This practice is a nine provider physician-owned private practice in the south.
The practice initially had only two providers. Billing was done in-house and there was a sense that performance was starting to slip. Collections were down and claims were not getting out the door for 30 days after the date of service. However, as is often the case, the physicians were unable to get the information necessary to accurately evaluate the results.
ALN took over RCM operations in 2004, with a priority on improving coding and compliance as well as cash collection. The GE Centricity EMR implementation began in 2011.
Collections, on the same volume of work, increased 5%. Even with complex coding reviews required on the front end, claims are now submitted within just a few days of service. Providers now receive regular compliance audits and education. The practice attested for Meaningful Use and received the incentive payments. A regular clinical workflow and EMR optimization process is in place to continue to leverage the technology to increase provider productivity.