments and ensuring payer website access and EFT/ERA were in place.

MediDecoder truly became a partner to the client. Within three months, the C-Suite observed a significant reduction in physician complaints related to patient receivables, allowing them to focus more effectively on the business.

Results

hrough the strategic use of systems, integration, and process mapping, MediDecoder performed a thorough audit of the charge completion schedule, ensured all charges were billed, improved coding practices, and implemented patient collection tools, including click-to-pay options. They also handled a pay-to-address and banking transition for the practice, updating enrollments and ensuring access to payer websites and EFT/ERA.

MediDecoder became an invaluable partner to the client. Within three months, the C-Suite saw a marked reduction in physician complaints about patient receivables, enabling them to focus more effectively on the core business.

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