Case Study 3

Focus on Days Revenue Outstanding

Profile: Two Physician Practice Group

Problem Prior to Engaging Integra MDP

While collection percentages were within industry norms, the Practice was experiencing continual cash flow issues due to the amount of time it took them to collect insurance receipts.

Integra MDP Action Plan

Initial analysis identified a lack of automation in claims submission and management coupled with a minimal utilization of ACH/EFT reciting structures.

A new practice management platform was implemented by Integra to support full automation in claims submission for over 96% of the payer groups seen by the practice. Payments were shifted to ACH with same day posting through ERA management. A full team was assigned to manage the transition and support the practice through rollout. Core Integra team members remained as the billing department for the practice and drove all revenue cycle management.

A thirty day action plan was developed and implemented to address the structural issues faced by the practice. Specific, Measurable & Actionable items were tracked and reported through Integra’s Client Portal with Key Performance Measurement Dashboards depicting real-time results. Results were discussed with the Practice Leaders during monthly business meetings along with newly identified performance improvement initiatives uncovered during the prior month.

End Result

• Days Revenue Outstanding (measurement of time between patient encounter to first insurance dollar received) reduced from 65 days to 18 days over the first 6 months

• After 6 months, 90% of all claims were closed within 30 days of the date of the encounter.

• Real revenue adjusted for patient volume increased by 6% over the same period