Case Study: Maximizing Billing, Minimizing Outstanding Claims

CASE STUDY:
MAXIMIZING BILLING,
MINIMIZING OUTSTANDING CLAIMS

In May 2020, Advanced Hospice Management began working with a hospice provider in Maryland who had unexpectedly lost their in-house biller. They were experiencing inconsistent levels of revenue due to a lack of follow-up regarding outstanding bills. Looking for a way to maximize billing and create a more consistent revenue flow, they contacted Advanced Hospice Management. 

“The knowledge they share with us is pretty amazing.”
“In less than 30 days, Advanced Hospice Management was able to completely take over our billing department.”

CHALLENGES

  • Previous biller failed to consistently follow up regarding outstanding claims
  • Accounts receivable aging reports were continuously rising
  • Billing system was not as organized or efficient as needed

OUR SOLUTIONS

  • Kept an audit on their medical records to ensure billing was up to date
  • Followed claims from submission to payment, including appeals and reconsiderations
  • Provided company with high-level responsiveness, allowing for a seamless transition

“Instead of having us convert our health records system, they were able to use our existing system. Everyone here feels so fortunate to have found them.”
-Peggy, Executive Assistant, Hospice Agency

RESULTS

  • By closely monitoring claims, Advanced Hospice Management has been able to increase revenue and create a steady flow of revenue for the hospice provider.
  • Advanced Hospice Management oversees all bill discrepancies to ensure all billing is handled in the correct manner and in a timely fashion.
  • The existing in-house systems were kept intact, allowing for a seamless transition.

After joining their team, Advanced Hospice Management completely changed the way they do billing. We were able to use their current health records system and make the improvements that were necessary while keeping their team educated. As a result of our diligent efforts to maximize collections, we have been able to stabilize the hospice provider’s monthly revenue.

“It doesn’t feel like we are using an outsourced company to handle our billing. They act as if they are just across the hall, and it really feels that way. It’s comforting to know that there’s always someone to help us whenever we need it, especially someone that is extremely knowledgeable.”
-Peggy, Executive Assistant, Hospice Agency

Advanced Hospice Management is a specialized billing service working solely with hospice providers across the country to maximize collections. Our team of highly-trained expert billers understands the complex nature of hospice billing and strictly adheres to required collection standards. We are fully devoted to providing unmatched billing solutions so that our clients can focus on patient care.

COLLECTING ALL DELAYED PAYMENTS IN SEVEN MONTHS

In May 2016, Advanced Hospice Management began working with a hospice provider in the western United States. This client had been connected to their previous biller through their electronic health record (EHR) software and their collection rates and compliance suffered tremendously during that time. Their previous biller failed to comply with updated billing regulations and consistently left money on the table.

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ESTABLISHING SUCCESS WITH A HOSPICE STARTUP

CASE STUDY:

ESTABLISHING SUCCESS WITH A HOSPICE STARTUP

Advanced Hospice Management worked with a startup hospice provider to create a successful foundation for billing and collecting. With no previous experience, the new hospice agency faced a complex set of rules and processes to receive its Medicare license and credentials. The provider was nervous about the daunting tasks and hired us after researching specialized hospice billers.
We successfully assisted the hospice agency in navigating through the stressful processes startups face. As soon as accreditation was received, we immediately began processing and collecting on outstanding A/R and worked to implement processes needed for long-term industry success.

CHALLENGES

  • Hospice startups often struggle to get their paperwork done correctly and in a timely manner.
  • Upon certification, startups face immense pressure to get their past billing submitted in order to begin collecting on work performed.

OUR SOLUTIONS

  • Assisted with electronic billing enrollment.
  • Monitored all Notice of Elections until they were processed and paid.
  • Monitored all Additional Development Requests until they were processed and paid.

“They do it so well that we don’t have to worry about our collections. Everything comes in every month, and we can just focus on patient care.”

RESULTS

  • We greatly reduced the standard wait time for the provider to receive its initial collections after Medicare licensure.
  • Our team established a successful foundation for billing and collecting that allows the startup to focus on delivering high-quality patient care.
  • We collected hundreds of thousands of dollars within a few months easing the financial pains of a hospice startup.

After hiring our team, we drastically improved all aspects of the billing process. In addition to ensuring the client was fully compliant, we added additional team members to actively manage cases and maximize collections. Through our efficient, proven services, Advanced Hospice Management completely restructured the hospice’s billing system.

“Advanced Hospice Management had hundreds of thousands of dollars collected within a few months which helped our profit margin tremendously.”

Advanced Hospice Management is a specialized billing service working solely with hospice providers across the country to maximize collections. Our team of highly-trained expert billers understands the complex nature of hospice billing and strictly adheres to required collection standards. We are fully devoted to providing unmatched billing solutions so that our clients can focus on patient care.