CASE STUDY
Driving Revenue Growth and Efficiency in Primary Care with RCM Outsourcing
CLIENT PROFILE
A large independent Primary Care Group based on the west coast providing a comprehensive suite of services to patients in that market.
THE CLIENT ISSUE
The practice was transitioning from private equity ownership to an independent ownership model. In conjunction with the transition, they were losing access to centralized back-office support. As such, they needed to objectively evaluate alternatives ranging from internal staffing, revenue cycle management, coding, and credentialing capacity to full outsource revenue cycle management. Complicating the matter, was a requirement to remain on their existing practice management and EMR platform.
THE MMG SOLUTION
MMG purposefully redesigned workflows, added missing charge capture reporting, developed additional charge and collection processes, and provided physicians with ICD-10 and CPT coding training and reporting. This was followed by a highly structured onboarding process with tasks, responsibilities, timelines, and status updates extending from early preparation to well beyond close and initiation of engagement. This included bi-weekly meetings with practice administrative and physician leadership ensuring that status updates, issues, and opportunities were clearly understood and that the process was efficiently accomplished.
THE OUTCOME
MMG provided an immediately stable revenue cycle process, improving performance efficiency and accuracy in all areas of the practice’s billing functions including, but not limited to, better execution in obtaining professional service coding, claim management, and accounts receivable follow up.
After twelve months of outsourced execution, practice collections have improved by more than 13% on a comparable basis to prior year.
The practice has further benefited from exposure to other MMG competencies and services, receiving financial and operational support allowing them to maintain strong growth, profitability, and mission alignment.