Billing Company Brings Medical Practices Live 66% Faster While Continuing to Grow Their Revenue

    The Challenge

    Physician Resources, LTD (PRL) is a full-service billing and practice management consultation company committed to ensuring revenue cycle management success to its growing client base of over 30 medical groups.

    PRL’s expanding client roster was leading to ever-increasing variation between provider groups, and this—combined with more demanding government initiatives and insurance requirements—was making it difficult to control costs and achieve high accuracy at the same time.

    Prior to activating a new client, extensive management and staff hours were needed to fully understand its practice-specific requirements, making it more and more challenging to take on new groups. PRL needed to expedite and simplify this process without sacrificing its proven quality of service.

    The goals: bring new practices live faster, reduce dependency on expert staff, and improve financial results for PRL and its customers.

    “When we first implemented RCxRules, we phased in three to four small to mid-size clients as a proof of concept. Within the first month we realized the power of the product and fast-tracked the rest of our clients over the next six months. We have never looked back. RCxRules is now the key to our continued success.”
    Chris Fay Chief Information Officer

    The Solution

    PRL partnered with RCxRules to implement a single-platform rules engine for all of its clients. PRL’s clients use a variety of EMRs, and RCxRules’ vendor-neutral approach creates a consistent charge interface that works with virtually any system.

    The RCxRules platform automatically reviews 100% of charges entered into the EMR and clinical systems used by PRL’s clients—then automatically fixes routine data quality issues while directing exceptions to staff before they reach the revenue cycle management system. The rules engine acts as a collective knowledge base for each client, eliminating the need for PRL staff to learn and organize each client’s unique criteria and information on their own.

    Results

    By implementing RCxRules software, PRL achieved:

    • 66% earlier go-live dates for new clients, allowing PRL to begin billing within 30 days after contract signing rather than the 90 days it previously took.
    • 100% increase in productivity for existing staff and a 251% increase for newly hired staff during their 12-week training period—resulting in an 8.7% decrease in business office labor costs.
    • Denial rate under 2% and A/R days cut from 45 to 33 due to the automated operational shift from backend resolution to front-end prevention.
    • 20% increase in revenue on average per FTE, driven by a 16% growth in transaction volume.
    • Doubled business with only a 15% increase in staff.

    About Physician Resources, LTD

    PRL is a revenue cycle management and consulting company with over 30 years of experience. As a trusted partner to over 400 providers across the nation, PRL prides themselves on their custom, flexible, and tech-driven approach to maximizing reimbursements and optimizing revenue cycle processes among their client base.

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    “With RCxRules, we have dramatically reduced denials and improved staff efficiency. This helps us continue to improve the level of service we provide to our physician customers, which is essential given today’s competition. I don’t see how we could produce these results without RCxRules.”
    Brian Hall President

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