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How U.S. Dermatology Partners achieved their highest clean claim rates despite staffing challenges
 

Picture this…you’re one of the largest physician-led dermatology practices in the United States. You're continuously adding new providers and need to be able to expand without adding new coding and billing staff to handle the additional workload. In short, you need to do more with less.

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The results

TOUCH
Reduced or reallocated
Reduced or reallocated

10+ FTEs reduced or reallocated

 

TOUCH
Reduced
Reduced

Claim submission time cut by two days

TOUCH
Decreased
Decreased

Rejections down 3%

TOUCH
Improved
Improved

Claim resolution rate up 25% in three months

The results

radar
 

Reduced/Reallocated

 

10+ FTEs
 
accuracy
 

Reduced Time

 

from date of service to claim submission by two days
optimization
 

Decreased

 

clearinghouse and payer rejections by 3%
atom-green
 

Improved

 

claim resolution rate by 25%
 
 
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The challenge

Staffing cuts and expansion strained billing and coding. The team needed to cut manual entry, reduce preventable rejections, and speed claims—without adding headcount.

 

The solution

Aptarro automated charge import and review, reducing hours of manual entry. Teams were redeployed, denial tasks dropped, and workflows streamlined to support growth.

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Proof

Real, satisfied customers

The time from date of service to claim submission was reduced by two days. Clearinghouse and payer rejections decreased by 3%, backend rejections were reduced by 25%, and claim resolution rate was up by 25% three months after implementation.

The benefits

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The group was able to reduce two full-time positions and reallocate another two full-time positions on their Charge Entry Team. They reduced 11 hours per day of manual charge entry; and automated charge cloning, missing charge reconciliation, and practice transfer. On their AR Team, they were able to reduce four and a half full-time positions and reduce denial tasks by 22%. Finally, on their Coding Team, they were able to reduce two fulltime positions and reduce coding denial tasks by 75%. In all, they were able to reduce or reallocate over ten full-time positions.

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In addition to remedying their staffing challenges, these changes positively increased staff morale and allowed for more professional growth among their existing staff. The simplified processes also eased staffing changeovers and reduced the administrative burden on IT.

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The time from date of service to claim submission was reduced by two days. Their clearinghouse and payer rejections decreased by 3%, backend rejections went from 40% of total rejections down to 15%, and their claim resolution rate three months after implementation was up by 25% of the available opportunity.

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