How U.S. Dermatology Partners Achieved Their Highest Ever Clean Claim Rate Without Adding Staff


The Challenge

The U.S. Dermatology Partners team was spending a lot of time and energy combatting billing and coding errors. 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.

The medical group was also 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.

The Solution: Revenue Cycle Rules Software

U.S. Dermatology Partners implemented the RCxRules Revenue Cycle Engine to automate the charge import and review process. By eliminating the time-consuming manual entry work, the U.S. Dermatology Partners team was able to reallocate four full-time employees and eliminate one vacant full-time position. They haven’t added additional billing and coding staff since implementing RCxRules, even with the addition of two new locations and several new providers.

The team achieved their highest ever clean claim rate in June 2021 and experienced a $15 million increase in revenue when compared to June 2020. The time their team dedicates to charge correction went from 10 hours to 2 hours per day due to the Revenue Cycle Engine’s autocorrect functionality, and daily coding denials were reduced by around 75%.

The Results

  •  Reallocated 4 FTEs
  • Eliminated a vacant FTE position
  • Achieved highest-ever clean claim rate of 96.7%
  • $15 million increase in revenue in June 2021 vs. June 2020

 

Find out how other large medical groups use the RCxRules Revenue Cycle Engine to boost efficiency and increase revenue by exploring these success stories.

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