Billing Case Study 2: Established Four Physician Single Specialty Group

A well established and professionally run Physician group had lost their second head biller in the span of one year and was unable to recruit and hire a satisfactory replacement. They promoted from within, and the new head biller was unable to handle the demands of the busy practice. Collection performance began to suffer and errors mounted in claims processing.

Adding to this, the practice was using an outdated, character based practice management system that was due for upgrading. However, in the environment of reduced collections, they were concerned about making the capital investment required for a modern, Windows-based system.

The practice was hesitant to continue looking for a new head biller, and was unwilling to continue in the direction they were going. At this point, they turned to PMRG to provide them with a new computer system and to take over the billing operations.

Within two weeks, PMRG had upgraded the practice to a full featured, Windows-based practice management system (AdvantX ASP) for a fraction of the cost of purchasing and installing a system. Further, PMRG had begun processing their new claims, while at the same time, correcting and re-billing the old claims.

PMRG was able to do all of this, and provide far more services than their in house billing staff could provide for less money annually than they had been spending on software support, clearing house fees and billing staff salaries while at the same time ensuring better and more consistent collections.

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