Reinventing Claim Submissions for Physician Services Company

The company, which provides physician services to more than 1,800 clinical departments in healthcare facilities nationwide, processed thousands of patient records daily using manual processes. The goal was to ensure patient charts were complete so claims could be submitted to insurance companies for reimbursement, but reliance on manual processes proved to be laborious.

These processes included healthcare personnel filling out patient charts by hand and those documents being shipped to processing centers for scanning. Often, missing or incorrect information wasn’t discovered until late in the process, extending a timeline that already took an average of 21 days to complete. As a result, the company experienced significant Days Sales Outstanding (DSO) and a high number of Timely Filing Denials, creating a substantial loss of revenue.