Featured Case Study
customer success
U.S. Dermatology Partners improves claim resolution rate by 25%.
One of the largest physician-led dermatology practices in the U.S., with nearly 250 providers across nearly 100 locations, U.S. Dermatology Partners automated charge import and review to reduce manual work, improve claim performance, and support growth despite significant staffing challenges.
RESULTS
Proof in practice.
- 10+ FTE'S reduced or reallocated
- 2 days cut from date of service to claim submission
- 25% lift in claim resolution rate
“I love the reports. They are a key tool in our monthly board meetings and revenue cycle board meetings, helping me demonstrate the ROI of RCx. They provide a clear picture of how much work is being fixed before it ever becomes a problem, which is invaluable for keeping leadership informed."
Managing rapid growth through staffing challenges.
Staffing challenges have been a familiar issue for most medical organizations since the start of pandemic. An astounding 79% of health care professionals say the national worker shortage has affected them and their place of work. U.S. Dermatology Partners is no exception. In March 2020, their CBO staff was reduced by 60%. As pandemic conditions started to ease and they were able to begin restaffing positions, only 25% of those laid off returned., leaving a significant number of open positions unfilled.
The group was also simultaneously grappling with rapid growth. As one of the largest physician-led dermatology practices in the United States, U.S. Dermatology Partners is continuously adding new providers and needed to be able to expand seamlessly without adding new coding and billing staff to handle the additional workload. In short, they needed to do more with less.
Their teams were spending a lot of time and energy combatting billing and coding errors. The group’s processes were historically very manual, and they were battling against a high rate of preventable rejections and denials. After visits were documented in their EMR, charges would pass via interface into their PM system with numerous errors. All errors needed to be manually corrected and re-entered.
Automating charge import and review.
U.S. Dermatology Partners implemented RCx to automate the charge import and review process. By eliminating the time-consuming manual entry work, they were able to reallocate employees from several teams despite their initial staffing shortages.
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 AR team, four and a half full-time positions were reallocated and denial tasks decreased by 22%. Finally, on their coding team, they were able to reduce two full-time positions and cut coding denial tasks by 75%. In all, they were able to reduce or reallocate over ten full-time positions.
Improving claim performance.
In addition to fixing 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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