Dallas, TX – Atlantic RCM has announced yet another success story as it has increased a healthcare center’s average monthly collection by 50%. The company’s spokesperson, making the announcement, noted that the client, a renowned Behavioral and Rehab center in Florida, was badly hit by a severe cash crunch on top of ineffective and outdated revenue cycle systems and processes. To solve the problem, Atlantic RCM first identified the problems, their extent, and how to address them individually and collectively. The team identified the major challenges faced by the client to include manual Eligibility Benefits Verification Systems that was time-consuming and did not confirm the benefits most times; delay in submitting claims electronically; prior authorization not obtained; clearing house and payer rejection not fixed; and rendering provider not being credentialed with many insurances.
After identifying these problems during a rigorous review of the client’s entire process flow, Atlantic RCM came up with a solution to address each of those problems. With their Revenue Cycle Management solutions, the client now enjoys an automated process for benefits verification which offers one-click access across over a thousand payers to verify benefits in real-time. They also identified services that require prior authorization and put a process to obtain the authorization before claims were submitted to the payer. The client now enjoys timely claim submissions, detailed daily monitoring of claims for an acceptance report from the Clearing House and Payer. All rejected claims were also monitored, reviewed, and resubmitted, and a system for payer-specific credentialing was set up for each provider.
Following the solutions introduced by Atlantic RCM, the client recorded successes by improving their average monthly collection by 50%, reducing average denials from 842 cases to 427 cases, increasing submission of clean claims rose from 65% to 96% and rejected claims that were fixed and resubmitted increased from 36% to 100%. Atlantic RCM is happy with its results and continues to work hard to maintain its position as one of the leading multi-specialty medical billing companies in the United States. They serve over 25 major medical billing specialties and have experts who work across each client’s practice in collection, billing, and account receivables management to improve their success rate. Contact Atlantic RCM via phone at (469) 501-1500, visit them at 8350 North Central Expressway, Suite 1900, Dallas, TX 75206, US, or visit their website.
8350 North Central Expressway, Suite 1900
Disclaimer: The views, suggestions, and opinions expressed here are the sole responsibility of the experts. No Veracity Reporter journalist was involved in the writing and production of this article.